INTERVENTIONAL ORTHOPEDICS
Interventional orthopedics is an emerging field that harnesses the power of imaging-guided injections and procedures to address issues affecting bones, soft tissues, and nerves.
By using ultrasound or X-ray guidance, we can administer medications or orthobiologic treatments like PRP with accuracy, safety, and minimal discomfort. This approach not only minimizes risks for the patient but also facilitates faster recovery.
Diagnostic Ultrasound
Office-based ultrasound, a powerful tool for diagnosing and treating musculoskeletal conditions that in some cases rivals MRI. It is radiation-free and integrated into office visits when needed for precise diagnoses.
With over a decade of experience and advanced musculoskeletal ultrasound training, Dr. Goodman is able to incorporate this tool into patient evaluations and treatment.
Ultrasound guided procedures
Ultrasound-guided injections and procedures have revolutionized how we approach diagnosis and treatment of musculoskeletal conditions.
Using ultrasound guidance medications or orthobiologic treatments can be delivered precisely to ensure the best resposne.
TenEx
Tenex tenotomy is a minimally invasive treatment for chronic tendon pain.
Using ultrasound guidance a small incision (usually less than 3mm) is made over the area. Following this a small instrument is inserted under ultrasound guidance and the damaged area is debrided, removing damaged tissue and allowing the body to heal.
Being minimally invasive, recovery times are much shorter than more invasive surgical procedures.
Common conditions that can be treated with Tenex tenotomy include achilles tendonitis, plantar fasciitis, patellar and quadriceps tendon disorders, golfers elbow and tennis elbow, and some shoulder conditions.
Ultrasound-Guided Nerve Hydrodissection
Nerve hydrodissection is a minimally invasive procedure is designed to address nerve-related pain and dysfunction due to nerve entrapment.
Hydrodissection involves the careful injection of fluid, often a saline solution or dextrose, around a targeted nerve to under the guidance of ultrasound imaging.
This advanced procedure allows precise visualization of the nerve and adjacent structures in real-time, ensuring accuracy and safety during the intervention.
By addressing nerve-related pain and dysfunction at its source, this procedure promotes a more focused and effective treatment
Image Credit: Ultrasound imaging and guidance in peripheral nerve entrapment: hydrodissection highlighted,March 2020, Pain Management 10(3)