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hi this is dr. Richard coming in from Belson orthopedics and I wanted to briefly discuss with you injections I do various injections in the office including simple steroid injections viscosupplementation injections PRP injections and all these can cause patients some anxiety patients get anxiety I think mainly because of the pain that they think the injection is going to cause having done thousands of injections to the knee and shoulder over the last 12 years Iamp;#39;ve developed a good system for administering an injection that causes minimal pain here Iamp;#39;m administering an injection to the knee itamp;#39;s then critical to have the physician know and palpate the anatomy of the knee I didnamp;#39;t prep the skin with alcohol and betadine to clean any bacteria off the skin over the injection site I then use a very small bore needle the first numb the skin is some numbing medication I let this sit for a minute or two to allow the needle track to become known hi then administe