ULTRASOUND GUIDED INJECTION
What is an ultrasound guided injection?
Ultrasound is a medical procedure that uses high-frequency sound waves to penetrate the body’s tissues using a portable probe. The returned waves are then calculated to generate an image of the body’s anatomy. Ultrasound is frequently utilised in diagnostic procedures to help with proper assessment prior to injection. When administering an injection, ultrasonic waves bounce back from the needle as it travels through the body’s tissues, providing for clear sight of the needle tip and, as a result, accurate injection guidance to the target region. Corticosteroid or hyaluronic acid can all be injected using ultrasound guidance (platelet rich plasma). Ultrasound guidance also enables a variety of highly specialised operations such as joint aspiration (draining edoema from a joint) and barbotage (aspiration of calcium deposits from within a joint) to be performed.
What can ultrasound guided injections be used for?
Ultrasound guided injections are typically used for:
- Frozen shoulder
- Tennis elbow
- Golfer’s elbow
- Greater trochanteric pain syndrome
- Osteoarthritis of the knee
- Osteoarthritis of the hip
- Morton’s neuroma
- Carpal tunnel syndrome
- Plantar fasciitis
- Shoulder impingement
- Shoulder bursitis
- Acromioclavicular joint pain
What is the benefit of an ultrasound guided injection?
When compared to injections performed without ultrasound guidance, a large body of research shows that ultrasound guided injections provide superior pain relief, have longer lasting effects, and improve functionality (blind or surface marked injections). There is also evidence that it minimises the chance of needle trauma or misplacing the injectable substance, therefore enhancing injection safety while lowering the risks of adverse events associated with injection therapy.
Frequently Asked Questions
Who should have an ultrasound guided injection?
Injections guided by ultrasound are commonly used to treat pain in the soft tissues. This could be due to joint arthritis, bursitis, or impingement. In Alton Pain Clinic we offer corticosteroid or hyaluronic acid injections. Each of these can be utilised to help relieve pain and enhance function in a variety of soft tissue conditions.
Should it be used in conjunction with other treatments?
Ultrasound guided injections are frequently used to help patients manage their discomfort so they can focus on their physiotherapy and rehabilitation. Due to excessive levels of discomfort, many patients are unable to complete the exercise programme that has been prescribed, and an injection is therefore an important part of the treatment plan.
How is the treatment delivered and how many sessions do I need?
One of our highly qualified professionals will examine you, scan you, and provide an ultrasound guided injection if it is determined that this is the best and most appropriate treatment. Most injection procedures only require one injection; however, certain patients may require many injections, such as a frozen shoulder, which may necessitate two to three injections spaced six to eight weeks apart.
Is there anything I should not do after an ultrasound guided injection?
Following the injection, the clinician administering your injection will inform you of any specific guidance and management of your condition. Typically, they will urge you to relax for a certain amount of time after the injection, usually only a few days. This, however, will be covered in greater depth during your consultation.
Are ultrasound guided injections used in conjunction with other treatments?
Yes. Injections guided by ultrasound are used to relieve pain. This is typically done to help patients to improve their capacity to exercise and self-manage their disease, such as a frozen shoulder or an arthritic knee. Some injections, such as those for trigger finger, are particularly effective as a stand-alone treatment. Hyaluronic acid is commonly utilised as supplements to a workout and rehabilitation programme.
Will it be painful?
The injection can be targeted within the tissues using ultrasound guidance, reducing discomfort both during and after the treatment.
How long does an ultrasound scan take?
The evaluation and treatment for ultrasonography guided injections usually takes 20-30 minutes. The time required assessing and scanning is proportional to the severity of the problem.
Are there any areas where you do not perform ultrasound guided injections?
Ultrasound of the lumbar spine or neck is not performed by our clinicians.