Absolute contraindicationsRelative contraindications
Local cellulitis
Septic arthritis
Acute fracture
Bacteremia
Joint prosthesis
Achilles or patella tendinopathies
History of allergy or anaphylaxis to injectable pharmaceuticals or constituents
Minimal relief after two previous corticosteroid injections
Underlying coagulopathy
Anticoagulation therapy
Evidence of surrounding joint osteoporosis
Anatomically inaccessible joints
Uncontrolled diabetes mellitus