Ultrasound Guided Pain Procedures

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Use of Musculoskeletal Ultrasound (US) to identify or diagnose painful conditions followed by US guided pain intervention is a growing medical super-speciality in India. Only a few specialists are available in India, who can accurately diagnose as well as treat neuro-musculoskeletal pain conditions. Dr. Sanjeev sharma has more

than 10 years experience in Neuro-musculoskeletal Ultrasound evaluation and US guided pain procedures/Interventions.

Advantages of use of Ultrasound in Pain Practice:
• Can be used on OPD basis.
• No harmful effects of radiation.
• Cost-effective (as compared to CT/MRI scan).
• Improves Accuracy of pain procedure (Near to 100%).
• Diagnosis and US guided pain procedure can be done in same sitting.
• Accurate diagnosis of cause of Painful condition e.g. inflammation/swelling in muscles or bursae; Nerve entrapment sites; joint effusion.

Few diseases in which US guidance is absolutely necessary:
• Joint swelling or effusion.
• Muscle swelling or inflammation.
• Identify and treat Muscle or ligament tears.
• Diagnose Bursitis, tendinitis, tenosynovitis,etc.
• Diagnosis and US guided pain procedure can be done in same sitting.
• Cutaneous Nerve entrapment syndrome e.g. meralgia paresthetica, carpal tunnel syndrome, inguinal neuralgia, etc.

Specific facilities available:
• US guided Joint injection e.g. knee joint pain.
• Diagnostic Neuro-musculoskeletal Ultrasound (US).
• S guided Joint Hydrodilatation e.g. frozen shoulder.
• US guided spine procedures e.g. back pain, neck pain, etc.
• US guided Nerve hydrodisection e.g. Carpal tunnel syndrome, Cubital tunnel syndrome, Meralgia paresthetica, inguinal neuralgia, etc.
• US guided Ganglion block or Neurolysis e.g. Stellate ganglion block, Lumbar sympathetic ganglion block, Superior Hypogastric plexus block, etc.
• US guided Nerve blocks / Neurolysis e.g. Occipital nerve block for chronic Headache; Medial Branch block for neck or back pain; Genicular nerve block for Hip pain / knee pain; etc.

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