Garden State Pain Management

Get Back to Living Pain-Free

Board-certified interventional pain specialist serving New Jersey for nearly 30 years — personalized, minimally invasive care designed to help patients avoid surgery whenever possible.

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Nearly 30 Years
Relieving pain in New Jersey since 1997
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Joint Injections New Jersey

Relief for Painful and Inflamed Joints

When pain comes from a specific joint, nerve, or area of inflammation, treating the exact source often provides better relief than medication alone.

Joint injections and nerve blocks are minimally invasive procedures that deliver medication precisely where it’s needed. Instead of affecting your entire body, these treatments focus directly on the injured or inflamed area to reduce pain, decrease inflammation, and improve movement.

For nearly 30 years, Dr. Todd Koppel has helped patients throughout New Jersey manage chronic neck pain, back pain, arthritis, joint pain, and nerve related conditions using advanced image guided injection techniques. Every procedure is performed with precision to maximize both safety and effectiveness.

What Are Joint Injections?

A joint injection delivers medication directly into an inflamed or painful joint.

Depending on your condition, the injection may include:

  • Corticosteroid medication to reduce inflammation
  • Local anesthetic to provide immediate pain relief and help confirm the source of pain
  • Hyaluronic acid to improve joint lubrication
  • Platelet Rich Plasma (PRP) to support the body’s natural healing response

Joint injections can help relieve pain affecting many different joints throughout the body.

Common treatment areas include:

  • Knees
  • Shoulders
  • Hips
  • Ankles
  • Wrists
  • Sacroiliac joints
  • Facet joints of the spine

What Is a Nerve Block?

A nerve block is an injection placed around a specific nerve or group of nerves to temporarily interrupt pain signals.

Nerve blocks serve two important purposes.

Diagnosis –Some nerve blocks help identify the exact structure responsible for your pain. This allows Dr. Koppel to recommend the most appropriate treatment before moving forward with more advanced procedures.

Treatment – Other nerve blocks reduce inflammation and provide meaningful pain relief, helping patients improve mobility and return to normal activities.

Conditions Commonly Treated

Depending on your diagnosis, Dr. Todd Koppel may recommend injections for a variety of spine and joint conditions.

Facet Joint Pain

Facet joint injections reduce inflammation within the small joints of the spine while helping determine whether the joints are responsible for chronic neck or back pain.

If diagnostic testing confirms the diagnosis, radiofrequency ablation may provide longer lasting relief.

Sacroiliac Joint Pain

SI joint injections help diagnose and treat pain coming from the sacroiliac joints, which are a common but often overlooked source of lower back and buttock pain.

Knee Arthritis

Genicular nerve blocks temporarily interrupt pain signals from arthritic knees and help determine whether patients may benefit from genicular radiofrequency ablation.

Trigger Points

Trigger point injections relax painful muscle knots that commonly develop in the neck, shoulders, and back.

Pinched Nerves

Selective nerve root blocks and epidural steroid injections reduce inflammation around irritated spinal nerves and may relieve pain caused by conditions such as sciatica, cervical radiculopathy, and lumbar herniated discs.

How Dr. Koppel Determines the Right Injection

Not every patient benefits from the same procedure.

Before recommending treatment, Dr. Todd Koppel performs a thorough evaluation to understand your symptoms, review imaging studies when appropriate, and identify the structure most likely causing your pain.

Because many spine and joint conditions produce similar symptoms, selecting the correct injection is one of the most important factors in achieving successful results.

What to Expect

Joint injections and nerve blocks are performed on an outpatient basis at Garden State Pain Management.

Before Your Procedure

You’ll receive instructions regarding medications, eating, and transportation based on the type of injection being performed.

During Your Procedure

The treatment area is numbed with local anesthetic before Dr. Koppel carefully guides the needle using fluoroscopic or ultrasound imaging.

Most procedures take approximately 10 to 20 minutes.

Sedation is available for patients who may feel anxious.

After Your Procedure

Most patients return home shortly after treatment.

Mild soreness at the injection site is normal and usually resolves within a day or two.

Many patients return to their normal daily activities the following day.

Why Choose Dr. Todd Koppel?

Choosing an experienced physician is important because successful injections depend on accurate diagnosis and precise needle placement.

For nearly 30 years, New Jersey pain doctor Todd Koppel, MD has helped patients throughout New Jersey manage chronic pain using advanced interventional pain management techniques.

Patients choose Dr. Koppel because he offers:

  • Nearly 30 years of experience performing image guided injections
  • Fellowship training at the Hospital for Special Surgery
  • Personalized treatment plans based on your diagnosis
  • Advanced fluoroscopic and ultrasound guidance for greater precision
  • Minimally invasive procedures performed in the office
  • A conservative approach that focuses on relieving pain while improving function

At Garden State Pain Management, every treatment begins with understanding the cause of your pain so the right procedure can be recommended.

Frequently Asked Questions

A joint injection delivers medication directly into a painful or inflamed joint to reduce inflammation and relieve discomfort. A nerve block targets the nerves that carry pain signals from a specific area of the body. Depending on your condition, a nerve block may be used to diagnose the source of your pain, provide temporary relief, or determine whether you may benefit from a longer-lasting treatment such as radiofrequency ablation.

A cortisone shot is one type of joint injection; cortisone is a corticosteroid. Joint injection is the broader term covering corticosteroids, hyaluronic acid, PRP, and local anesthetics. What all joint injections have in common is precision delivery directly into the joint rather than into surrounding tissue.

A local anesthetic provides immediate temporary relief. Corticosteroid effects develop over three to seven days. PRP results take four to eight weeks to build. The type of medication determines the timeline.

Joint injections and nerve blocks have been performed safely for many years when done by an experienced physician using image guidance. As with any medical procedure, there are potential risks, but serious complications are uncommon. Dr. Koppel performs every procedure using fluoroscopic or ultrasound guidance to help ensure accurate placement and maximize safety.

In most cases, yes. Many joint injections and nerve blocks are performed using only a local anesthetic, allowing patients to drive themselves home afterward. If sedation is used, you’ll need someone to drive you home. Dr. Koppel’s office will provide instructions before your procedure.

For many patients, yes. By reducing inflammation and improving function, joint injections can provide meaningful pain relief and allow patients to remain active while delaying or avoiding surgery. Although they aren’t appropriate for every condition, they are often an effective part of a comprehensive pain management treatment plan.

Most joint injections and nerve blocks are covered by standard health insurance and Medicare when appropriate clinical criteria are documented. Dr. Koppel’s office will verify your coverage before scheduling.

Todd Koppel, MD, interventional pain specialist

Todd Koppel, MD

Board-Certified, Fellowship-Trained Interventional Pain Specialist

“After seeing two previous doctors without results, Dr. Koppel helped me get my life back. I’m now more mobile and no longer in pain 24/7.” ✓ Verified Patient Review
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Precision Is the Difference Between Masking Pain and Actually Stopping It

Living with pain can affect every part of your life, but you don’t have to face it alone.

At Garden State Pain Management, Dr. Todd Koppel takes the time to understand your symptoms, identify the source of your pain, and recommend a personalized treatment plan designed to help you feel better and get back to the activities you enjoy.

Whether you’re experiencing neck pain, back pain, joint pain, or another chronic pain condition, we’re here to help.

Call (973) 473-5752 today to schedule your consultation.

Get In Touch

Clifton Location
1033 Clifton Ave., Suite 209 Clifton, NJ 07013

Elizabeth Location
230 West Jersey Street, Suite 306, Elizabeth, NJ 07202

Open Hours
Mon – Wed: 8:30am – 4:30pm
Thursday: 10:00am – 6:30pm
Friday: 8:30am – 4:30pm