Why Ultrasound-Guided Injections Are Essential for Regenerative Orthopedic Patients

Interview with Dr. Kevin O’Donnell | Revitalize Regenerative Orthopedics

What are the primary benefits of using ultrasound guidance for joint injections, particularly in terms of accuracy and effectiveness for patient outcomes?

Multiple studies have shown that ultrasound guidance leads to more accurate needle placement, better patient comfort, and improved outcomes. To me, it’s non-negotiable—I don’t perform any injections without ultrasound guidance. It’s like a stethoscope for family doctors—indispensable. I keep the ultrasound machine next to the exam table and use it on every single patient.

To clarify, patients are awake when they’re getting injections, but they shouldn’t feel any pain right?

Correct. Let me explain the process. First, we cleanse the skin. We use a local anesthetic to create a skin wheal that numbs the superficial nerves. Then, we use a different anesthetic, ropivacaine, to numb deeper tissues. Ropivacaine interferes the least with regenerative treatments, making it ideal for our purposes. Once numbed, we place the ultrasound probe on the injection site, insert the needle, and deliver the treatment.

How long do orthopedic injections typically last?

It depends on the type of injection. Corticosteroid injections, the most common orthopedic injection, generally last four to eight weeks. However, repeated use can harm soft tissue and accelerate cartilage loss.

For longer-lasting results, we use regenerative treatments like prolotherapy, PRP (platelet-rich plasma), and stem cell injections. Prolotherapy stimulates an inflammatory response to promote healing in chronic injuries. PRP takes this further by concentrating platelets to release growth factors that signal stem cells to repair tissues. Finally, stem cell therapy involves harvesting stem cells from bone marrow or fat and injecting them directly into the damaged area for maximum regenerative potential.

What types of injuries benefit most from orthopedic injections?

We treat various soft tissue injuries that haven’t responded to physical therapy. Common conditions include Achilles tendinopathy, plantar fasciitis, gluteal tendinopathy, tennis elbow, patellar tendinitis, rotator cuff injuries, and even low back instability. Essentially, we treat everything from “nose to toes.” Our goal is to stimulate the body’s natural healing without cutting, removing tissue, or inserting implants.

Once treated, are patients cured or will they need follow-up injections?

For soft tissue injuries like tendonitis, our goal is a permanent cure. Sometimes, a follow-up treatment is needed if the first round doesn’t fully resolve the issue. With arthritis, though, there’s no cure—we manage it as a chronic condition. Prolotherapy can relieve symptoms for months, PRP for one to two years, andBone Marrow and MFAT injections for three to six years. However, maintenance treatments may be necessary, much like managing diabetes or hypertension.

How does insurance factor into these treatments?

We accept insurance for initial consultations and some basic procedures. Unfortunately, advanced regenerative treatments like PRP and stem cell injections are typically not covered. Still, insurance allows patients to receive a proper diagnosis and understand their options before deciding on treatment.

Accepting insurance for initial consultations helps remove financial barriers and reduces the stigma around alternative therapies. Patients can use their insurance, learn about available treatments, and make informed decisions about their care.

Key Takeaways

• Enhanced Precision: Ultrasound-guided injections improve needle accuracy, boosting treatment effectiveness.
• Minimized Discomfort: Local anesthetics and ultrasound guidance ensure patient comfort during procedures.
• Broad Treatment Range: Ideal for various chronic soft tissue injuries, from tendinitis to arthritis.
• Long-Term Relief: Regenerative options like PRP and stem cell injections offer extended relief compared to corticosteroids.
• Insurance Insight: Initial consultations and some procedures are covered, making expert diagnosis more accessible.

Ready to Get Revitalized?

If you’re dealing with chronic pain or a persistent injury, don’t wait any longer. Book your personalized assessment with Dr. O’Donnell at Revitalize Regenerative Orthopedics today. Every evaluation includes an ultrasound-guided examination to ensure the most accurate diagnosis and effective treatment plan. Call now or visit our website to schedule your appointment and start your journey toward lasting relief and better mobility.