AOCPMR 2022 Mid-Year Meeting-Conservative Treatments for Common Shoulder Pain: Ultrasound-Guided Injection Strategies

Conservative Treatments for Common Shoulder Pain: Ultrasound-Guided Injection Strategies - Timothy Tiu, MD

Video Transcription

Video Summary

Dr. Tu's presentation focused on enhancing the precision and efficacy of shoulder injections using ultrasound guidance. The session's objectives included improving target and needle visualization techniques, comparing ultrasound guidance with other injection methods, and discussing approaches for shoulder injections. Key points emphasized the importance of proper probe handling and ergonomics to ensure accurate targeting and minimize physician strain. Dr. Tu explained probe movements such as sliding, sweeping, and compressions, and provided insights on needle visualization techniques like long-axis and short-axis approaches.<br /><br />Dr. Tu advocated for ultrasound-guided injections due to their superior accuracy compared to blind or fluoroscopic methods. He discussed techniques like the standoff oblique method to improve needle and tissue visualization and stressed the importance of ensuring the injection tip hits the intended target. Additionally, the presentation addressed ultrasound’s role in identifying joint abnormalities and explained why ultrasound guidance is essential for certain procedures, including glenohumeral and suprascapular nerve block injections.<br /><br />Dr. Tu also touched on alternatives such as regenerative medicine. The session concluded with a discussion on adrenaline side effects, advocating for a move towards more precise, ultrasound-guided methods to improve patient outcomes and safety.

Keywords

ultrasound guidance

shoulder injections

needle visualization

probe handling

glenohumeral nerve block

regenerative medicine

patient outcomes