Guided Injections Improve Orthopedic & Sports Medicine Treatments

Guided injections, performed with the aid of ultrasound and fluoroscopic imaging, have increased the safety and effectiveness of orthopedic and sports medicine treatments.

Used to facilitate the delivery of anesthetics, anti-inflammatories, regenerative medicine treatments and other medications, guided injections allow sports medicine and orthopedic physicians to successfully deliver minimally invasive treatments.

guided injections

How Do Guided Injections Work?

Injections have played a key role in orthopedic medicine for decades. Until recently, however, physicians were forced to use their experience and physiological knowledge to position the needle and deliver the treatment accurately. In other words, they administered injections without the ability to see beyond the skin’s surface.

Now, ultrasound or X-ray imaging allow doctors to pinpoint the injection location. This precise method of delivery reduces risks and allows the doctor to use a smaller needle and less injection material.

It also allows the doctor to access areas that would otherwise unreachable, including cysts, nerves and soft tissue. For example, tendons are covered by a thin sheath called the synovium, is this is where the injections must be delivered. Imagine trying to differentiate between the sheath and the tendon itself without being able to see them.

Guided injections provide the doctor with the visual markers necessary to deliver the treatment correctly.

Types of Guided Injection Treatments

Guided injection protocols can be used for almost any minimally invasive procedure of this nature. One of the most common orthopedic and sports medicine applications is platelet-rich plasma (PRP) injections. PRP treatments are used to reduce pain and restore mobility in soft tissues and joints. This treatment is especially effective for chronic tendon and ligament problems.

We can also use guided injection treatments with stem cells extracted from the patient’s bone marrow. This therapy is especially effective for helping heal joints. It can also reduce pain associated with osteoarthritis of the knee, hip, shoulder or ankle.

We use fluoroscopic (X-ray) guided spine injections, including epidurals, radio frequency ablations, sympathetic ganglion blocks and sacroiliac joint, hip and medial branch blocks. We also apply advanced medical and imaging technology for nerve root blocks, facet joint injections, and patellar tendinopathy and hip and shoulder osteoarthritis treatment.

These therapeutic protocols are strongly supported in a variety of scientific research, with a high degree of safety and few adverse side effects.

Are Guided Injections Right for You?

The technology that provides the imagery for guided injections can be used with a variety of treatment protocols. If any of these treatments is warranted for you, the chances are excellent that we can use this technology to improve your outcome.

If your treatment must be delivered to an area that is anatomically complex, such as the hip joint or soft tissue located deep inside the body, a guided injection may be the only way to do it safely and accurately.

We use ultrasounic and fluoroscopic images as a part of our overall treatment approach. Our innovative nonsurgical solutions are designed to help you return to an active, pain-free life. Contact us today to schedule a consultation to learn if guided injections may be appropriate for you.

 

Robert Engelen, DO
Dr. Engelen served as a Lieutenant in the Navy and operated as the medical officer for Marines in North Carolina and for a deployment to Afghanistan. He has served as a team physician for a high school and a Division II Collegiate athletic sports team in Pittsburgh, and currently serves as the team physician for West Jordan High School.

Dr. Engelen has a special interest in fluoroscopic procedures, diagnostic ultrasound and ultrasound guided procedures, regenerative medicine, biomechanical analysis, and treatment of all sports and spine injuries. His unique practice focuses on non-surgical treatments.
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About Robert Engelen, DO

Dr. Engelen served as a Lieutenant in the Navy and operated as the medical officer for Marines in North Carolina and for a deployment to Afghanistan. He has served as a team physician for a high school and a Division II Collegiate athletic sports team in Pittsburgh, and currently serves as the team physician for West Jordan High School. Dr. Engelen has a special interest in fluoroscopic procedures, diagnostic ultrasound and ultrasound guided procedures, regenerative medicine, biomechanical analysis, and treatment of all sports and spine injuries. His unique practice focuses on non-surgical treatments.