Ultrasound

Musculoskeletal Ultrasound in Rheumatology

Musculoskeletal Ultrasound has become an important part of modern Rheumatology practice. It provides real-time, radiation-free imaging of joints and surrounding soft tissues and can complement the clinical examination in both diagnosis and treatment. (PubMed)

In my Rheumatology practice, I use ultrasound to assist in the diagnosis and monitoring of Inflammatory Arthritis, including Rheumatoid Arthritis and other inflammatory joint conditions. Ultrasound can demonstrate Synovitis, joint effusions, Tenosynovitis, Enthesitis and structural changes, while Power Doppler can help assess active inflammation and monitor response to treatment. (PubMed)

I also perform Ultrasound-Guided Joint and Soft-Tissue Procedures, including:

• Joint aspiration and injection
• Knee, shoulder, hip and ankle injections
• Small-joint injections of the hands and feet
• Bursa and tendon-sheath injections
• Carpal tunnel injections

Ultrasound allows direct visualisation of the needle and the intended anatomical target, helping improve the accuracy of injections and aspirations while avoiding important surrounding structures. EULAR guidance supports ultrasound as a preferred imaging technique for image-guided procedures involving peripheral joints and periarticular structures. (PubMed)

Ultrasound-guided injection is a precise, safe and effective technique when appropriately indicated and performed using proper aseptic technique by a trained clinician. (PubMed)