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Ultrasound Guided Injections

Ultrasound Guided Injections Offer Medical Benefits You Can Literally See.

In keeping with our commitment to providing the best medical care possible, we now include point-of-care ultrasound among our services. This amazing technology enables us to see your muscles, tendons, bones, and tissue “live” on a viewing screen, usually without you leaving the privacy of your examination room.

Getting the “Inside” Story

Ultrasound has been used for many years in monitoring pregnancy. It doesn’t use harmful (x-ray) radiation, and images are immediate. Using ultrasound, we can watch your muscles and joints on the screen in motion. If you say, “It hurts when I do this,” then we can use ultrasound to watch what’s happening inside at the same time.

Legacy Medical Centers is using today’s most advanced ultrasound equipment to:

  • See detailed images of your anatomy
  • Help diagnose injuries/abnormalities
  • Guide needle injections
  • Track healing progress

We’re in This Together

We believe that good medicine promotes teamwork between doctor and patient. With point-of-care ultrasound, we can watch what’s happening in your body together and discuss the findings at the same time.

Ultrasound Guided

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How Ultrasound-Guided Injections Work

Ultrasound for Musculoskeletal (MSK) Medicine:

  • Images tendons, ligaments, muscles, soft tissue, surfaces of bones, and joints
  • Images abnormalities like muscle and tendon tears, soft-tissue masses, inflammatory joint disease, and some nerve conditions, such as carpal tunnel syndrome
  • Provides moving images of anatomy in real time
  • Precision delivery of medication to almost any joints (including SI joint), muscle, and around tendons and nerves
  • Helps track the progression of healing or disease
  • Helps doctors with more accurate needle insertions

Some of Injection Therapies Include:

  • Anti-inflammatory corticosteroids (aka cortisone injections)
  • Platelet-rich plasma (PRP) — concentrated growth factors for healing and repair
  • Tendon needle fenestration — increases your own blood vessel growth and healing)
  • Trigger point injections — injections of anesthetic into chronic, painful, tight bands of muscle tissue

Common Musculoskeletal Conditions Treated:

  • Rotator cuff tendinopathy
  • Lateral epicondylosis (tennis elbow)
  • Medial epicondylosis (golfer’s elbow)
  • De Quervain's tenosynovitis
  • Greater trochanteric bursitis
  • SI (sacroiliac) joint pain syndrome
  • Piriformis syndrome
  • Plantar fasciitis
  • Carpal tunnel syndrome
  • and many other tendinitis, bursitis and arthritis conditions

Also known as portable or bedside ultrasound, point-of-care ultrasound is conducted using a lightweight system similar to a laptop computer with a connected hand-held probe (also called a transducer). If you have a pain or an injury, we can look “inside” immediately by placing the small probe against your skin to view (scan) the area. We use a special liquid gel between the transducer and your skin to improve the ultrasound signal. High-frequency sound waves, conceptually similar to sonar used by animals such as bats and dolphins, are pulsed through the spot and, when they hit various anatomical objects or boundaries, they bounce back to the transducer and are relayed to the ultrasound system to create a live image on the monitor. With recent technological advances, image rendering can produce fine anatomical detail, enabling physicians to localize structures such as nerves, muscles, and joints with exceptional clarity. The keen visualization obtained by ultrasound imagery allows the physician to specifically target anatomical regions of interest.

Ultrasound-guided interventions for acute or chronic pain management offer several advantages relative to more traditional techniques. One of the unique attributes of ultrasound guidance is the ability to provide “live” imagery without radiation exposure. Being able to continuously visualize important anatomical and vascular structures allows the physician to perform interventions with great precision. In addition, ultrasound-guidance in pain management allows for visualization of nerves, muscles, and other soft tissue, providing diagnostic and therapeutic opportunities that are not possible with more conventional techniques.

The application of ultrasound in acute and chronic pain management is expanding rapidly. It may be used in diagnosis and treatment for a variety of acute and chronic pain conditions, including tendinopathy, neuropathy, low back pain, arthritis, musculoskeletal disorders, and reflex sympathetic dystrophy to name a few. The continuing progress in medical ultrasound technology and the growing body of scientific literature relating to its efficacy and safety all but assure that this modality will hold a prominent position in the tools at the disposal of physicians trained on this technology.

We combine expertise in musculoskeletal medicine with specialized training in clinical ultrasound to bring you leading-edge diagnostic and procedural care.

Additional Resources:

Comparing Accuracy in Ultrasound-Guided Injections vs. Anatomy Based Injections - A Randomized, Double-Blind, Controlled Study

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