At Rejuvence Medical our Ultrasound Guided Injection Service allows for the precise delivery of medication to joints, tendons and damaged muscles. Medication given includes steroids (cortisone), Magellan Plasma, and even bio cellular regenerative nano fat.
Steroid injections are given for the relief of pain and inflammation in joints and tendons. The most commonly treated joints include the shoulder, elbow and knee. Specific types of tendinitis are often also treated with steroid injections and can result in significant improvement in symptoms.
Ultrasound guided Magellan Plasma Therapy from Arteriocyte, can accelerate the healing of torn muscles and inflamed tendons. Nano fat bio cellular regeneration treatments can help to reverse and heal cartilage and damaged soft tissue.
Conditions treated with ultrasound guided injections
A number of common conditions can be treated with Ultrasound Guided Injections. These include:
- Rheumatoid arthritis
- Slow healing muscular injuries
Steroids and side effects
The most common form of Ultrasound Guided Injections are steroid (cortisone) based injections. Although extremely effective, steroid injections need to be administered with caution as excessive use of steroid injections can result in short term and long term complications. These include:
- Increased risk of infections in joints
- Nearby nerve and/or blood vessel damage
- Initial worsening of pain and inflammation immediately following injection
- Increased risk of developing diabetes
- Thinning and weakening of already damaged tendons
- Localised osteoporosis
- Skin and soft tissues around the injection site can become thin
- Hypopigmentation (whitening) of the skin around the injection site
How can we minimise risks of steroid injections?
Although regular steroid injections can be associated with a number of short and long term complications and side effects they are never-the-less extremely effective at reducing pain and inflammation in affected joints and tendons. In an attempt to minimise this risk a number of precautions should be taken. These include spacing steroid injections at least 6-8 weeks apart and not exceed more than 3 to 4 injections per year. Good injection technique can also reduce the risk of damage to adjacent nerves and blood vessels.
What do we mean by Ultrasound guidance?
At Rejuvence Medical all our injections are performed under ultrasound guidance and performed by our Consultant Radiologist – Dr Ali Zaman. This involves using an ultrasound scanner to initially identify the specific area requiring treatment. The injection process is carried out under ultrasound guidance, meaning the needle is visualised as it goes into a joint or soft tissue around a tendon. In addition the movement of the injected medication into the areas requiring treatment is visualised in real time ensuring medication gets to precisely where it needs to be. Ultrasound guidance ensures that no important adjacent anatomical structures are inadvertently damaged during the procedure. The outcome of ultrasound guidance is a higher success rate with fewer complications and reduced pain and discomfort during the procedure.
What YOU can Expect
A consultation with one of our doctors at Rejuvence Medical is often advised prior to receiving treatment. It is important to ensure that you are not taking any medication that may limit the effectiveness of treatment as well as minimise potential complications. This is especially important for those taking blood thinning medication. Indeed anyone taking anticoagulation medication such as heparin, warfarin or a NOAC (for example apixaban, rivaroxaban or dabigatran), may need to stop this a couple of days prior to their procedure in order to minimise the risk of bleeding and specifically a haemarthrosis (bleeding into a joint).
Patients are often asked to change into a gown and positioned for optimal ease of access to a specific joint or tendon.
The area around the injection site is thoroughly cleaned with an antiseptic solution. It is especially important to minimise the risk of introducing any infection into a joint or tendon during the procedure. Topical local anaesthetic cream can be applied to help numb the skin. Sterile ultrasound gel is then applied to the skin over the area of interest and using ultrasound guidance the injection is performed.
Following an ultrasound guided injection the following precautions should be taken:
- Limit active movement and lifting using the joint injected.
- Immediate application of ice to the injection site can be very helpful in providing some quick pain relief.
- Patients to avoids baths for 48 hours.
- Look out for increasing redness, inflammation and pain over the injection site as this could be the first signs of an infection post injection.
Ultrasound Guided Injections at Rejuvence Medical
At Rejuvence Medical we have a team of doctors that have a wealth of experience in administering and performing therapeutic injections for joints and tendons. The improvements in pain and mobility are very significant over the first couple of weeks. The injections can often be repeated for prolonged pain relief as long as they are spaced widely apart. All injections are carried out under ultrasound guidance. There are unique differences, advantages and risks associated with each of the different types of medication that can be used whether they be steroids, Magellan Plasma or nano fat. For further information and to book an appointment for a consultation please contact us.