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Joint injections (Ultrasound guided Injections)

Introduction:

Ultrasound guided injection is a minor interventional procedure that involves injecting a medication (steroid + local anesthetic) into the appropriate area using ultrasound to guide the needle. This injection is a therapeutic / diagnostic procedure aiming to reduce musculoskeletal pain and also helping with diagnosis of musculoskeletal structures such as tendon, tendon sheath, bursae and joints.

Consultation and Ultrasound guided injection £800   £ 249

 

Who will do this procedure ?

A consultant Radiologist or a specialist trained consultant/Health care professional with relevant experience.

Your health professional will discuss with you in detail about the benefits and risks and side effects of the procedure prior to the treatment.

 

How it is done:

Ultrasound is the safe and painless use of sound waves to produce images of the internal structures of a joint, limb or soft tissue. During your appointment consultant with relevant specialist training will perform preliminary scanning to establish the diagnosis, then position a fine needle into the target area (joint or soft tissue) under ultrasound guidance. Once the needle is in position the medicine (steroid) is administered along with long acting local anesthetic.

 

Benefits:

Ultrasound is a repeatable, non-invasive imaging modality. Ultrasound guided injections are safe and simple. Research has shown medical ultrasound to be a safe examination unlike other types of imaging such as X-ray and CT. It does not use radiation and has no associated risks.

Ultrasound guided injections shown high accurate placement of needle therefore increase chance of long standing effect. Using ultrasound guidance, clinician can directly visualize an inject needle’s path and the target structure, thereby minimise risk of injury to adjacent nerves or blood vessels.

 

What happens after the examination?

You should feel absolutely fine, but you may be asked to stay close to the waiting room for 20 minutes to ensure you do not feel any adverse side effects.

You can normally drive home, depending on the site of injection, but it may be advisable to be driven by a companion.

You should keep the injected joint/soft tissues moving gently for the first 48 hours, avoiding heavy/physical work, repetitive movements or your normal aggravating positions/movements. Take regular pain killers over next 24 hours, if needed.

 

What happens during the scan?

Our ultrasound rooms are dimly lit to reduce the amount of ‘glare’ on our ultrasound monitors.

You may be asked to remove some clothing from the affected area. Please ensure you wear appropriate clothing to expose the region being examined. A small amount of ultrasound gel will be applied to the area of concern and the radiologist or sonographer will scan the region of interest and, after discussion with you, will proceed to giving you the injection. Your skin will be cleaned around the affected area. He/she will then guide the injection to the appropriate position whilst watching it on the screen.

 

What are the possible side effects?,

The following side effects are rare, but you should be aware of the risks. such as post injection flare, bruising around the injection site, tendon injury, a rise in blood sugar levels in diabetes patients, which should settle in a few days, disruption to menstrual cycle, mood disturbance, facial flushing (up to 24 hours), local skin dimpling/discolouration, Infection – (risk is 1 in 10,000- 20,000) If you notice any swelling and/ or heat around the injection site (worsening after 48-72 hours), or you develop a temperature you should contact your GP or local hospital.

Every caution to minimize the risk of side effects will be taken.

You will be able to discuss any of these points at the time of the appointment.

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