Ultrasound-Guided Injection Therapies
All injections in clinic are performed under real-time ultrasound guidance. This ensures the treatment is delivered precisely to the target structure - whether that is a tendon, joint, bursa, or other tissue.
Injection therapies are never a standalone treatment. They are one component of a comprehensive management plan that includes diagnosis, exercise rehabilitation, and addressing contributing factors.
PRP (Platelet-Rich Plasma)
PRP therapy uses a concentrated preparation of platelets from your own blood, delivered directly to the injured tissue under ultrasound guidance.
- How it works: A small blood sample is taken, centrifuged to concentrate the platelets, and injected precisely into the target area.
- Common indications: Tendinopathy (Achilles, patellar, gluteal, rotator cuff), osteoarthritis, plantar fasciitis, muscle and ligament injuries.
- What to expect: The procedure takes approximately 30-45 minutes. You may experience increased discomfort for several days before improvement begins.
Corticosteroid Injections
Corticosteroid (cortisone) injections are well-established for reducing inflammation and pain in joints, bursae, and around tendons. I use corticosteroid injections judiciously and always as part of a broader treatment plan.
Viscosupplementation (Hyaluronic Acid)
Viscosupplementation involves injecting hyaluronic acid into a joint - most commonly the knee - for osteoarthritis management. Visit the Osteoarthritis Clinic page for more information.
Joint Aspiration & Synovial Fluid Analysis
Joint aspiration can be both diagnostic and therapeutic. Fluid can be sent for laboratory analysis to identify infection, crystal disease (gout, pseudogout), or inflammatory conditions.