Ultrasound-Guided Injection Therapy
Precision injection therapy for joint and tendon pain that hasn't responded to first-line care.
Book nowEach injection, delivered to the targeted tissue
Ultrasound-guided injection therapy is a precision treatment for peripheral joint pain and tendon injuries. Using real-time ultrasound, I deliver each injection directly to the targeted tissue — the joint cavity, tendon, ligament, bursa, or surrounding structure — rather than relying on anatomical landmarks alone. The goal is to reduce pain, support tissue healing, and restore function.
This is the core of my clinical practice, and what most of my patients come to see me for.
When conservative care hasn't fully worked
Adults with peripheral joint or tendon issues who are looking for a precise, image-guided alternative. Patients commonly come to me with:
- Joint pain from osteoarthritis (hip, knee, shoulder, thumb CMC, and other peripheral joints)
- Rotator cuff and biceps tendon injuries
- Tennis and golfer's elbow
- Gluteal tendon pain · patellar tendon pain (jumper's knee)
- Achilles tendinopathy · plantar fasciitis
- Bursitis (trochanteric, subacromial, and other peripheral bursae)
Tailored to the structure and your goals
Platelet-Rich Plasma (PRP)
Concentrated platelets drawn from your own blood, then injected at the site of injury to support tissue regeneration. Common for tendinopathies and joint cartilage support.
Hyaluronic acid — Cingal, Durolane, SportVis
A lubricating, cushioning gel matched to the tissue being treated. Cingal and Durolane for joints; SportVis for soft tissue — Health Canada approved for tennis elbow and acute ankle sprains.
Steroid (cortisone)
A potent anti-inflammatory placed precisely at the source of pain or swelling. Used selectively, when reducing inflammation is the priority.
Prolotherapy
A dextrose-based solution that triggers a localized healing response in damaged ligament or tendon tissue, for chronic injuries that haven't healed on their own.
Perineural injections — Lyftogt technique
A dextrose-based solution delivered in low volumes around superficial sensory nerves to address neurogenic pain.
Trigger point injections
Targeted injections into tight, painful muscle bands that haven't responded to manual therapy.
"Ultrasound lets me see the target tissue in real time — and follow the needle into place."
More accurate placement, often at lower injectate volumes, with reduced risk of off-target effects. For procedures like joint or tendon-sheath injections, ultrasound guidance is widely considered the standard of care. I use a Mindray MX7 — a high-resolution point-of-care platform built for musculoskeletal imaging.
The first appointment
A focused musculoskeletal assessment
History, physical exam, and review of any prior imaging.
Diagnostic ultrasound
I image the affected joint or tendon, and we look at the screen together so you can see what I'm seeing.
A treatment recommendation
Modality, expected timeline, and number of sessions.
The injection itself, where appropriate
Performed at a follow-up or in the same appointment.
Common questions
How many treatments will I need?
It depends on the modality and your response. Some modalities (steroid, hyaluronic acid) are spaced months apart; regenerative modalities (prolotherapy, PRP) involve a series over weeks. We'll set expectations clearly at your first visit.
Does it hurt?
Most patients tolerate the injections well. I use local anesthetic where appropriate, and ultrasound guidance helps minimize unnecessary needle movement. Some post-injection soreness over the next one to three days is normal.
Is it covered by insurance?
Most extended health plans cover naturopathic doctor visits. Coverage for the injectate itself (e.g., PRP supplies) varies by plan.
Do you treat the spine?
No — I focus on peripheral joints and tendons only. For spine-related injection therapy, I'd refer you to a colleague who specializes in axial work.
Book ultrasound-guided injection therapy
At Tall Tree, Cordova Bay · 1 (250) 978-0789 · upstairs@talltreehealth.ca
Book nowUltrasound-guided injection therapy is offered at the Cordova Bay location only.