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Knee Injections Explained: Cortisone, Gel, and PRP — What's the Difference?

Non-Operative

Not every arthritic knee needs surgery. Injections are one of the most useful tools for calming pain and keeping you active — but the three common types work in very different ways.

Cortisone (steroid) injections

What it is: A powerful anti-inflammatory medication placed directly into the joint.

What it does: Quiets the inflammation that makes an arthritic knee swollen, stiff, and painful. Relief often arrives within days.

Best for: Painful flare-ups, or getting comfortable enough to exercise, travel, or sleep. Relief typically lasts weeks to a few months and injections are usually spaced at least three months apart.

Gel injections (viscosupplementation)

What it is: Hyaluronic acid — a natural component of joint fluid — injected to supplement the thinner, less effective fluid in an arthritic knee.

What it does: Improves lubrication and shock absorption. Relief builds gradually and, for the right patient, can last around six months.

Best for: Mild to moderate arthritis, especially in patients who want to delay surgery or cannot take anti-inflammatory medicines.

PRP (platelet-rich plasma) injections

What it is: A small sample of your own blood is spun down to concentrate platelets — cells packed with growth factors — which are injected into the knee.

What it does: Uses your body's own biology to modulate inflammation. Growing evidence supports PRP for symptom relief in mild to moderate knee arthritis, often lasting longer than cortisone.

Best for: Active patients with earlier-stage arthritis who want a biologic option. PRP is typically not covered by insurance.

Which one is right for you?

It depends on the stage of your arthritis, your goals, and your timeline. Sometimes the honest answer is a combination — and sometimes it is a conversation about whether the knee has reached the point where replacement will serve you better. That conversation starts with an exam and X-rays.

This article is for general education and is not a substitute for medical advice.


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