Ultrasound Guided Joint Injections

When using an injection to deliver treatment into painful joints, it is necessary to be exact and precise.

Dr. Bilbool and her team are highly trained in ultrasound-guided injections. These procedures are performed in the office, at the time of your visit. Some of the common structures involved in joint pain may be as little as 2-3mm wide and therefore require a high level of precision to be accurate. In addition, when performing an injection, there are also structures that you want to avoid so you don’t knick or damage them on your way into the joint. The ultrasound machine provides live imaging in real time, to safely place injectable medications or treatments into or around the joint with laser-like precision.

Consider trying to hit a target blindfolded. You may know the general direction but would not be certain if you have actually hit your target. With live ultrasound imaging, the targeted areas of pain are viewed in real time while the injection is taking place, guiding the needle with pin-point accuracy.

Applications for ultrasound-guided injectionsinclude:

  • Needle placement into joints for aspiration or injection, particularly in patients with challenging anatomy, those on blood thinners, or those in whom a non-guided injection has failed.
  • Injection into tendon sheaths or bursa.
  • Aspiration and injection of ganglion cysts.
  • Percutaneous treatment of calcific tendonitis.
  • Regenerative Medicine LipoGems
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  • Carpal Tunnel Syndrome Relief
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  • Diagnostic or therapeutic epidural nerve blocks
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  • Hyalgan naturally derived lubrication for arthritic joints
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  • Platelet Rich Plasma Therapy for natural joint repair
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  • Trigger Point Injections
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  • Para-Spinal Injections (para-spinal injections are trigger point injections in the neck, mid or lower back)



Can an OptimumJoint traditional or regenerative medical procedure help me? To find out if you might be a candidate for an OptimumJoint medical treatment procedure, complete our Optimum Joint Procedure Candidate Form online.