When is this considered?
- Persistent symptoms despite appropriate activity modification or rehabilitation
- A diagnosis supported by clinical examination and, when needed, imaging
- A defined treatment target where image guidance is useful
Assessment comes first
The consultation considers your symptoms, prior treatment, relevant imaging, medication history and whether physiotherapy, medication, observation or a specialist opinion is more appropriate.
What might treatment involve?
The area is examined with ultrasound. If an injection is appropriate, the needle is advanced under real-time guidance with sterile precautions. The substance used and recovery advice depend on the diagnosis.
What else could help?
Physiotherapy, graded loading, changes in activity, medicines, bracing or surgery may be more appropriate for some conditions.
Risks and limitations
Temporary pain flare, bruising, bleeding, infection, allergic reaction or an incomplete response are possible. Additional risks depend on the medicine and target.
Questions patients ask
Does ultrasound guidance guarantee a better result?
No. Imaging can assist targeting, but outcomes depend on the diagnosis, procedure and individual circumstances.
Will an injection replace physiotherapy?
Often not. Rehabilitation and a longer-term activity plan may remain important.




