Ultrasound Guided Interventions:
Trigger Point Injection: This technique provides mechanical release and irrigation of trapped inflammatory mediators in muscle. Various solutions can be used with various durations of effect.
Diagnostic Blocks: This technique is useful for localizing pain generators that are not easily localized with imaging. In combination with history and physical examination, a diagnostic block can provide further insight into determining the source of pain.
Cortisone Injections: These injections are helpful for reducing inflammation in or around anatomic structures. In combination with an active rehabilitation program, this standard treatment can help patients return mobility and function.
Viscosupplementation: Hyaluronic acid is a synthetic synovial fluid that can be injected into the joint with mild to moderate osteoarthritis. It lubricates joints and reduces friction to allow patients to return to activity and an active rehabilitation program.
Paratenon Stripping: Certain tendons in the body (e.g. Achilles and patella) are painful due to overgrowth of blood vessels and nerves into the tendon. This treatment gently separates these connections between the tendon and fat pad without compromising the integrity of the tendon.
Hydrodissection/Decompression of Peripheral Nerves: Injection of fluid between the nerve and scar tissue at narrowed areas can separate these structures to allow for nerve regeneration.
Regenerative Injection Therapies: These therapies promote the healing cascade in hypovascular structures (e.g. rotator cuff, hamstring, and gluteus tendons).
Dry Needling: This technique creates controlled inflammation and initiates the healing cascade with needle fenestration of the damaged structure.
Prolotherapy: This technique uses hypertonic dextrose, which is irritating to the body, to create an inflammatory process that initiates the healing cascade.
Autologous Blood: The injection of whole blood initiates an inflammatory process & promotes the healing cascade. There are also white blood cells that work with local cells to remove damaged cells from the area.
Platelet Rich Plasma: The process of spinning whole blood in a centrifuge allows one to separate platelets and inflammatory mediators (e.g. IL-6 and COX-2) from red blood cells. The concentrated solution is then placed into the damaged structure with ultrasound guidance. This promotes further healing