Tendon sheath ganglion aspiration
Cause, clinical and ultrasound findings • Inflammatory arthritis, athletic activity or injury may cause a ganglion. • Pain and swelling are typical. • The tendon sheath is distended with fluid…
Saline stripping for tendinopathy (high-volume injection or brisement)
Cause, clinical and ultrasound findings • Chronic tendinopathy may be associated with overuse injury, athletic activity, being overweight or inflammatory arthritis. • Pain and swelling occur with impaired performance. •…
Dry needling (peppering, fenestration)
Cause, clinical and ultrasound findings • Inflammatory arthritis, chronic injury or overuse may cause inflammation/microtearing of the tendon. • Pain and swelling are present at the affected area. • Hypoechoic…
How to do an interventional procedure
Decide whether injection is appropriate • A history and examination should be taken. • Perform a diagnostic ultrasound to confirm diagnosis. • Discuss with the patient what injection will entail…
Autologous conditioned plasma (ACP) and platelet-rich plasma (PRP)
Cause, clinical and ultrasound findings • Autologous conditioned plasma (ACP) and platelet-rich plasma (PRP) are used to treat tendinopathy. • The National Institute for Health and Care Excellence (NICE) has…
Autologous blood
Cause, clinical and ultrasound findings • Autologous blood injection is used as a treatment for tendinopathy. • It is a recognised procedure in the United Kingdom. The National Institute for…
