Injection specialists

At ROC, we offer a comprehensive range of injection therapies designed to alleviate pain and improve joint function, providing effective non-surgical options for various musculoskeletal conditions. Our treatments include XIAFLEX® for Dupuytren’s Contracture, Zilretta and Synvisc-One for osteoarthritis knee pain, TriVisc® and Euflexxa for knee pain relief, Hyalgan and SynoJoynt™ for enhanced joint lubrication, DUROLANE for long-lasting osteoarthritis pain relief, and Iovera° for temporary knee pain reduction through a non-invasive procedure. Each therapy is tailored to meet the unique needs of our patients, ensuring personalized and effective care.

Answers to Injections Questions

Injections Therapies

Here’s an overview of the additional injection therapies available:


Platelet-rich plasma (PRP) is a form of regenerative medicine. Made from a sample of your blood, PRP contains a high concentration of platelets and growth factors, including:

  • Platelet-derived growth factor (PDGF)
  • Vascular endothelial growth factor (VEGF)
  • Transforming growth factor

XIAFLEX® (collagenase clostridium histolyticum)

XIAFLEX® is a revolutionary treatment primarily used for Dupuytren’s Contracture, a hand condition that affects the fingers’ flexibility. This enzyme-based injection helps break down the tough, cord-like structures in the palm, allowing for improved movement and relief from the contracture.



Zilretta is an extended-release corticosteroid injection designed to manage osteoarthritis knee pain. It provides sustained relief by continuously releasing medication to the affected area, minimizing inflammation and discomfort.



Synvisc-One is a visco supplementation treatment that provides up to six months of pain relief from osteoarthritis knee pain. It is a single injection formulated to mimic the natural joint fluid, helping to lubricate and cushion the joint. Learn more about what to expect from a Synvisc-One injection.



TriVisc® is a three-regimen injection series designed to relieve osteoarthritis knee pain. It helps restore the natural balance of joint fluid, offering both immediate and long-lasting pain relief. More about TriVisc® regimen



Euflexxa is utilized for patients experiencing knee pain due to osteoarthritis. It is injected directly into the knee joint to provide lubrication and cushioning, improving mobility and comfort. Explore Euflexxa treatment options.



Hyalgan therapy involves injections of hyaluronic acid into the knee joint, facilitating better joint movement and reducing pain by improving the lubricating properties of the synovial fluid.



SynoJoynt™ offers relief from knee pain associated with osteoarthritis. It is a 1% sodium hyaluronate solution that improves joint function and reduces discomfort. Patient brochure on SynoJoynt™



DUROLANE injections are designed for patients suffering from knee osteoarthritis. It is a single-shot treatment that can provide long-lasting pain relief, enhancing the quality of life. Learn more about DUROLANE.



The Iovera° treatment utilizes the body’s natural response to cold to alleviate knee pain. It is a non-invasive procedure that targets specific nerves and temporarily reduces knee pain without drugs. Discover more about Iovera°.

When might I need an injection?

Injection therapy can relieve pain, reduce inflammation, improve mobility, and promote healing, depending on the type of injection you receive.

A few of the health conditions that may benefit from an injection include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Bursitis and tendonitis
  • Rotator cuff tears
  • Knee pain
  • ACL tear
  • Meniscus tear
  • Achilles tendonitis
  • Shoulder pain

Your injection may target a joint or ligaments, tendons, and other soft tissues throughout your body.

What type of injection might I receive?

Your injection may contain:


Steroids relieve pain by reducing inflammation. Though ROC often injects steroids into joints, they can also target soft tissues such as an inflamed tendon.

Your steroid injection may contain a local anesthetic, giving you fast but short-lasting pain relief. It takes longer for the steroids to take effect, but then they usually produce longer-lasting results.


Viscosupplementation refers to injecting hyaluronic acid into an arthritic joint. Hyaluronic acid, a substance naturally found in your joints, absorbs shock and lubricates the joint for smooth movement. People with arthritis find that a hyaluronic acid injection restores mobility and alleviates the pain.

Platelet-rich plasma (PRP)

PRP contains concentrated platelets mixed with plasma. Your provider at ROC creates PRP in the office by drawing a sample of your blood and separating the platelets.

After your provider injects PRP at the site of injured tissues, the platelets release growth factors. Growth factors naturally activate the healing response in the surrounding cells. They also:

  • Speed-up the healing process
  • Regulate inflammation
  • Recruit stem cells to the area
  • Stimulate new blood vessel growth
  • Build a matrix that supports new tissues

Your provider may recommend PRP for many orthopedic problems, especially slow-healing wounds or injuries in tissues with a low blood supply.

What happens during my injection?

Your provider numbs the skin in the area and then uses imaging such as ultrasound or fluoroscopy to guide the procedure. Real-time imaging can see the injured tissues and place the injection into a precise area of damaged tissues.

Depending on the type of injection, you may return to your normal activities the next day, or you may need to take it easy for a few days.

Insurance Authorization

Please be aware that some injections require prior authorization from your insurance carrier. This means that these injections may not be administered on the same day as your appointment. Our team will work with you to ensure all necessary authorizations are obtained as quickly as possible.

Expert Care from Our PAs

Our Physician Assistants (PAs) are highly skilled professionals who frequently administer treatments. They bring a wealth of expertise and dedication to ensure you receive the best possible care during your visit.

Request A Consultation

Ready to take the first step towards a pain-free life? Request a consultation with our experienced orthopedic specialists today. Let us help you regain control and restore your quality of life.

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