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Specialist competence

Diagnostic ultrasound and injection treatment

What is diagnostic ultrasound?

Diagnostic musculoskeletal ultrasound makes it possible to examine muscles, tendons, ligaments, nerves, bursae and joint surfaces in real time and at high resolution. The examination is painless and radiation-free, and gives answers immediately. Because I can see the structures while you move, ultrasound often provides more information about function than a still image from MRI or CT – and is particularly well suited for assessing soft tissue and following the healing of an injury over time.

Conditions that can be assessed and treated

• Shoulder: rotator cuff problems, calcific tendinitis, bursitis and frozen shoulder
• Elbow: tennis and golfer’s elbow
• Hand and wrist: carpal tunnel syndrome, trigger finger and tenosynovitis
• Hip and thigh: bursitis and tendon-attachment problems
• Knee: jumper’s knee, tendinopathies and osteoarthritis
• Ankle and foot: Achilles problems and plantar fasciitis
• General osteoarthritis and tendinopathies in most joints

Ultrasound-guided injection treatment

When an injection is appropriate, it is given under direct ultrasound guidance. That way I can see the needle the whole time and place the substance exactly where it is needed – making the treatment both more precise and safer. Relevant injections include:

• Corticosteroid – for acute inflammation and swelling
• Hyaluronic acid – lubrication and pain relief for osteoarthritis, especially in the knee and hip, as a non-steroid alternative
• PRP (platelet-rich plasma) – the body’s own growth factors to stimulate healing of tendon and joint problems
• Calcific barbotage – for calcific tendinitis of the shoulder

Hyaluronic acid

Hyaluronic acid occurs naturally in the joint fluid and contributes to lubrication and cushioning in the joint. For osteoarthritis, an injection can improve mobility and reduce pain over time, and is an option for those who prefer a non-steroid treatment.

PRP – platelet-rich plasma

PRP is obtained from a small blood sample taken from you. The blood is spun down so that platelets and growth factors are concentrated, and is then injected into the relevant area to stimulate the body’s own healing. The treatment is well documented for, among other things, knee osteoarthritis and certain tendon injuries.

Collaboration with your doctor

All medication and corticosteroid injections are carried out in consultation with your GP or referring medical practitioner. The assessment is made jointly, where there is agreement on the condition and the indication for injection, before treatment begins. Feel free to get in touch if you are wondering whether this is relevant for you.