Ultrasound guided peripheral joint injections

David Chandler, M.D.
Physical Medicine and Rehabilitation / Interventional Pain Medicine Specialist
Andrews Institute for Orthopaedics & Sports Medicine
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 Q: What is an ultrasound guided peripheral joint injections and how can they help patients?
Marisa Terry, M.D.: Ultrasound is a great tool to use for injections into peripheral joints, muscles or tendons, or even nerve conditions. Arthritis is one example of a common condition that ultrasound is used to treat with ultrasound guided injections.
 Q: How does ultrasound help you as a physician pin point a patient’s pain or discomfort?
Marisa Terry, M.D.: Ultrasound is a dynamic imaging tool that can be helpful diagnostically to pinpoint various areas where a patient may have pain and help us understand what is going on with that issue right below the area where it may feel painful for that person.
 Q: How does ultrasound help with the injection?
Marisa Terry, M.D.: During an ultrasound guided injection, we use the ultrasound machine to help localize the needle during the injection and localize the target tissue. We want to be as accurate as we can when replacing the needle to make sure that the injection is getting to the right location and also is not as painful for the patient.
 Q: What can a patient expect when they require an ultrasound guided peripheral joint injection?
Marisa Terry, M.D.: When a patient comes in for an ultrasound guided injection, typically this is a procedure that is done in the clinic which has advantages in that it's easier to do in the clinic setting. They’re relatively brief appointments. Sometimes a driver is recommended to accompany the patient for the injection to make sure that everything goes safe and smoothly. During the actual procedure there's an ultrasound machine in the room. We use the machine to help localize the area where we're going to be doing the injection and everything is done in a sterile fashion.


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