Experts in Ultrasound Guided Injections
Micheal has been performing ultrasound scans, and Ultrasounds guided injections for over 10 years in various clinics across the UK and regularly educates other health care professionals on the topic.
The benefit of ultrasound-guided injections is that they allow you to target specific structures and avoid potential complications in real time during the procedure. We use ultrasound-guided injections to ensure our care is optimised for your specific needs. Using ultrasound also eliminates the risk of radiation or further delays in treatments waiting for MRI or X-ray. You may also have a specific pathology such as subtalar arthritis which required a very precise joint to be injection which can be easily done in a outpatient appointment using ultrasound guidance.
What to expect
For a musculoskeletal (MSK) ultrasound scan, we don’t require you to prepare in any specific way although for general well-being and health and the best results from any medical treatment, we recommend you are well hydrated.
A gel is applied to the area of the body that requires the scan and the end of the handheld scanner. The gel allows the sound waves to transmit between the two better, giving a clearer vision on the screen. You will be able to see the needle entering the space and the fluid leaving the needle into the area of the body where it is targeted. See below for examples of previous Ultrasound scans.
MSK ultrasound is a commonly used modality to evaluate MSK tissues of the body, including muscles, tendons, nerves, ligaments, and within limitations joints. It can be used as a cost-effective, efficient, patient-centered method to diagnose pathologies such as tendinopathies carpal tunnel, shoulder impingement, and osteoarthritis. It provides accurate guidance for interventions like guided injections.

Esaote MyLab Sigma Ultrasound Machine
The Arthritis Clinic uses a brand new state of the Art Esaote MyLab Sigma Ultrasound scanner. We have a high frequency linear probe for superficial Musculoskeletal scans and a convex probe for deeper structures such as hips, sacroiliac joints or spinal ultrasound.
Scan Referrals
Michael Has Extensive Experience using advanced imaging such as MRI, Xray and CT to assist with diagnosis and treatment planning. If required and consented you may be referred for additional investigations.
Here at the Arthritis clinic we have a close working relationship with Vista Health and can refer you directly for MRI, CT and Ultrasound should it be required with fast turnaround times for your scans and results. We can refer directly without the need of a GP referral and will discuss all results with you in detail thereby jointly getting you moving.

