XVIII · THE BATHHOUSE · Ultrasound-guided procedures

Ultrasound-Guided Pain Procedures

Musculoskeletal ultrasound and image guidance for selected joint, tendon, bursa and nerve-related procedures.

Why ultrasound may be used

Ultrasound provides a real-time view of selected soft tissues and allows the physician to observe the path toward a target during an appropriate procedure.

It does not make every injection necessary or guarantee a treatment response. The indication, substance used, expected benefit, alternatives and risks should be discussed before consent.

Procedures considered after assessment

Joint injections

Selected shoulder, knee and other joint procedures.

Bursa and tendon region

Selected soft-tissue targets when the diagnosis supports intervention.

Nerve-related procedures

Selected peripheral nerve or surrounding-tissue procedures.

PRP procedures

Image guidance may be used for selected musculoskeletal PRP treatment.

Before a procedure

  • Confirm the working diagnosis and whether a procedure is likely to add value.
  • Review allergies, infection, pregnancy where relevant, blood thinners, bleeding problems and medical conditions.
  • Discuss realistic goals, uncertainty, alternatives and possible adverse effects.
  • Plan aftercare and rehabilitation rather than treating the injection as a standalone cure.
Contact the clinic beforehand if you have fever, an active infection, take anticoagulants or have been advised to avoid a particular medicine or procedure. Do not stop prescribed medication without medical advice.

Frequently asked questions

Does ultrasound use radiation?

Diagnostic ultrasound uses sound waves rather than ionising radiation.

Does image guidance guarantee pain relief?

No. Guidance may assist visualisation and placement, but response still depends on the diagnosis, treatment selected and individual factors.

Can I book an injection without consultation?

A clinical assessment is usually required to confirm the diagnosis, indication, safety considerations and alternatives.

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