Ultrasound-Guided Injections for Joint and Tendon Pain

A sore knee can make you think twice about taking a walk. A painful elbow can turn a bag of groceries into a challenge. When pain keeps coming back, it helps to know what is causing it and what may help.

Tendinopathy is a tendon problem that can cause pain in places like the heel, elbow, knee, or shoulder. Osteoarthritis affects a joint and may cause pain, stiffness, or swelling. Because these problems are different, the best place to start is an assessment.

Why use ultrasound?

Ultrasound shows a live picture beneath the skin. During an injection, it helps guide the needle to the planned spot and shows nearby nerves and blood vessels. It can make placement more accurate, though it cannot guarantee pain relief.

What are the options?

• Platelet-rich plasma (PRP) is prepared from your own blood. It may be used for some long-lasting tendon problems or joint pain. Results vary, and it can take time to tell if it has helped.
• Prolotherapy uses a sugar-based solution to prompt a local healing response. It may be considered for some tendon, ligament, or joint problems. More than one visit may be needed.
• Hyaluronic acid (HA) is found naturally in the body. Some HA injections go into joints to help with osteoarthritis pain; other HA products are used around injured tendons or ligaments. They may ease pain, but they do not grow back worn cartilage.
• Cortisone reduces inflammation and may provide short-term pain relief. It does not repair injured tissue, and repeated injections need careful consideration.

An injection is often just one part of a plan that may also include movement and strength work. The right choice depends on the source of your pain, your health, and your goals.

Ready to find out which options fit your situation? Book an “injection screening visit” to discuss your pain and the next steps.