Cihan AKSOY, MD, Professor (Founder)
Demirhan DIRACOGLU, MD, Professor

First injection in the world was performed at the beginning of 20th century and first intra-articular injection was performed in 1950s. Specialty Injection Outpatient Clinic in Physical Medicine and Rehabilitation Department of Istanbul Faculty of Medicine, which is the first specialized outpatient clinic in our country, was established by Prof. Dr. Cihan Aksoy in 1990.

Purpose of Establishment

The purpose of establishment of this outpatient clinic is to successfully practice special injection methods used in the diseases of musculoskeletal system and to provide maximum patient satisfaction.

What We Do

  • The term “specialty injection” implies the injections that can only be performed by trained specialists under certain circumstances. It is far different than the injections routinely performed into the gluteal region by the nurses and other health care workers
  • In special injections, drug is delivered to and around the joint, to and around the ligaments, and lumbar, cervical and sacrococcygeal regions. Special injections to such regions involve also withdrawal of excess fluids, tissue sampling and intra-articular lavage
  • Special injections are performed under sterile settings due to contamination risk (using sterile gloves and materials) and when needed, in the operation room with the guidance of imaging techniques
  • When the patients are admitted to the specialty injection outpatient clinic, a form is completed for each patient about his/her problem and the patients are followed with certain intervals after the injection
Special injections are recommended in which diseases?
  • Osteoarthritis of knee, hip, ankle, shoulder, elbow, wrist and finger joints (in order to reduce pain, to prevent disease progression and to reduce the rate of surgery)
  • Cervical pain and lumbar pain unresponsive to standard treatment
  • Diffuse or regional muscle pains
  • Sports injuries (such as sprain, trauma)
  • Nerve compression in the wrists, ankles and other regions
  • Problems in temporomandibular joint
  • Diseases with spasticity

Some of the special injections are as the following:

  • Injections to facet joints
  • Caudal spinal injections
  • Foraminal spinal injections
  • Injections to sacroiliac joints
  • Intra-articular lavage and injections to hip joint
  • Intra-articular lavage and injections to hip and ankle joints
  • Intra-articular injections to shoulder joints and subacromial injections
  • Suprascapular nerve block
  • Intra-articular injections to elbow and wrist
  • Intra-articular injections to temporomandibular joint
  • Intra- and peri-tendineous injections
  • Injection of botulinum toxin with the guidance with muscle stimulator or EMG
  • Local injections to trigger points
  • Dry needle injection to trigger points
  • Soft tissue injections (carpal tunnel syndrome, Dequervain tenosynovitis, lateral epicondylitis, subtrochanteric bursitis, etc.)
  • Intra-articular ozone-oxygen applications

Working Days

Special injections are performed in a special room at the first floor of the outpatient clinic building of Physical Medicine and Rehabilitation Department of Istanbul Faculty of Medicine on Fridays from 9:00 AM to 16:30 PM.

How to Apply?

After scheduling an appointment from Physical Medicine and Rehabilitation Department of Istanbul University Faculty of Medicine by dialing 0 (212) 414 20 00, patients examined by the physician in the outpatient clinic are directed to the injection outpatient clinic, if indicated.