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Joint fluid analysis

Also called: Arthrocentesis, Synovial fluid analysis, Joint aspiration

Joint fluid analysis checks fluid drawn from a swollen joint for infection, gout crystals, and inflammation.

SampleFluid from a joint
Fasting?Usually not needed
ResultsSame day to a few days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

Draining fluid can also relieve pressure and pain.

Why it's done

  • A hot, swollen joint
  • Possible gout, pseudogout, or joint infection

Getting ready and what happens

  • Tell your provider about blood thinners.

How the test is done

  • The skin is numbed, and a needle draws fluid from the joint.

What the results mean

Crystals

Needle-shaped crystals mean gout; rhomboid ones mean pseudogout.

Many white cells or bacteria

Suggests joint infection, which is an emergency.

When a result needs quick action

Call your provider todayA hot, swollen joint with fever

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

Mild pain, bruising, or rarely infection at the needle site.

Related conditions

Related medicines

Related tests

Sources

Last updated 2026-11-13.