Ultrasound Guided Injections
Pain from joint or tendon problems is often caused by inflammation or tendinosis (wear and tear). In some cases, hydrodissection where we make space for entrapped nerves for carpal tunnel syndrome or ulnar neuropathy. Steroids help to decrease inflammation and often ease the pain. The steroid used for the injection is a form of cortisone.
In advanced forms tendinosis (commonly referred to as tendonitis) where the pain is treatment resistant, consideration of percutaneous tenotomy where we reinjure the tendon to enhance healing. In advanced forms of carpal tunnel syndrome and trigger finger, the roof of the tunnels can be fenestrated (holes poked into it) to perform a non surgical release.
We use musculoskeletal ultrasound to increase accuracy of procedures or if non-guided injections have not helped. These are common conditions:
Rotator cuff tendinosis
Tennis elbow/golfers elbow
De Quervain’s tenosynovitis
Piriformis pain (trigger point injection)
Knee joint fluid drainage and injection
FOOT & ANKLE