\n\t\t\t\t\t\t\tUltrasound Guided Injections\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\tA variety of treatments, including biomechanics, posture, activity modifications, flexibility, and supporting muscle strength are prescribed by physicians to heal musculoskeletal injuries and joint pain. However, if a patient does not respond to focused physical therapy, rehabilitation or supporting muscle strength alone, a therapeutic injection may be the next step. Various nerve blocks, intra-articular injections, trigger point and muscular injections are all used to reduce pain in patients.\n\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\tJoint injections are a minimally invasive treatment option used to relieve pain caused by inflammatory joint conditions such as rheumatoid arthritis, tendonitis, synovitis (inflammation of the lining of the joint), bursitis and gout.These inflammatory conditions often respond to corticosteroid and\/or local aneasthetic medication directly into the joint or into the soft tissue next to the joint (bursa) to reduce the inflammation and provide pain relief. Joint injections can be used to relieve pain in any joint in the body:\t\t\t\t\t\t\n\t\t\t\t\t\t\t

  • Knee (knee joint, Baker's cyst)<\/li>\n\t\t\t\t\t\t\t
  • Shoulder (rotator cuff\/subacromial bursa, acromioclavicular joint, shoulder\/glenohumeral joint, biceps tendon)<\/li>\n\t\t\t\t\t\t\t
  • Ankle<\/li>\n\t\t\t\t\t\t\t
  • Elbow (lateral epicondyle, medial epicondyle, elbow joint) Wrist (thumb\/first CMC joint , carpal tunnel, trigger finger, DeQuervain's tenosynovitis)<\/li>\n\t\t\t\t\t\t\t
  • Thumb<\/li>\n\t\t\t\t\t\t\t
  • Hip (hip joint, bursa\/greater trochanter, piriformis, sacroiliac joint)<\/li>\n\t\t\t\t\t\t\t
  • Large toe<\/li>\n\t\t\t\t\t\t\t
  • Facet joints of the vertebrae<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\tAs a result of any pain injection, reduction in pain allows the patient to participate more fully in physical therapy and therefore continue to move towards that active lifestyle.\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t\t\t\tUltrasound Guidance for MSK Injections\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
    \n\t\t\t\t\t\t\tTraditionally, musculoskeletal (MSK) injections have been performed based on anatomical landmarks. That is, that the physician feels for specific bones, muscles, or tendons and then injects into the desired area. This is known as, a 'blind' technique because there is no way of definitively knowing where the tip of the needle is or where the injection is going. Many providers have been using this landmark or blind technique for a long time and are confident with their skill level.\n\t\t\t\t\t\t\t

    \n\t\t\t\t\t\t\tHowever, MSK Ultrasound has become extremely popular not just for diagnostic imaging of musculoskeltal structures, but the application of ultrasound in pain medicine is a rapidly growing imaging modality in interventional pain management.\n\t\t\t\t\t\t\t

    \n\t\t\t\t\t\t\tImproved resolution of ultrasound images in the last 5 years, nerves and nerve tissue is well visualized. Bone edges are also identified with ultrasound so that joint spaces are quite obvious. The needle is easily recognizable and ultrasound imaging provides real-time needle advancement to the target area. The needle, and needle tip, can be seen on the ultrasound screen and the precise location of the injection is assured. If using the landmark technique, the needle tip delivering the medicine is not appropriately or definitively placed, the physician cannot be sure if the needle reached the appropriate site with the medicine, or if the medicine was not appropriate for the patient's ailment. Exact location of injection is not only important for the effectiveness of the injection itself, but also for the benefit of the patient and for the feedback to the physician.\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t

    \n\t\t\t\t\t\t\tJustification for Ultrasound Guidance\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
    \n\t\t\t\t\t\t\tThe results have shown that ultrasound-guided injections are associated with significantly less procedural injection pain, provide increased pain relief lasting for a longer duration than with landmark guided injections. The improved performance of ultrasound-guided injections leads to a decrease in health care costs per patient, while improving patient care.\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
    \n\t\t\t\t\t\t\tStudies have shown that ultrasound-guided injections are associated with significantly less procedural injection pain and provide more pain relief. As individuals embrace wellness and increase their activity level with strenuous movements, repetitive motion and wear and tear the result may be painful joints and other musculoskeletal injuries, physicians will be looking for ways to assist in enabling the healthy lifestyle while decreasing a patient's pain. Beyond physical therapy and other initial techniques to help patients, therapeutic injections are becoming a necessary part of pain management in musculoskeletal injuries. Incorporating diagnostic ultrasound imaging is a tool that improves physician confidence with this form of treatment resulting in better patient care. \n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t"}