Ultrasound was used at the last winter Olympics (Vancouver) to expedite evaluation and treatment.

Tissue Regeneration (Click here)

• Unlike X-rays and MRI, joint and tendon movement can be examined in the office by ultrasound.

• Ultrasound probe can also be placed at the area which hurts and painful area can be evaluated.

• Joint movement can be observed and evaluated.

• After evaluation, the area can be treated at the same time.

• If MRI cannot be done (eg pacemaker, metal),  ultrasound can be used to evaluate joints and tendons.

Nerves, joints, fluid collection and masses can be visualized in 3D.

Conditions Treated                

• Shoulder: Bursitis, Tendinitis, Frozen shoulder, Adhesive capsulitis, Impingement syndrome, Rotator cuff injury, Tensosynovitis

• Hip: Bursitis, Tendinitis, Arthritis

• Elbow: Arthritis, Bursitis, Tendinitis, Tennis elbow

• Knee: Arthritis, Bursitis, Tendinitis, Knee pain

• Hand and Wrist: Carpal tunnel syndrome, Arthritis, Tendinitis.

• Foot and Ankle: Ankle and Foot pain, Tendinitis, Plantar fascitis, Sprains, Calcaneal spur

  Procedures: (Non-surgical option)

  Ultrasound increases accuracy of injections.        The needle can be guided to the right spot with ultrasound.

• Carpal tunnel syndrome injections

• Trigger Finger injections

• Tennis Elbow - Injections and percutaneous tenotomy

• Trochanter Bursitis/Tendintis - Injections and percutaneous tenotomy

• Shoulder Calcification

• Knee Cyst (Popliteal or Baker's cyst) - Aspiration

• Ganglion

• Nerve Blocks-Femoral, lateral cutaneous nerve of thigh

• Synvisc injections

   

   

  Indications

• The indications for ultrasound of the shoulder include, but are not limited to, evaluation of the shoulder pain

  or dysfunction.

     

                 

   

• The indications for ultrasound of the elbow include but are not limited to soft tissue injury, tendon

  pathology (including tendinopathy, enthesopathy, and tears), ligament pathology, arthritis, loose bodies,

  soft tissue masses, nerve entrapment, effusion, and bone injury.

       

• The indications for ultrasound of the wrist and hand include but are not limited to soft tissue injury, tendon

  pathology (tendinopathy, tenosynovitis, and tears), arthritis, soft tissue masses or swelling (including

  ganglion cysts), nerve entrapment, effusion, foreign bodies, and bone injury. This examination is usually

  tailored to the clinical presentation.

     

   

   

   

   

   

• The indications for ultrasound of the adult hip include but are not limited to soft tissue injury, tendon

  pathology, arthritis, soft tissue masses or swelling, nerve entrapment, effusion, and bone injury.

  

• Indications for a Prosthetic Hip examination:  Assess for joint effusions and extra articular fluid collections,

  often as part of an ultrasound-guided procedure for fluid aspiration in the clinical scenario of prosthetic

  joint infection.

• The indications for ultrasound of the knee include but are not limited to soft tissue injury, tendon and

  collateral ligament pathology, arthritis, soft tissue masses or swelling, loose  intra-articular bodies, effusion,

  and bone injury.

   

• The indications for ultrasound of the ankle and foot include but are not limited to soft tissue, tendon, and

  ligament injury, arthritis, soft tissue masses or swelling, intraarticular loose bodies, effusion, bone injury,

  Morton’s neuroma, plantar fascitis, and foreign bodies.

  

•  The indications for a peripheral nerve examination include but are not limited to compression neuropathies,

   neuritis, nerve masses, nerve trauma, and nerve subluxation.

   

•  The indications for a soft tissue mass examination include but are not limited to determining the cystic or

  solid nature of a mass as well as its size, vascularity, margins, and relationship to adjacent structures.

•  The indications for interventional musculoskeletal ultrasound include but are not limited to aspiration of

  cysts, fluid collections and abscesses, arthrocentesis, insertion of drainage catheters, ultrasound- guided

  biopsy, medicinal injections, intra-articular injection of contrast agents (before computed tomography or

  magnetic resonance imaging), lavage and aspiration of tendon calcification, and foreign body retrieval.

  

•  Ultrasound is helpful for detection and localization of foreign bodies, especially nonradiopaque foreign

  bodies such as wood, plastic, and certain types of glass.

   

   

Preparation:

• Few preparations are needed on the day you have an Ultrasound examination        

• Please notify your physician if you are taking a  blood thinner (aspirin, motrin, plavix, coumadin, lovenox, etc) as

  there is a  chance of bleeding in to your muscles or joints if an injection is to be done.

• You will be required to change into a gown for the test.

• You can have regular meals before the test.

• You can drive yourself.

• You can go back to work after the test.

• Take all your medications on the day of the test.

• If required, you can take pain medication (Tylenol) before the test.

• No sedation is given during the test.

   

  Procedure:

  During this test, you will be lying or sitting on an examination table, next to an Ultrasound machine (which looks like

  a laptop or desktop computer).