Ultrasonography is an imaging instrument that uses high frequency sound waves to generate imaging. Untrasound is becoming more available in rheumatology clinics. Dr. Monshie has training in performing Musculoskeletal (MSK) ultrasound studies. Musculoskeletal ultrasound is used to help evaluate fluid containing structures, cartilage, soft tissues and bone surfaces and diagnose multiple MSK injuries including injuries to tendons, ligaments and joints; it is also utilized to guide procedures.
The procedures performed under ultrasound guidance have shown to have better therapeutic outcomes based on different studies, allowing provider to follow the needle track advancing into the tissue and inject the medication to right place and avoiding injecting into adjacent anatomy, such as blood vessels and nerves.
Beside providing excellent injection guide, Ultrasound is very convenient to use specially in patients who have claustrophobia, it can be performed in the office and does not have any side effects such as exposure to X ray radiation; most importantly it is a dynamic study, and using Doppler technology is able to quantify the amount of blood flow to tissue to detect inflammation.