Stop. Something You Must Know Before Agreeing to Joint Injections.

August 29, 2017 in Our News & Bulletins by Primary Spine & Rehab

Insist on ultrasound guidance with joint injections


Corticosteroid joint injections are an increasingly popular, rapidly effective method for managing joint pain from various causes. Such injections can offer fast relief in joint pain stemming from tendinosis/tendinitis, arthritis, bursitis, carpal tunnel and other entrapment syndromes, fasciitis, neuromas, ganglion cysts, and more. Corticosteroid injections are a low-risk, in-office procedure, but if the clinician misses the anatomical target of the injection, the treatments become less effective or even counterproductive – increasing pain.

Even today, many doctors and other clinicians attempt to deliver these injections using an outdated technique called “landmark guided injections.” In this technique, the clinician uses knowledge of the anatomy to guess where the needle is going during the injection. Research finds that, even in expert hands, the accuracy of landmark-guided joint injections is as low as 29%. It doesn’t matter if the clinician is a rheumatologist, orthopedic surgeon, or other expert. Studies also demonstrate that a physician’s confidence in an injection just performed does not correlate with an accurate infiltration.

Corticosteroid joint injections need to be performed with modern ultrasound guidance. Ultrasound imaging allows clinicians to see, in real time, exactly where the needle tip is before injecting the medication. Ultrasound-guided injections are not only more accurate; they are more effective. In scientific studies, patient-reported pain-rating scale improvements are more than triple compared to landmark-guided injections.

Primary Spine & Rehab provides ultrasound-guided joint injections so our patients can get some of the most significant, safest, and fastest relief possible. Moreover, we can combine injections with physical therapy treatment designed to address the root cause of your joint pain. This short-term/long-term approach empowers patients to have long-term relief and the tools and knowledge to manage their condition independently in the future.


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