Dr. Milan Mehta

Ultrasound Guided Interventions

Ultrasound is a painless medical test that helps your doctor diagnose and treat certain medical conditions. Unlike X-Ray, which use radiation, ultrasound exams use reflected sound waves to examine parts of your body. There is no radiation to the patient during an ultrasound examination. The ultrasound scanner consists of a console which contains a computer, video display screen and a small hand-held device called a transducer that is used to scan the body. The transducer sends out sound waves and then listens for the return or echo of the wave. Images are immediately visible on the video display screen.

We use ultrasound for a variety of exams. Examples include examining muscle or soft tissue, and the guidance for placement of needles and medications during injections. Ultrasound is painless and the ultrasound machine does not confine, enclose, surround or rotate around your body during the exam.

Preparation:

Ultrasound is safe for pregnant patients.

You should wear loose-fitting comfortable clothing for your ultrasound exam.

The portion of your body being examined will be undressed, and you may be asked to wear a hospital gown during the exam.

You will be asked to remove any jewelry from the area of the body being examined as these objects interfere with the quality of the image.

We may give you other preparation instructions depending upon the examination that is being preformed

Recently, there has been a growing interest in the application of ultrasonography in pain medicine because ultrasound provides direct visualization of various soft tissues and real-time needle advancement and avoids exposing the health care provider and the patient to the risks of radiation. These factors make ultrasonography an attractive adjunct to other imaging modalities in interventional pain management especially when those modalities are not feasible.

Following Procedures we are doing under USG guidance
A) PERIPHERAL AND SYMPATHETIC NERVES

Stellate Ganglion Block
Superior hypogastric plexus
Celiac plexus block
Suprascapular nerve
Intercostal nerve
Thoracic Paravertebral block
Ilioinguinal / iliohypogastric nerve / Genitofemoral nerve
Greater occipital nerve / Branches of trigeminal nerves
Median nerve at wrist
Ulnar nerve at cubital canal
Saphenous nerve above knee
Tibial nerve at tarsal canal
Pudendal nerve

B) MUSCULOSKELETAL INJECTION PROCEDURES
AcromioClavicular joint
Bicep tendon sheath
Glenohumeral Joint
Subdeltoid bursa
Elbow joint
Medial or lateral epicondylosis tendon sheath injection
Piriformis injection
Hip joint injection
Trochanteric bursa injection.
Knee joint injection
Distal ITB peritendon injection
Tibiotalar joint injection
Subtalar joint injection

C) SELECTED SPINE PROCEDURES