Joint aspirations and injections are associated with risk of bleeding, particularly in patients receiving anticoagulants. Although studies have established that anticoagulation with warfarin can be safely continued for joint aspirations/injections with only a small increased risk of bleeding, there is no data available regarding the use of direct oral anticoagulants (DOACs) and joint aspirations/injections . A recent Mayo Clinic Proceedings review on 1050 arthrocentesis and joint injection performed on adult patients revealed that arthrocentesis and joint injections in patients receiving DOAC therapy are safe procedures Direct oral anticoagulants can safely be continued before these procedures. Reference JC Yui et al.

Arthrocentesis and joint injection in patients receiving direct oral anticoagulants. Mayo Clinic Proceedings. 2017, 92 (8), 1223-1226 In your opinion, is joint aspiration…