Why Knee Injections Don’t Work?

I frequently get questions about knee injections and the main question I get about them is, “Why Knee Injections Don’t Work To Get My Knee Out Of Pain?”

I’m talking about injections like:

The feedback I get from knee pain sufferers range from

1.) The injection made my pain better for a while but my knee pain came back

2.) The injection made my knee pain worse

3.) The injection did nothing for my knee pain

The results are going to vary depending on the type of injection and what the goal is.

For the most part, and correct me if I’m wrong is you want the pain to go away, right?

It’s important to make sure to understand the cause and effect component of knee pain.

The cause of ALL knee pain is irritated nerves!

The effect is your experience of knee pain

With this in mind let’s look at the 3 different type of results and see what might be going on with each type of result.

1.) The injection made my pain better for a while but the knee pain came back – In each case this happens the injection contained some sort of “numbing agent” designed to numb the knee pain. The strategy with this type of injection is if your knee/body doesn’t feel the pain for a little bit, there might be a chance that your knee could heal in the mean time. Unfortunately, many times the underlying cause of the nerve irritation in the knee is not addressed so when the injection wears off the pain comes back.

2.) The injection made my knee pain worse – In this case as the doctor was sticking the needle into your knee, they hit the painful nerve or another nerve in the knee causing more pain. This is unfortunate however an inevitable “hazard” of trying to eliminate the pain with this strategy.

3.) The injection did nothing for my knee pain – Many times injections have no effect what-so-ever on knee pain. Primarily because the injection is trying to “mask” the pain or give the body something it no longer is providing for itself to heal.

In all of these cases the cause of the knee pain is the same. The nerves in the knee are being irritated. However, the injection is not addressing the effect of the knee pain. At best the injection is “hoping” that the effect of the knee pain will be different.

In all cases the knee is given a “crutch” in the form of the injection and not being “taught” how to heal itself. At best a temporary solution and at worst it makes the knee hurt worse.

Getting an injection for the knee is not necessarily a bad thing as long as it is part of a bigger long-term wholistic strategy to heal the knee and keep it out of pain. Without the bigger long-term strategy knee pain, given enough time will eventually lead to arthritis —> bone on bone —> and eventually a knee replacement surgery.


the knee pain guru
the knee pain guru

Bill is “The Knee Pain Guru” and “The Best in the World at Eliminating Knee Pain without Drugs, Shots or Surgery.”

He has over 26 years of martial art and body work experience understanding movement and tensions patterns that lead to physical pain.

Bill’s believes the nervous system is the key to the body’s healing and the bridges the gap between what we currently know and the infinite possibilities of what we don’t know the body is capable of. Coupled with comfort this combination creates the shortest distance between a life riddled with pain to a physical life fully mobile and self expressed.

“You can’t think your way out of pain. Pain is not rational and doesn’t care what you think. You must feel your way out of pain through comfort. Through the weeks, months and years of injury and compensation patterns built up in your body limiting your movement and making you feel older than you are.”

His unique ability of identifying the blocks that keep people stuck in pain and skillfully removing them allows for lasting change and a new reality for his clients…

Bill Parravano (The Knee Pain Guru)

Bill Parravano is “The Knee Pain Guru” and has been called, “the best in the world at eliminating knee pain without drugs, shots or surgery.”

He brings over 26 years of martial art and bodywork experience understanding movement and tensions patterns that lead to physical pain.

Bill believes the nervous system is the key to the body’s healing, and bridges the gap between what we currently know and the infinite possibilities of what we don’t know the body is capable of. Coupled with comfort, this combination creates the shortest distance between a life riddled with pain to a physical life fully mobile and self expressed.

“You can’t think your way out of pain. Pain is not rational and doesn’t care what you think. You must feel your way out of pain through comfort. Through the weeks, months and years of injury and compensation patterns built up in your body limiting your movement and making you feel older than you are.”

His unique ability of identifying the blocks that keep people stuck in pain and skillfully removing them allows for lasting change, and a new reality for his clients…

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TIM
TIM
9 months ago

What specific medical training do you have ?
I did not see your credentials anywhere…

jean laubach
jean laubach
5 months ago
Reply to  TIM

no injections helped knee pain

Jamie Clark
Jamie Clark
11 months ago

My husband got a prp injection and his knee hurts worse think the shot was given in the wrong spot

Sonia
Sonia
1 year ago

I had first baker cyst doctor gave me cortisone injection bake cyst gone but pain in my knee still there , Nothing coming in MRI Reports are fine but still has lot pain and burning sensation behind the knee , just doing exercise taking care of myself proper which is helping but pain still have , any suggestion you like to share with me? Doctors has no answer, I am 31 year old . I have no other issue blood text is also normal .

Sonia
Sonia
1 year ago
Reply to  KneePainGuru

Thank you

Sonia
Sonia
1 year ago

Do exercise eat ghee , take physio watch your diet and eat
vitmine D , Calcium , sesame seed extra eat clean and try to walk at least 30 min . I tried it helped !

Kim Hardnick
Kim Hardnick
1 year ago

I have a badly torn meniscus with a cyst and fluid on the need. I’ve had one knee injection that worked wonderfully. I woke up the other morning in horrible pain in the same knee. I received another knee injection over 12 hours ago and still have no relief.

Sonia
Sonia
1 year ago

Hi Bill,

I Have problem of knee pain from one year , I had baker’s cyst behind the knee which I found last November , my doctor gave me cortisone injection which worked and baker cyst was completely gone , I had MRI after that in February 2018 but after injection I always have pain behind my right knee , My xra and ultra sound was normal but pain always , I have problem to walk and stand , taking physiotherapy now exercise helped but pain come back again and again like earlier . Please help me with your suggestion also I am 31 years old. Thank you

John
John
1 year ago

I’m 66 years old and have been running regularly for 35 years. Over that time I have had arthroscopic surgeries on both knees for meniscus tears. Last year I began experiencing pain in my right knee again, swelling and stiffness after completing my run, as well as the occasional feeling my knee was buckling. An MRI failed to pinpoint a reason for the problem, although the orthopedist’s report said I had a probably had a meniscus tear. There is also some arthritis in the knee, but the doctor called it minor. I’ve tried two cortisone shots which eliminated the pain… Read more »

Linda Cooper
Linda Cooper
2 years ago

I have chondrocalcinosis in my right knee. I have had some relief from steroid injections but would like longer term relief. I also have piriformis syndrome, sciatica and torn gluteus minimus in my right hip (chronic pain for the last 10 years, bursectomy, piriformis release, and hip labrum and some bone debriding) so ongoing PT is essential in order to regain functionality. Unfortunately my knee pain puts me in this Catch 22 situation; need exercise for hip, exercise irritates knee. I am 68, a bit underweight and eat a healthy diet because I have MS. Is any part of your… Read more »

Bill (The Knee Pain Guru)
Reply to  Linda Cooper

Linda
Watch this and let me know your thoughts:
https://youtu.be/mauFHFMq6Bc

Regards
Bill

Lisa
Lisa
2 years ago

I have PCOS so I’m alreadt on a antinflamatory eating regimin . I was very active at the gym, & was mostly doing strength training. Sadly I had to relocate back to the east coast, that’s where my troubles began. I know have such pain in my left knee ( ironically enough just one knee has asked you arthritis per the MRI ) No shot or NSIAD has even touch the pain. My activity level is suffering, as is my mental status due to the pain & the inability to be active . I also have 3 kids with NO… Read more »

Bill (The Knee Pain Guru)
Reply to  Lisa

Lisa
Thoughts?

Here’s a video of my thoughts on knee pain:
https://youtu.be/s7bn4bteDWw

Bill

Linda
Linda
2 years ago

I had both knees injected with gel 3 days ago
One us fine
The other is worse…can hardly walk
Why
What can I do
I am 67 female

Erika Robinson
Erika Robinson
2 years ago

Hi. I 49 year old female who runs alot (about 10 years). Last year I competed alot, long distance as well as spring duathlons. Last fall I was diagnosed with patellar tendinosis and partial patellar tendon tears in both knees. Months of therapy combined with nitro patch treatment, then an EMG with no findings, then x rays and bones are normal…finally tried PRP for both knees. It’s only been one week for one knee and 2 weeks for the other. I know it takes 8-12 weeks to feel affects of healing, however I am worried that it may not work… Read more »

Patricia Doran
Patricia Doran
2 years ago

Hi
I am a 62 year old female. I received injections for my knee pain (in both knees) and they did absolutely nothing. I am very frustrated and would like your advise on what to do next.

Neri Melsmith
Neri Melsmith
2 years ago

Love the article on water I don’t like it much and don’t drink much found your site when researching regrowing cartilage for finger joint. regeneration
Bone on Bone on right righ finger and not much avlar plate left. Dropped a paddle board 9 months ago and thought it would fix itself. Ultrasound people say it’s also degenerative and I must have done damage before now
Do u advise on fingers ? Who could I’m in Aust

Althaf Hussain
Althaf Hussain
2 years ago

I was drained fluid from from joint space … after that fibrous tissue has formed… its creating pressure on nerves while sitting… what to do

Thea
Thea
3 years ago

I was found to have no cartilage in my knee and it is one on bone. I am 36 years old and want to try alternative measure to manage the pain and ultimately avoid surgery. I’d love your advice.

Appreciatively,
Thea

John
John
3 years ago

Both my knees are bone on bone. I still run however after 30 min of running I am in a lot of pain. I am 60 years of age and I am very fit and active. At this stage to get through running and bike riding I am taking nurafin anti inflamatories and Panadine forte to help with inflammation and pain.

Shari
Shari
3 years ago

I will not pay for advice from an unknown source. If this was rated by folks who have follow the suggestions might be different. When you are retired you cannot afford big sums of money on a whim of something not tested or recommended by peers.

Gayle Thomsom
Gayle Thomsom
1 year ago
Reply to  KneePainGuru

I had a cortisone shot in my knee 3 weeks ago. It only last two weeks. So painful what next. Can not take anti-inflammatories. I fractured my knee when l was in my twenties skying. No in my sixties. Arthritis showed on exray.