Therapeutic Injections in Fargo, ND
At Resurgent Health, Dr. Kristine Martens, DO and Aly Dahl, PA-C draw on more than a decade each of full-scope Family Medicine in Fargo to decide which injection is genuinely appropriate, review your history, and administer it themselves during your visit. Learn more about our clinicians on the provider team page.
Table of Contents
When Cost and Access Get in the Way of a Simple Therapeutic Injection
Removing the friction from routine shots
Many patients tell us the same story. A knee flares up during harvest or a long shift, a B12 level comes back low, or a trigger finger keeps waking someone at night. In the traditional insurance model, that means a specialist referral, weeks of wait, a facility fee, a marked-up medication charge, and a bill you cannot predict. People end up living with pain, skipping the injection, or paying two or three times what the vial actually costs. That gap between what care should be and what it feels like is what pushed us to build a Direct Primary Care model.
As DPC members, therapeutic injections are handled inside your normal visit at wholesale cost. Dr. Martens or Aly stocks the medications on site, so vitamin B12 (cyanocobalamin), vitamin D (ergocalciferol), ketorolac for acute pain, and corticosteroids like triamcinolone or methylprednisolone for joint or soft-tissue inflammation are available the same day when clinically appropriate. There are no facility fees, no surprise codes, and no upcharges. You pay the true cost of the medication and the injection is included in your membership visit.
What Are Therapeutic Injections And How They Work
Therapeutic injections are single-dose medications delivered into muscle, subcutaneous tissue, or a specific joint or trigger point to correct a deficiency, control inflammation, or relieve short-term pain. At Resurgent Health this is a primary care service for established members; it does not include IV infusions or elective wellness drips.
The mechanism depends on the medication. Vitamin B12 restores stores when absorption is impaired - common in older adults and patients on metformin - as the NIH Office of Dietary Supplements notes; corticosteroids calm local inflammation; and intramuscular ketorolac eases short-term acute pain. Dr. Martens or Aly confirms the injection is the right step, draws from an on-site vial, and administers it, and most patients are back in the car in under 20 minutes.
Treatment Timeline:
First Signs:
Same day to 1 week (depending on medication)
Full Effect:
1 - 4 weeks (for steroid joint injections)
Visit Time:
15 - 20 minutes (focused in-office visit)
Recovery:
None (no downtime for most patients)
Conditions Therapeutic Injections Can Address
Benefits of Therapeutic Injections at Resurgent Health
From vitamin supplementation to pain relief, therapeutic injections offer convenient, in-office treatment tailored to your individual health needs
Pricing
You pay the true cost of the medication
Same-Day Access
Most injections given during a regular visit
Physician-Led
Dr. Martens or Aly performs every injection personally
Focused Options
Injections Based on Clinical Need
No IV Upsell
No cosmetic drips or unnecessary injections
Therapeutic Injections vs. Alternatives
Compare your options
| Treatment | Mechanism | Time | Results | Duration | Downtime | Best For |
|---|---|---|---|---|---|---|
| Therapeutic Injections at Resurgent Health | Targeted IM, SC, or joint medication | 15-20 minutes | Same day to weeks | Weeks to months | None | Members needing focused, wholesale-cost shots |
| IV Therapy Clinics | Intravenous vitamin infusion | 45-60 minutes | Short-lived | Days | None | Elective wellness drips (not primary care) |
| Specialist Injections | Referral for joint or pain injection | 1-2 visits | Delayed by scheduling | Weeks to months | None | Complex cases needing imaging guidance |
| Oral Supplements | Daily pills for B12, vitamin D, NSAIDs | Daily use | Weeks to months | Ongoing | None | Mild deficiency or chronic maintenance |
Who Is a Good Candidate for Therapeutic Injections?
Therapeutic injections are appropriate for established Resurgent Health members whose symptoms and labs support a specific, focal medication. During your visit, Dr. Martens or Aly will decide whether an injection is the right next step or whether a different plan will serve you better. Members with recurring joint pain should also review our joint pain treatment resources and can discuss whether osteopathic manipulative therapy may complement injection care.
Ideal Candidates for Therapeutic Injections
- Active DPC members with a confirmed B12 or vitamin D deficiency
- Patients with a localized joint flare, trigger point, or trigger finger
- Members needing short-term relief while pursuing longer-term care
Who Should Wait or Avoid Therapeutic Injections
- Known allergy to the injected medication, or infection at the site
- Poorly controlled diabetes when a corticosteroid is being considered
- Pregnancy or breastfeeding without clear obstetric guidance
Honest Expectations About Results
- Works best when labs and symptoms point to a specific, focal cause
- Some feel benefit within days; others need a short series first
- Not an energy boost or cure-all; a different plan may suit you better
Absolute contraindications are always confirmed before we draw any dose. For a plain-language overview of corticosteroid safety in primary care, the American Academy of Family Physicians provides a helpful reference we align with in our own protocols.
Therapeutic Injection Treatment Overview
Step by step at Resurgent Health
Consult
Dose Selected
Sterile Prep
Injection
Aftercare
Risks and Side Effects
What to know
Common Side Effects
Most patients experience only mild, short-lived effects. Local soreness, bruising, or a small welt at the injection site is common and typically resolves within 24 to 72 hours. Corticosteroid joint injections can cause a temporary post-injection flare in the first day or two before the anti-inflammatory effect takes hold. B12 injections may cause brief warmth or transient itching at the site.
Rare Complications
Serious reactions are uncommon. Rare risks include injection-site infection (roughly 1 in 10,000 for joint injections), allergic reaction, temporary elevation in blood sugar after corticosteroids in patients with diabetes, and tendon or subcutaneous fat changes when steroids are given too frequently in the same site. Ketorolac carries a small risk of gastrointestinal bleeding and kidney effects, especially in older adults, which is why doses and duration are kept intentionally short.
Safety and Regulatory Status
The medications we use, including cyanocobalamin, ergocalciferol, triamcinolone acetonide, methylprednisolone acetate, and ketorolac tromethamine, are all long-standing FDA-approved products. The U.S. Food and Drug Administration maintains current labeling and safety information for each. Dr. Martens and Aly follow evidence-based limits on frequency and dose to keep risk low, and full contraindications are reviewed before every visit.
Therapeutic Injection Cost in Fargo
Wholesale pricing for members
Therapeutic injections at Resurgent Health are priced at the wholesale cost of the medication for active Direct Primary Care members. Most single-vial vitamin or anti-inflammatory injections fall in the $10 to $40 range, and joint corticosteroid injections typically fall in the $20 to $60 range depending on the specific product and dose. There is no separate facility fee, no injection fee, and no insurance-driven markup. Your clinician will confirm the exact cost with you before administering the shot.
What's Included
- Clinical review - part of your normal member visit
- Medication - billed at wholesale acquisition cost
- Administration - performed by Dr. Martens or Aly personally
- Follow-up - included within your DPC membership
Payment
Injection charges are added to your member account and settled with the same simple monthly billing. Non-members and IV therapy are not offered under this service. If you are considering membership, we are happy to walk through cost transparency in a Meet and Greet.
Why Choose Resurgent Health for Therapeutic Injections in Fargo, ND
Dr. Kristine Martens, DO has practiced full-scope Family Medicine in Fargo since 2013 and helped launch the Fargo Family Medicine Residency in 2017. Aly Dahl, PA-C has focused on Family Medicine, obesity medicine, and preventive care since 2017. That continuity means the person giving your injection also knows your history.
Experienced Clinicians
More than a decade of hands-on Family Medicine practice in Fargo
Wholesale Cost Model
Members pay the wholesale price of every vial, with no facility upcharge
Real Time to Decide
Longer visits let us confirm the injection is truly the right choice
Continuity of Care
The same providers follow the response and adjust the plan over time
Convenient In-Office Care
Receive your injection during a routine visit without the need for outside referrals
Evidence-Based Therapies
Injection options selected using current medical evidence and clinical experience
Related Services in Fargo, ND
Other primary care and wellness services available at Resurgent Health.
In-Office Procedures
Minor procedures performed in-clinic during your DPC visit, with supplies at wholesale cost and no separate copay.
- DPC members with a minor skin, joint, ear, or surgical concern
- Patients who want continuity with their own primary care doctor
- Generally stable health with no active infection at the site
Point-of-Care Testing
Rapid in-office tests with same-visit results so treatment can start the day you are seen.
- Members with sore throat, fever, or respiratory symptoms wanting a same-day answer
- Suspected UTI needing rapid urinalysis, or diabetes glucose and A1c checks
- Patients on warfarin needing periodic INR checks close to home
Lab Work & Blood Tests
Comprehensive lab panels at direct-to-patient wholesale pricing for DPC members.
- Adults establishing baseline preventive screening (CBC, CMP, lipid, A1C)
- Members monitoring diabetes, thyroid disease, or high cholesterol
- Patients frustrated by unpredictable lab bills or high deductibles
Frequently Asked Questions About Therapeutic Injections
Do you offer IV therapy or vitamin drips?
No. Resurgent Health is a primary care clinic, not an IV lounge. We provide clinically indicated intramuscular, subcutaneous, and joint injections for members. We do not offer cosmetic vitamin drips, glutathione infusions, or elective wellness cocktails.
How often can I get a B12 injection?
It depends on the underlying cause. Patients with confirmed deficiency often start with a short loading series, then move to monthly or every-few-months maintenance. Dr. Martens or Aly will recheck labs and adjust the schedule with you.
How many corticosteroid joint injections can I have in the same joint?
We generally limit corticosteroid injections in the same joint to about three to four per year to reduce cumulative tissue risk. If you are needing frequent shots, we will reassess the underlying diagnosis and consider osteopathic manipulative therapy or a specialist referral.
Does the injection hurt?
Most members describe a brief pinch and mild pressure. Joint injections may feel a bit deeper. We use small-gauge needles and take our time, and topical or local anesthetic is available when appropriate.
Can I combine injections with other Resurgent Health services?
Yes. Therapeutic injections often pair well with osteopathic manipulative therapy for musculoskeletal pain, lab work to confirm deficiencies, and in-office procedures during the same visit.
Is this covered by insurance?
Resurgent Health is a Direct Primary Care clinic. Injections are billed at wholesale cost through your membership, not through insurance. Some members choose to submit receipts to an HSA or FSA.
Do I need to be a member to get a therapeutic injection?
Yes. Therapeutic injections are offered to established DPC members so that we have your full history, medication list, and continuity of care in place before administering any medication.
Contact Us Today
Send us a message for more information - DPC membership, a discovery call, or any other service you'd like to ask about.
References
- Platt E, et al. (2023). Safety and Efficacy of Low-Dose Versus High-Dose Parenteral Ketorolac for Acute Pain Relief in Patients 65 Years and Older in the Emergency Department. Cureus. PMID: 37456458. Compared low-dose and high-dose intramuscular ketorolac in older adults and found similar analgesic efficacy with a favorable safety profile.
- Bensa A, et al. (2025). Safety profile comparison of intra-articular corticosteroids, hyaluronic acid, platelet-rich plasma, and cell-based injections for knee osteoarthritis: A systematic review and meta-analysis by the ESSKA Orthobiologics Initiative. Knee Surgery, Sports Traumatology, Arthroscopy. PMID: 41451630. Reported that intra-articular corticosteroid injections for knee osteoarthritis carry a low overall adverse event rate comparable to other common injectates.
- Kuper G, et al. (2026). Comparative effectiveness of corticosteroid injections for trigger finger: A systematic review of randomized controlled trials. Journal of Plastic, Reconstructive and Aesthetic Surgery. PMID: 41352303. Found corticosteroid injections effective for trigger finger, with triamcinolone showing consistent short-term symptom relief.
- Andrès E, et al. (2020). State of the art review: oral and nasal vitamin B12 therapy in the elderly. QJM: Monthly Journal of the Association of Physicians. PMID: 30796433. Andrès reviewed vitamin B12 replacement in older adults and reported that both parenteral and high-dose oral cyanocobalamin can correct deficiency when adherence is adequate.
- Larvie DY, et al. (2026). Vitamin B12 supplementation for growth, development, and cognition in children. Cochrane Database of Systematic Reviews. PMID: 42227307. Evaluated vitamin B12 supplementation and found meaningful biochemical correction of deficiency in supplemented groups.
- NIH Office of Dietary Supplements - Clinical fact sheet on vitamin B12 status, deficiency risk factors, and treatment options in adults.
- American Academy of Family Physicians - Primary care reference on the appropriate use of corticosteroid injections in office practice.