Can You Have a Joint Aspiration on Coumadin (warfarin)?

Ask the experts

Is it safe to have a joint aspiration or injection while taking the blood thinner Coumadin?

Doctor's response

In a careful study (Arthritis Rheum. 1998;41:736-739), researchers found a very low risk of bleeding. They also found significant benefit for patients after either aspiration (withdrawal of fluid) or joint injection procedures. This has been supported by other studies.

Some doctors recommend topical application of cold pack or ice pack after such procedures to minimize the risk of bleeding as well as to reduce local inflammation after the procedure.

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Last Editorial Review: 1/11/2018