Ultrasound-Guided Injections

The clinic is now open for face-to-face appointments where clinically appropriate.

Patients who are appropriate for f-2-f are those:

  • in severe pain
  • who are not responding to self-management strategies and are struggling to cope
  • where symptoms are deteriorating
  • where face-to-face assessment is deemed a priority in their management

Patients who are NOT appropriate for     f-2-f are those:

  • who belong to the COVID-19 ‘clinically very vulnerable group’
  • who have or suspect they may have COVID-19
  • who have been in contact with suspected or confirmed cases of COVID-19 in the month prior to attending
  • who have manageable levels of pain
  • who have not tried self-management strategies
  • who could reasonably benefit from a remote/virtual consultation

Virtual consultations can be provided for Sports Medicine and Physiotherapy 

Many injections are performed without ‘image-guidance’, however research has consistently shown that using ultrasound imaging to guide the placement of the injection is more accurate. 

Most injections can be performed under ultrasound guidance. This means that the clinician will be able to directly visualise the needle ‘real-time’ like watching something happen live on TV. This therefore improves the accuracy of the injection meaning that the substance being injected (injectate) is directed exactly at the intended location.  Improved accuracy means improved safety, improved effectiveness for some injections, and also allows some advanced treatments to be undertaken that cannot be done without image-guidance.

Watch this video below for a demonstration.

Where can we inject?

Hip

  • Hip osteoarthritis
  • Trochanteric bursitis (lateral hip pain)
  • Ischial bursitis (base of pelvis / ‘sit bone’ pain)

Knee

  • Knee osteoarthritis
  • Patellar tendon / tendinopathy
  • Pre-patellar and infrapatellar bursitis
  • Pes anserine bursitis
  • Iliotibial band bursitis

Foot & Ankle

  • Ankle osteoarthritis
  • 1st metatarsalphalangeal joint (big toe / bunion) arthritis
  • Mid foot osteoarthritis
  • Morton’s neuroma
  • Retrocalcaneal bursitis (back of heel)
  • Achilles Tendon
  • Peroneal Tendons
  • Tibialis Posterior Tendon

Hand & Wrist

  • Carpal Tunnel Syndrome
  • Trigger finger
  • Tenosynovitis of the thumb and finger tendons (inflammation of the tendon sheath)
  • Base of thumb arthritis
  • Finger arthritis

Elbow

  • Elbow osteoarthritis
  • Tennis elbow (lateral epicondylitis)
  • Golfers elbow (medial epicondylitis)
  • Olecranon bursitis
  • Biceps tendon / bursitis

Shoulder

  • Subacromial pain / bursitis / rotator cuff
  • Acromio-clavicular (AC) joint pain
  • Frozen Shoulder (adhesive capsulitis)
  • Glenohumeral joint (shoulder ball & socket joint) arthritis
  • Biceps tendon (long head)

What can we inject?

Specialist Injection Procedures