HealthSpan Services · Rochester, NY
No Membership Required · Adults 18+Non-Surgical Orthopedic Care & Joint Injections
Relieve Pain. Restore Function. Get Back to What You Love.
Joint pain, inflammation, and limited mobility can interfere with your daily activities and quality of life. At Rochester HealthSpan Medicine, we offer personalized, evidence-based, non-surgical orthopedic care designed to help reduce pain, improve mobility, and support long-term joint health.
Your physician
Feel Better. Move Better. Stay Active.
Our Non-Surgical Orthopedic Care services are provided by Dr. Carl Covey, a triple board certified physician with over 24 years of clinical experience. Dr. Covey is Board Certified in Sports Medicine, Family Medicine and Lifestyle Medicine. He integrates evidence-based techniques with a comprehensive understanding of your health.
Our services include comprehensive physician consultations, targeted cortisone injections, ultrasound-guided joint injections, and hyaluronic acid (viscosupplementation) therapy.
A personalized plan
Non-Surgical Orthopedic Care Consultation
Every successful treatment begins with an accurate diagnosis and a personalized plan.
A comprehensive evaluation
During your comprehensive orthopedic consultation, your physician will thoroughly evaluate your joint complaint, review your medical history, perform a focused musculoskeletal examination, and assess your symptoms, mobility, and functional limitations. When appropriate, additional diagnostic testing or imaging may be recommended.
Your treatment plan
Based on these findings, your physician will formulate a clinical diagnosis and develop an individualized treatment plan. Recommendations may include lifestyle modifications, therapeutic exercises, physical therapy, medications, or non-surgical orthopedic procedures, including joint injections.
Orthopedic Consultation Pricing*
*Prices are subject to change.
Consultation Fee Applied Toward Your Procedure
If your physician determines that an orthopedic procedure is medically necessary and appropriate for your condition, the consultation fee will be applied toward the procedure fee.
Your procedure may be performed during the same visit or may require a separate appointment, depending on your clinical needs and the treatment plan developed together with your physician.
Treatment options
Cortisone Injections
Targeted Relief for Pain and Inflammation
Cortisone injections deliver a corticosteroid along with a numbing medication directly into an affected joint or surrounding tissue to reduce inflammation and alleviate pain. They may be recommended for selected inflammatory or degenerative musculoskeletal conditions, including arthritis, bursitis, tendon sheath inflammation, and certain other painful conditions.
Benefits
- Reduces inflammation: Helps calm localized inflammatory activity.
- Relieves pain: May provide relief lasting weeks to months, although duration varies.
- Improves joint mobility: Reducing pain can make movement and daily activities easier.
- Supports rehabilitation: May improve tolerance of physical therapy and exercise.
- Minimally invasive: Usually performed in the office with limited downtime.
- May delay additional interventions: Can provide symptom control without immediate surgical treatment in selected patients.
Considerations and Potential Risks
Cortisone injections are generally well tolerated when appropriately performed, but they are not suitable for every condition.
Potential considerations include temporary discomfort or bruising at the injection site, a short-lived increase in pain after injection, temporary blood glucose elevation, skin discoloration or localized fat loss, and rare infection. Repeated injections may contribute to cartilage damage or tendon weakening, depending on the injection site, medication, and frequency.
Important: Cortisone injections help manage symptoms but do not reverse underlying cartilage degeneration or cure osteoarthritis. Your physician will determine the appropriate medication, injection site, and treatment frequency.
Treatment options
Hyaluronic Acid (Viscosupplementation) Injections
Supporting Joint Lubrication and Mobility
Hyaluronic acid is a naturally occurring substance found in synovial fluid, where it contributes to joint lubrication and shock absorption.
Viscosupplementation involves injecting a hyaluronic acid preparation into a joint, most commonly the knee, with the goal of improving lubrication and potentially reducing osteoarthritis-related pain.
Unlike cortisone injections, which primarily target inflammation, hyaluronic acid injections are intended to supplement the joint's lubricating properties.
Potential Benefits
- Improves joint lubrication: Supplements the joint's natural synovial fluid.
- May reduce knee osteoarthritis pain: Some patients experience improvement in symptoms.
- May support mobility: Pain reduction can make walking and everyday activities more comfortable.
- Non-surgical option: May be considered for selected patients seeking alternatives to surgery.
- Potential longer-lasting symptom relief: When effective, benefits may develop gradually over several weeks and last several months.
Considerations and Potential Risks
Hyaluronic acid injections do not work for everyone, and clinical evidence regarding their effectiveness is mixed. Major professional guidelines generally do not recommend their routine use for knee osteoarthritis because average benefits are small or inconsistent.
Possible side effects include temporary pain, swelling, warmth, or stiffness at the injection site. Less commonly, patients may experience a significant inflammatory reaction or infection.
Hyaluronic acid injections are primarily used for knee osteoarthritis. Evidence supporting their use in other joints is limited, and coverage varies by insurance plan.
Important: Viscosupplementation does not regenerate cartilage or reverse osteoarthritis. Your physician will discuss whether this treatment is appropriate based on your diagnosis, clinical history, and previous treatments.
Precision treatment
Ultrasound-Guided Joint Injections
Precision Treatment for Improved Accuracy
Ultrasound-guided injections allow your physician to visualize the joint and surrounding structures in real time, helping guide accurate placement of the injection.
Ultrasound guidance can be particularly valuable for deeper joints, such as the hip, or when anatomical precision is important.
Benefits may include improved injection accuracy, visualization of surrounding tendons and other soft tissues, and reduced risk of inadvertently placing medication outside the intended target. Ultrasound does not eliminate procedural risks or guarantee better symptom relief in every case.
Clear, upfront pricing
Transparent Pricing for Non-Surgical Orthopedic Procedures
We believe patients deserve clear, upfront pricing without unexpected procedural charges.
Cortisone Injections*
| Procedure | Non-Member | RHM Member |
|---|---|---|
| Major joint: knee, shoulder, subacromial bursa, hip bursa | $198 | $158 |
| Intermediate joint: wrist, elbow, ankle | $168 | $134 |
| Small joint: finger, toe | $158 | $126 |
| Plantar fascia | $168 | $134 |
| Carpal tunnel injection | $198 | $158 |
| Tendon sheath/ligament | $178 | $142 |
| Trigger point: 1–2 muscles | $128 | $102 |
| Trigger point: 3+ muscles | $158 | $126 |
| Sinus tarsi | $168 | $134 |
Ultrasound-Guided Injections*
| Procedure | Non-Member | RHM Member |
|---|---|---|
| Major joint: shoulder or hip | $278 | $222 |
Hyaluronic Acid / Viscosupplementation*
Hyaluronic acid injections require a separate assessment to determine the appropriate medication, treatment schedule, and total cost.
The hyaluronic acid or viscosupplementation medication is an additional expense and may be covered by your health insurance, depending on your insurance plan, medical eligibility, prior authorization requirements, and the specific medication prescribed.
The physician's procedure fee is billed separately per above table.
*All prices are subject to change. Procedures are performed when clinically indicated. Additional medication charges, when applicable, will be discussed before treatment.
Your appointment
What to Expect During Your Visit
Comprehensive evaluation
Your physician reviews your symptoms, medical history, previous treatments, and relevant imaging.
Personalized treatment recommendation
Together, you discuss the expected benefits, risks, alternatives, and appropriateness of injection therapy.
In-office procedure
When indicated, the treatment area is cleaned and the injection is performed using sterile technique. Ultrasound guidance may be used when appropriate.
Recovery and follow-up
You receive individualized aftercare instructions, activity recommendations, and guidance about when to expect symptom improvement.
Rochester HealthSpan Medicine · Pittsford, NY
Take the First Step Toward Better Mobility
Don't let joint pain keep you from doing what you love. Whether you're experiencing persistent knee discomfort, shoulder pain, arthritis symptoms, or limited mobility, our physician-led approach focuses on identifying the cause and selecting the most appropriate treatment for you.
No physician referral necessary. No insurance necessary for our self-pay services.
Feel Better. Move Better.
585-662-5510Call to schedule your Non-Surgical Orthopedic Care Consultation.
Rochester HealthSpan Medicine
30 Office Park Way, Pittsford, NY 14534
Serving Rochester and surrounding communities
Prevent. Optimize. Thrive.