Rheumatology Services
Joint Aspiration in Manassas, VA
Joint aspiration in Manassas, VA removes excess fluid from a swollen joint so it can be tested and so pressure can be relieved. Our rheumatologists perform aspirations in the office to find out what is causing swelling, whether that is gout crystals, inflammation from arthritis, or a possible infection.
- Board-certified rheumatologists
- Most insurance plans accepted
- Mon to Fri, 8am to 5pm
Same-visit diagnosis support
Fluid testing for crystals and infection
What Is Joint Aspiration?
Joint aspiration, also called arthrocentesis, uses a thin needle to draw fluid out of a joint. It serves two purposes:
- Diagnosis: the fluid is sent to a lab to look for crystals, signs of inflammation, infection, or blood
- Relief: removing extra fluid can ease pressure, pain, and stiffness
In some cases, medication is injected through the same needle after the fluid is removed. Learn more about joint injections.
Why You Might Need a Joint Aspiration
Aspiration is often recommended when a joint is swollen and the cause is not clear. Common reasons include:
- A swollen, warm, or painful joint, often the knee
- Suspected gout or pseudogout
- A possible joint infection, which needs urgent evaluation
- A flare of rheumatoid arthritis or psoriatic arthritis
- Fluid buildup after an injury
Testing the fluid helps your clinician move from guessing to knowing, so treatment matches the true cause of swelling.
What Happens During the Procedure
Joint aspiration is a quick in-office procedure. The skin is cleaned, and a numbing medicine may be used. Your clinician then inserts a thin needle into the joint and withdraws fluid into a syringe. Ultrasound guidance may be used to locate fluid precisely. A small bandage is placed afterward, and most people return to normal activities the same day.
What Joint Fluid Testing Can Reveal
- Crystals: uric acid crystals confirm gout, while calcium pyrophosphate crystals point to pseudogout
- Infection: bacteria or very high white cell counts can signal septic arthritis, which needs prompt treatment
- Inflammation: patterns that suggest inflammatory arthritis such as rheumatoid or psoriatic arthritis
- Blood: which can occur after an injury
Is Joint Aspiration Safe?
Aspiration is a routine rheumatology procedure, and serious complications are uncommon. Mild soreness, bruising, or brief swelling can occur, and infection is rare. Call our office at (703) 361-3255 if you notice increasing redness, warmth, fever, or worsening pain after the procedure. If you have a medical emergency, call 911.
Next steps
Schedule your visit
Call (703) 361-3255 or request an appointment online. Our Manassas office is open Monday to Friday, 8am to 5pm.
Related pages
Related Conditions
Conditions This Service Supports
Learn more about the conditions this service is commonly used to evaluate or treat at our Manassas office.
Gout & Pseudogout
Crystal-related joint flares
Rheumatoid Arthritis
Inflammatory joint pain, swelling, and stiffness
Osteoarthritis
Joint pain and stiffness from cartilage wear
Psoriatic Arthritis
Joint inflammation linked to psoriasis
Bursitis & Tendinitis
Soft tissue pain and inflammation
Lupus
Systemic autoimmune disease
Your Care Team
Clinicians Who Provide This Service
Our board-certified rheumatologists and nurse practitioners work together on your care. Meet the clinicians at our Manassas office.
Nurse practitioner
Certified Registered Nurse Practitioner
FAQs
Joint Aspiration Questions
Answers to common questions from patients in Manassas and nearby Northern Virginia communities.
Does joint aspiration hurt?
Most patients feel pressure and brief discomfort. A numbing medicine can make the procedure more comfortable, and it is usually over in a few minutes.
When will I get my fluid test results?
Some findings, such as crystals, may be available quickly, while cultures for infection can take a few days. Our team will contact you with results and next steps.
Will the swelling come back?
Fluid may return if the underlying condition is still active. That is why treating the cause, such as gout or inflammatory arthritis, is an important part of your care plan.
Can I have an injection at the same time?
Sometimes. If infection is not suspected, your clinician may inject medication after removing the fluid. This is decided during your visit.
Related Services
Other Services at Our Manassas Office
Many patients use more than one of our in-office services as part of a complete care plan.
Corticosteroid, hyaluronic acid, and PRP joint injections as one part of a broader treatment plan.
Radiation-free, real-time imaging of joints, tendons, and soft tissue to look for inflammation.
IV medications for rheumatoid arthritis, lupus, psoriatic arthritis, osteoporosis, and more.

Request an Appointment
Get Answers About a Swollen Joint
Request an appointment online or call (703) 361-3255 to have a swollen joint evaluated in Manassas.
