Interventional Orthopedics

Our team conducts a detailed diagnostic consultation and a comprehensive physical examination to assess your symptoms and understand the root cause of your condition. 

As an extension of this examination, we utilize on-site ultrasound technology to perform real-time assessments and accurately pinpoint the precise source of your musculoskeletal issues.

Our treatment plan is meticulously tailored to meet your goals. We ensure a personalized approach that considers your health conditions and lifestyle factors. 

Our non-surgical treatments include joint injections, tendon injections, ligament injections, fascial injections, nerve hydrodissection, nerve root injections, epidural injections, and a multitude of regenerative injections, all performed with the highest attention to accuracy and safety with the help of ultrasound and/or fluoroscopic technology. 

We collaborate with other specialists, as needed, to optimize outcomes for our patients. We frequently work with physical therapists to enhance your response to interventional procedures. In complex cases that require surgery, we also collaborate with orthopedic surgeons, ensuring continuity of care. 

Joint injections may help people with arthritis or other inflammatory conditions by injecting medications directly into the affected joints to reduce pain and swelling. We administer ultrasound and fluoroscopy-guided joint injections to ensure precise needle placement and maximize the effectiveness of the injection while minimizing risks.

Joint injections can include corticosteroid medications to reduce inflammation and hyaluronic acid-based medications to improve joint lubrication and mobility.

Corticosteroids are fast-acting medications that mimic the effects of cortisol, a hormone naturally produced by the adrenal glands, to suppress immune responses and inflammatory processes at the cellular level.

Hyaluronic acid (HA) is a natural lubricant that helps the bones in joints slide over each other. It is especially helpful in chronic knee pain.

Peritendinous injections target the area directly adjacent or next to, a tendon. Without the use of advanced imaging, such injections are not possible as the needle may inadvertently be advanced directly into the tendon. Depending on the substance being injected, this could result in further injury and pain. Peritendinous injections can be considered for the treatment of conditions such as tendinitis and tenosynovitis.  

For other tendon-related conditions, direct injection of the tendon may be desirable, particularly if an orthobiologic is being utilized. In such an instance, image-guided techniques are crucial for accurate needle guidance and injectate delivery. 

Injured ligaments may also be a target of interventional orthopedic injections. Similarly to tendon-related injections, image guidance is critical for ensuring accurate needle placement either along or directly into a ligament. Ligament injections may be indicated for the treatment of ligament sprains, chronic ligament pain, and joint instability. 

Commonly used therapies include Platelet-Rich Plasma (PRP) injections, which utilize the patient's own concentrated platelets to accelerate tissue repair, and prolotherapy, which involves injecting a dextrose solution to stimulate the body's natural healing processes. 

Fascial injections are a targeted treatment used to relieve pain and discomfort associated with fascial tears and/or fascial thickening. Such pathology can only be seen through the use of advanced, high-resolution ultrasound. Once confirmed, these small tears or thickened areas, can be precisely targeted to alleviate pain and dysfunction.  

Peripheral nerve injections target various nerves throughout the body. Without the use of high-resolution ultrasound, such injections are not feasible. With ultrasound guidance, nerve entrapments can be identified and precisely treated to alleviate symptoms such as pain, numbness, and tingling.  

Epidural injections are a common and effective treatment for managing chronic pain in the spine, including the lumbar, thoracic, and cervical regions. 

These injections are delivered into the epidural space around the nerve roots and spinal cord, targeting inflammation and pain caused by conditions such as herniated discs, spinal stenosis, and degenerative disc disease. 

Epidural injections, administered under fluoroscopic or ultrasound guidance for precise placement, help reduce pain, decrease inflammation, and improve overall function. Selective nerve root injections are similar to epidurals; however, the nerve root is targeted further away from its origin. The goal of these injections is to alleviate pain caused by irritated or compressed spinal nerve roots. 

Intradiscal injections deliver medication directly into the affected disc in your spine to reduce inflammation, alleviate pain, and promote healing. These injections are guided by fluoroscopy to ensure precise placement of the needle into the affected disc.

These injections offer a targeted, minimally-invasive treatment option for patients suffering from back pain that often stems from the intervertebral discs.

Shockwave therapy is a non-invasive treatment that utilizes high-energy sound waves to stimulate the body's natural healing process. It can be used to treat a variety of musculoskeletal conditions.

Shockwave therapy triggers the release of growth factors, leading to tissue repair and the promotion of healing. It also promotes reduced pain through a process called neuromodulation. This non-invasive treatment option can offer a safe and effective way to manage pain and promote healing.

Shockwave therapy can be administered through two forms: radial shockwave therapy and focused shockwave therapy.

Radial shockwave therapy uses a lower-energy acoustic wave that spreads out in a radial pattern from the point of application. The radial wave disperses across a wider area, making it suitable for treating larger areas of soft tissue.

Focused shockwave therapy uses high-energy sound waves to target specific areas of the body. Unlike radial shockwave therapy, which has a wider dispersion pattern, focused shockwave therapy delivers a concentrated beam of energy to a precise location.

Our providers assess your condition to determine what form of therapy is best suited to your condition.