Ultrasound Diagnostics and Injection Guidance

Ultrasound technology has been around for decades, but its use in outpatient settings has been limited until recently. At Innovative Pain Management, we use ultrasound technology to identify and locate soft tissue abnormalities that may be the result of an injury or the source of chronic pain.

When administering PRP or stem cell injections, ultrasound is used to help guide the injections and ensures correct placement of the injection to deliver the greatest benefit to the patient and the best patient outcomes.

Ultrasound Guided Procedures:

Diagnostic Musculoskeletal, nerve and joint procedures.
Platelet Rich Plasma(PRP)/Stem Cell Procedures
Shoulder, elbow, wrist/hand, hip, sacroiliac, knee, ankle, and foot procedures
Local Anesthetic, Steroid, Synvisc, PRP/Stem Cell Procedures
Combined Electrochemical Treatment/Integrated Block

Fluoroscope Guided Procedures:
Spinal Cord Stimulation and Neuromodulation
Platelet Rich Plasma(PRP) and Stem Cell, Amniotic tissue Procedures.
Cervical, Thoracic, Lumbar, Sacrum, Spine Procedures
Diagnostic and Therapeutic Nerve Procedures
Standard and “Cooled” Radiofrequency Ablation/Rhizotomy Procedures
Local Anesthetic, Steroid, Synvisc, PRP/Stem Cell Therapeutic Procedures
Combined Electricalchemical Treatment/Integrated Block

Common Syndromes:
Post C-spine, L-Spine Failed Back Surgery/Post Laminectomy Syndrome
Degenerative disc Disease of Spine
Facet Arthropathy/LumboSacral Spondylosis
Osteoarthritis/Rheumatoid Arthritis Joint Disease
Sports Injury, Inflammatory Muskuloskeletal Disease
Diabetic Neuropathy
Post Radiation/Chemotherapy Neuropathy
Post Herpetic Neuralgia
Post HIV Neuropathy
Idiopathic/Small A Fiber Neuropathy
Reflex Sympathetic Dystrophy (RSD)
Complex Regional Pain Syndrome 1 & 2
Peripheral Vascular Neuropathy
Fibromyalgia
Phantom Limb Pain

GUIDANCE

Ultrasound technology has been around for decades, but limited in out patient settings until recently. At IPMC we use ultrasound technology to identify and locate soft tissue abnormalities that may be a result of an injury or source of chronic pain.

Fluoroscopic technology has also been a tried and proven guidance method for interventional management. At IPMC we employ fluoroscopy as with ultrasound guidance to ensure accuracy of injection.

When administering PRP or stem cell injections, ultrasound/fluoroscopy ensures correct placement of the injection to optimize the greatest benefit to the patient and the best patient outcomes.

Ultrasound/Fluoroscopic Guidance
The application of ultrasound and fluoroscopic technique to Interventional medicine has greatly improved accuracy and safety. These techniques allow the physician to see, in real time, the projector and placement of the injection.

Both techniques are employed in a variety of different conditions. Both can be used in joint and spine as well as muscle, ligament and nerve block injections.

Ultrasound guided injections are used in diagnostic and therapeutic procedures. Ultrasound is especially useful in myofascial, tendon, large to small joint and nerve block injections. The images produced in real time ensure maximum accuracy of injection placement.

Fluroscopy’s main advantage comes with the ability to add contrast medium to enhance the image generated. This promotes confirmation of injection placement as well as adding a 3-D quality to the image generated. This is especially useful in certain spine, major and minor joint, muscle and nerve block injections.