Ultrasound Guided Injections
Seldom in medicine is there a new technology that improves patient care while decreasing overall health care costs. However, Upper Bucks Orthopaedics’ patients now have the advantage of a relatively new treatment option — Ultrasound Guided Injections. This special device combines ultrasound with the injection allowing a physician to pinpoint the exact location of the pain with exquisite precision. This increases the accuracy of treatment and allows the physician to use a more slender, less painful needle, making the process of getting a pain injection much more tolerable.
XIAFLEX® is the first and only FDA-approved nonsurgical treatment option with proven efficacy for adults with Dupuytren’s contracture when a cord can be felt. XIAFLEX® contains a mixture of enzymes that are injected directly into a Dupuytren’s cord. These enzymes help break down the cord and allow the finger to straighten. Prescription XIAFLEX® is injected into the Dupuytren’s cord by a doctor trained in this procedure and the treatment of patients with Dupuytren’s contracture. If needed, one day later, the doctor will extend the injected finger to help break the cord. No incisions are required to administer XIAFLEX®.
Is XIAFLEX® right for you? To find out, you first need to speak with a physician at Upper Bucks Orthopaedics who has experience with all of the latest treatment options. There’s no cure for Dupuytren’s contracture, but there are effective treatment options. The specialists at Upper Bucks Orthopaedics can help explain your options.
A procedure called viscosupplementation is an injection of a preparation of hyaluronic acid into the knee joint. Hyaluronic acid is a naturally occurring substance found in the synovial (joint) fluid. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. People with osteoarthritis ("wear-and-tear" arthritis) have a lower-than-normal concentration of hyaluronic acid in their joints. Viscosupplementation may be a therapeutic option for individuals with osteoarthritis.
Viscosupplementation has been known to relieve pain in many patients who cannot get relief from analgesic drugs or other conservative measures. There are several preparations of hyaluronic acid now commercially available.
Over the course of the injections, you may notice that you have less pain in your knee joint. Hyaluronic acid does seem to have anti-inflammatory and pain-relieving properties. The effects of viscosupplementation may last up to several months.
Platelet-Rich Plasma (PRP)
Platelet-rich plasma is blood plasma that has been enriched with platelets (blood cells whose function is to stop bleeding). As a concentrated source of these platelets, PRP contains several growth factors that stimulate the healing of bone and soft tissue.
PRP Therapy involves using a portion of the patient’s blood enhanced with platelets to promote the healing of injured tendons, ligaments, muscles, and joints. This process can be applied to various musculoskeletal problems and may be an alternative that is far cheaper than the surgical alternative.
To develop a PRP preparation, blood must first be drawn from a patient. The platelets are separated from other blood cells and their concentration is increased during a process called centrifugation. The increased concentration of platelets is then put back into the body. Since it is your own blood there is little to no chance of rejection.
Bridging the gap between medical and surgical care, Upper Bucks Orthopaedics’ physicians provide office-based ultrasound-guided Platelet-Rich Plasma (PRP) therapy for treatment of various tendon and ligament injuries, plantar fasciitis, bursitis, tennis elbow, Achilles tendinitis, and other chronic tendon injuries.