Ultrasound Imaging & Guidance

Over the past 10 years, ultrasound has increasingly found its way into orthopedic medicine, and for good reason.  It allows for extremely safe and dynamic (i.e. provides continues image as you move/change) views of soft tissues, such as muscles, tendons, ligaments, and nerves.  Not only are injuries to these tissues readily identified, but needles can be seen and guided to a specific site for treatment.  This not only increases effectiveness of regenerative injections such as PRP and prolotherapy, but also vastly decreases inherent risk when placing needles into joints or around nerves and vascular structures.

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"Just wanted to let you know that I had an MRI last week bc of some twingey knee stuff. I got the results today and my knee looks AWESOME. No evidence of ACL tear at all. Sooooo, thank you"!

- B.K. (partial ACL tear in knee, prolotherapy patient)



Q: What are the advantages to using ultrasound guidance for injections? +
A: Ultrasound provides a dynamic (live motion) method of viewing soft tissues without radiation.  We are able to watch a needle and can direct it to a specific structure or site of damage, including joints.  This provides the major advantage of ensuring we are injecting a substance exactly where we want it, while avoiding potentially fragile structures such as arteries and nerves.
Q: Do you use ultrasound guidance for all injections? +
A: In general, yes, particularly with PRP.  When treating joints, damaged tendons and certain sites close to major nerves or arteries, ultrasound is essential for accuracy and safety.  Some procedures, particularly those involving prolotherapy, require injecting multiple ligaments that are relatively accessible by palpation (touch) to a well-trained physician.  In many of these cases ultrasound is not required.


Schedule an appointment online with Dr. Minarik or Dr. Herman.


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