What is an ultrasound-guided MSK injection?
An Ultrasound-Guided Injection is an injection that is performed using an ultrasound scanner to locate the exact area where the injection is required. This is regarded as the gold standard method of performing MSK injections. MSK refers to the field of Physiotherapy that involves assessment and treatment of joints, cartilage, tendons, bursae, muscles, ligaments and nerves.
For information on the different ultrasound-guided injection options at iPS clinics, please visit the individual pages:
Cortisone Injections
More InfoHyaluronic Acid Injections
More InfoPlatelet Rich Plasma (PRP) Injections
More InfoHigh Volume Injections
More InfoHydrodilatation Injection
More Info
Injection therapist
Gareth Tremain
Gareth has a wealth of knowledge and specialist skills. He has a degree in Sport & Exercise Science as well as a degree in physiotherapy. Gareth has completed extensive Masters Degree level training in injection therapy and is qualified to perform joint and soft tissue injections using cortisone and hyaluronic acid.
View ProfileWhat is an Anatomically-Guided MSK Injection?
The alternative method of performing an injection involves palpating the surrounding bones and soft tissues to guide where the needle should be inserted. Performed by a physiotherapist with good anatomical knowledge, this method can be effective in treating some conditions, but it does have its limitations.
What are the advantages of Ultrasound-Guided Injections compared to Anatomically-Guided Injections?
There is a growing body of research that demonstrates why ultrasound-guided injections are the gold standard in MSK injections.
The benefits include:
Improved Accuracy
Less painful injection procedure
Reduced post-injection soreness
More consistent outcome
Improved level and duration of pain relief
Reduced risk of trauma to nerves and blood vessels
Increased range of injections possible: some injections are not safe to attempt or very inaccurate without ultrasound guidance e.g. shoulder joint, hip joint, high volume tendon stripping, Hydrodilatation for frozen shoulder
Due to the many benefits of Ultrasound Guidance, we recommend it is used for the majority of injections. We will however consider the use of an Anatomically-Guided Injections when appropriate, to keep the cost of the injection as low as possible.
Why Choose iPS?
Our specialist physiotherapist Gareth Tremain completed a Masters degree module in 'Joint & Soft Tissue Injections' at Keele University in 2013 and has undertaken extensive training with specialist doctors, sonographers and consultant physiotherapists to hone his skills in Ultrasound-Guided Injections. He offers a range of Ultrasound-Guided Injections, including Cortisone, Hyaluronic Acid, PRP, High Volume and Hydrodilatation to treat a wide range of persistent injuries and chronic pain. Gareth will also advise you regarding the most appropriate exercise programme to complement your injection.
Do I Require a Referral?
You do not require a GP referral. In general, it will be possible for you to have an injection at your initial visit. If Gareth feels that your injury/condition or general medical condition requires you to speak to your GP or have further investigations prior to having an injection, he will advise you of this.
How Do I Book An Appointment For An Injection?
You can either book an 'Injection Assessment' with Gareth Tremain via our online booking system, or by calling our admin office on 03456 252252 (Monday to Friday 8.30a.m till 5pm).
Gareth will complete a comprehensive assessment and will administer an injection at your initial visit if it is deemed appropriate. If an injection is administered, the cost of the assessment will be deducted from the quoted cost of the injection. If you wish to discuss your injury /condition with Gareth prior to booking an appointment, please email Gareth at physio@theips.co.uk or call our admin office to request a call back.
