
Butakov Evgeniy Vladimirovich
1 more
, Vascular surgeonWhy you can trust this doctor
- Work experience24 years
- Who they seeChildren aged 18 years and over and adults
17 000 ₸
Aisera Clinic, ul. Nazhimedenova, 14
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12 doctors253 reviewsfrom 10 000 ₸ to 17 000 ₸

17 000 ₸
Aisera Clinic, ul. Nazhimedenova, 14
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Tsentr revmatologii Elmiry Omirbek, Baytursynuly 16. zhk Baytursyn
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Baby Clinic, pr. Mangilik El, 41/4
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Zere Clinic Sauran, ul. Sauran, 18 ZHK "Arman Deluxe"
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Zere Clinic Sauran, ul. Sauran, 18 ZHK "Arman Deluxe"
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Senim-A klinik, prospekt Kabanbay batyra, 29 (Klinika Senim-A)
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Reviewed by medical editorPortal Editorial TeamMedical editorial team
Overall rating4.9
253 reviews
5 reviews of 253
Review of doctorBotabekova Aygerim Zhumabekovna
I came for a consultation with the rheumatologist Botabekova Aigerim Zhumabekovna at the Centre of Rheumatology. The appointment went fine, all my questions were addressed.
The doctor seemed to me a good and competent specialist. I was satisfied with the consultation.
Review of doctorBotabekova Aygerim Zhumabekovna
I consulted the rheumatologist Aigerim Botabekova, and the appointment went excellently. I was seen on time, without delays.
Of all the doctors I have been to, she gave the best appointment. I am very pleased with the quality of the consultation and the attention I received.
Review of doctorButakov Evgeniy Vladimirovich
All my life I thought I had varicose veins, because it is genetic. But the doctor reassured me and said that the cause was in the muscles and fascia. And before that I had gone to another one, and he said that there was already a stage.
The doctor found the cause. He did not prescribe anything unnecessary. He gave recommendations.
Review of doctorButakov Evgeniy Vladimirovich
I was at an appointment, the doctor examined me carefully and checked everything.
The doctor looked at everything carefully and prescribed treatment.
Review of doctorButakov Evgeniy Vladimirovich
I was at an appointment with the doctor, the consultation went wonderfully.
The doctor is pleasant and inspires trust. I got answers to all my questions. I recommend him.
Intra-articular injections in Astana are the administration by a doctor of a medicinal solution directly into the joint cavity. The procedure is performed for pronounced inflammation and pain in the joint, when other methods do not help. It allows the agent to be delivered precisely to the focus, bypassing the general bloodstream. It is prescribed by a doctor after an examination and assessment, most often a trauma surgeon-orthopaedist or a rheumatologist.
Intra-articular injections involve administering a solution directly into the joint cavity through a puncture of the soft tissues. This section explains why a doctor prescribes such a service, what tasks it helps to solve and where the limits of its capabilities lie.
Intra-articular injections give an orthopaedic traumatologist the opportunity to approach the focus of inflammation or pain directly, bypassing the digestive tract and the general bloodstream. Through such access, the doctor assesses the condition of the joint cavity and the reaction of the tissues to the injected solution. The patient usually notes that movement in the joint becomes freer, and discomfort when walking or bearing weight weakens. For a person with arthrosis, arthritis or the consequences of an injury, this is noticeable already in the first days after the visit. At the same time, the doctor obtains information that cannot be extracted from a routine examination or an image: how the joint behaves on direct contact with the solution. If the response to the injection is pronounced, the specialist understands that the source of the complaints is precisely inside the joint, and not in the surrounding muscles or ligaments. The absence of the expected reaction is also informative: it suggests that the cause of the pain should be sought elsewhere. It is important for the patient to discuss their sensations after the procedure with the doctor, because this feedback refines further tactics.
Intra-articular injections do not replace a full examination and do not answer the question of the cause of the disease as a whole. They do not show the condition of the internal organs, the work of the heart or metabolism, so it is wrong to look for the source of the ailment only in the joint. The method does not detect fractures, ligament ruptures and meniscal injuries — this requires images and other investigations. It does not give a picture of how the disease will develop further, and does not predict its outcome. The doctor does not use such a service to make a final diagnosis when a tumour or infection is suspected: other methods of verification are required here. If the complaints are related to the spine, muscles or nerves, access to the joint will clarify nothing. The patient should ask the orthopaedic traumatologist in advance which examinations are needed in their particular case, so as not to narrow the search for the cause to a single area.
Intra-articular injections in Astana are carried out in a procedure room, and understanding the sequence of actions reduces unnecessary tension. Below is an explanation of how the procedure goes, how long each stage takes and what sensations usually arise.
An intra-articular injection begins with the doctor clarifying the complaints and examining the joint, assessing its shape and range of movement. He then palpates the area around the joint to find the injection point and make sure there are no signs of skin inflammation. Next, the skin is treated with an antiseptic solution and covered with a sterile drape, leaving only a small area exposed. The doctor inserts a thin needle into the joint cavity, and when the needle is correctly positioned, slight resistance of the tissues is felt. After that, he slowly delivers the solution, monitoring the patient's reaction and asking about how they feel. When finished, the needle is withdrawn, the puncture site is pressed with a sterile swab and a fixing plaster is applied. The patient is advised to stay in the room for a short time to make sure they feel well before the journey home.
| Stage | What happens | How long it takes |
|---|---|---|
| Examination and history taking | The doctor clarifies the history, examines the joint | A few minutes |
| Skin preparation | Applying antiseptic, covering with a drape | One to two minutes |
| Needle insertion | Precise entry into the joint cavity | A short interval |
| Delivery of the solution | Slow injection of the syringe contents | One to two minutes |
| Completion and observation | Needle withdrawal, plaster, rest | Up to half an hour |
The sensations during an intra-articular injection are most often described as brief discomfort at the moment the skin is punctured, which is quickly replaced by pressure inside the joint. Many note that the delivery of the solution itself feels like a bursting sensation or mild burning, but this passes within a few minutes. After the needle is withdrawn, slight soreness on movement may persist at the puncture site, similar to the feeling after an ordinary bruise. Some people experience temporary numbness of the skin near the joint, which is related to the reaction of the soft tissues to the puncture. In the first hours after the procedure, a feeling of heaviness in the limb often appears, and it gradually subsides at rest. If the doctor recommends limiting the load on the joint, this helps to reduce the unpleasant sensations and avoid unnecessary irritation of the tissues. If the pain, swelling or redness increases, you should contact the doctor without waiting for the scheduled visit.
This section explains how to prepare properly for an intra-articular injection in Astana and what to bring to the appointment. It will help you undergo the procedure calmly and avoid having your visit postponed.
Preparation begins a day before the visit, when the person stops strenuous physical loads on the joint. If the knee or shoulder joint is involved, it is worth avoiding long walks and lifting heavy objects. The evening before, it is useful to take a shower, because clean skin reduces the risk of contaminating the puncture site. On the morning of the visit, do not apply cosmetic creams, lotions or oils to the skin in the joint area. It is better to finish a heavy meal a few hours before the procedure so that you feel calm. If you have chronic conditions, check with your attending physician in advance whether you can continue your usual routine. If a rash, redness or a small wound appears on the skin near the joint, the visit is postponed until it heals.
Intra-articular injections in Astana are prescribed for a limited range of conditions, when other measures do not give the desired effect. Most often they are given to people with inflammation or wear of a joint, but the decision is always made by the doctor.
Intra-articular injections are most often prescribed to patients with osteoarthritis of large joints, when pain makes it difficult to walk and bear weight on the leg. This group includes older people whose articular cartilage gradually thins and whose movements become stiff. The second common indication is inflammatory joint diseases, where an exacerbation is accompanied by swelling, redness and marked soreness. A separate group consists of athletes and people doing physical labour with repeated load on the same joint. The doctor assesses not only the complaints, but also the findings of the examination, scans and tests, before confirming the indications. In reactive and gouty arthritis, the decision is made especially cautiously, because injection into an inflamed cavity carries additional risks. For patients with a bleeding disorder or with a skin infection in the area of the joint, such a procedure is not performed. If the pain persists for months and does not respond to conservative measures, discuss with a rheumatologist or orthopaedic surgeon whether such treatment is appropriate in your case.
| Situation | Is it done | Why |
|---|---|---|
| Severe pain on movement | Yes | Rapid relief of the condition |
| Swelling and redness of the skin | No | Risk of introducing infection |
| Bleeding disorder | No | Bleeding is possible |
| Confirmed arthrosis of the joint | Yes | Reduction of pain and stiffness |
| Recent joint injury | No | The damage must first be clarified |
The frequency of intra-articular injections depends on the condition of the joint, the cause of the pain and how the patient tolerates the procedure. In osteoarthritis of a large joint, the intervals are usually measured in weeks, not days, to give the tissues time to recover. The doctor is guided by the easing of pain, the return of mobility and the absence of signs of inflammation at the puncture site. If the effect lasts a long time, there is no point in repeating the procedure earlier than due, even when the discomfort has slightly returned. In inflammatory diseases, the frequency is determined by the rheumatologist and correlated with the overall activity of the disease, and not only with the sensations in the joint. Frequent repeated injections in a row increase the load on the cartilage and ligaments, so specialists try to avoid them. The patient should keep a simple diary noting the date of the procedure, the level of pain and the range of movement in the joint. Such a record helps the doctor at the appointment to see the real dynamics and choose a reasonable interval between the next visits.
This section brings together where intra-articular injections are performed in Astana and how clinic profiles on the portal are structured. It also lists the features by which institutions are compared before making an appointment.
On the portal, this service lists eight clinics in Astana and twelve doctors providing appointments in this area. The eight institutions are in different districts of the city, with different department profiles and different procedures for booking the procedure. The twelve specialists are listed with their speciality, so you can understand in advance who provides appointments in the relevant field. Some clinics accept patients by referral, others by self-booking, and this is noticeable already at the selection stage. Some institutions list in their profile the departments where joint procedures are performed. Comparing options is easier when both the institution and the specific doctor are visible side by side. This set allows you to shortlist several suitable options and only then clarify the details of the appointment.
The clinic profile on the portal brings together the address, list of doctors, appointment schedule and patient reviews in one place. The address is given with the city district, so you can immediately see how convenient it is to get to the institution. Next to the doctors, their speciality is given, and this helps you select those who provide appointments in the relevant field. The schedule shows the days and hours of work, and it is convenient for planning a visit in advance. Reviews complete the picture: they usually concern the organisation of the appointment and the attention paid to patients' questions. By comparing several profiles in a row, you can more quickly filter out unsuitable options and keep those that suit you in terms of location and schedule. It is worth booking at the clinic where the doctor's profile, a convenient time and a clear appointment procedure all match.
You can book intra-articular injections in Astana via the form on the service page by choosing a convenient date and time. After submitting the request, all that remains is to wait for a confirmation message and arrive at the appointed time.
Booking an appointment in Astana begins with choosing a convenient day and hour in the available schedule, which opens right on the service page. In the form you need to enter your name and phone number, and registration on the portal is not required. Available slots are updated as other patients take places, so it is worth looking at the nearest dates. If there is no suitable time, choose another day or leave a request for the morning, when the schedule is usually wider. Provide the phone number that is always at hand: a confirmation message will be sent to it. Check the number before submitting, because an error in one digit will mean the confirmation does not arrive. Submit the completed form once, so as not to create duplicate requests for the same time.
| Step | What the portal does | What the patient should do |
|---|---|---|
| Submitting the form | Accepts the name and phone number | Check the phone number |
| Processing | Checks the request against the schedule | Stay in touch |
| Confirmation | Sends a message with the details | Read the message carefully |
| Agreeing the time | Confirms the chosen slot | Note the date and hour |
| Visit | Passes the request to the clinic | Arrive at the appointed time |
Intra-articular injections in Astana remain a procedure prescribed by a doctor for specific indications, not at the patient's wish. Understanding that the decision here is always individual and requires discussion with a specialist helps to make sense of the topic.
Intra-articular injections in Astana are performed only as prescribed by a doctor after an examination and clarification of the cause of the pain. Choosing such a procedure independently, on the advice of acquaintances or from the internet, does not replace a consultation with a specialist. The doctor assesses the condition of the joint, compares the complaints with the results of examinations and decides whether an injection is appropriate in a particular case. If the decision is to postpone the visit, the pain may intensify and movement in the joint may become limited. The patient should gather information about their chronic diseases and the medications they take in advance, in order to honestly tell the doctor about them at the appointment. An open conversation with the doctor helps to avoid unnecessary procedures and focus on what is really needed. Intra-articular injections in Astana are a medical manipulation, not a quick way to relieve pain forever, so it is important to keep expectations in line with reality.
The portal does not provide medical services and does not replace a consultation with a doctor. The information on condition pages is for reference only.
| Doctor | Initial consultation | Follow-up | Online |
|---|---|---|---|
| Butakov Evgeniy Vladimirovich | 17 000 ₸ | — | — |
| Botabekova Aygerim Zhumabekovna | 15 000 ₸ | — | — |
| Eskaliev Erzhan Bakhytzhanovich | 12 000 ₸ | 12 000 ₸ | 12 000 ₸ |
| Suyundyk Birzhan Eszhanovich | — | — | — |
| Suyindik Birzhan Eszhanuly | 12 000 ₸ | — | — |
| Meyirkhanov Baqdaulet Nurseyituly | 10 000 ₸ | — | — |
Intra-articular injections: Surgeon, Rheumatologist, Trauma and Orthopaedic Surgeon, Vascular surgeon, Phlebologist, Therapist and 2 more. The consultation price and available times are shown on each doctor’s card.