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Ultrasound guided injections to treat osteoarthritis of the thumb, hand, and wrist

Ultrasound guided injections is an extremely sophisticated technique that helps improve the reliability and precision of intra-articular injections while minimizing patient discomfort. Dr. Jean-Paul Brutus practices two types of ultrasound guided injections in his treatment of rhizarthrosis and osteoarthritis of the hand and wrist.

Viscosupplementation

Viscosupplementation consists in injecting a solution of hyaluronic acid – a naturally occurring substance in the human body – into a joint that has been damaged by degenerative arthritis. The gel acts as a cushion and substitute lubricant to compensate for the synovial fluid that usually surrounds the joint but has diminished due to the arthritis. One or more injections may be necessary; symptoms are eased, often for up to several months.

Cortisone injections

This treatment consists in injecting a cortisone-based anti-inflammatory product, which provides relief from pain and inflammation in a matter of hours. Its beneficial effect can last for up to several months.

Benefits of ultrasound guided injections

  • Treatment takes just minutes
  • Greater reliability and precision
  • Higher success rates
  • Minimal discomfort

Studies have shown that ultrasound monitoring can significantly improve the success rate of intra-articular injections.

Plasma Enriched in Platelets or PRP

Platelets are the blood cells that trigger the healing cascade. As soon as an injury occurs, platelets release growth factors to stimulate the cells responsible for cleaning up the damaged tissue (macrophages) and cells in charge of reconstruction (fibroblasts). Platelet Rich Plasma injections help accelerate healing of soft tissues such as tendons for example.

The process is simple.

Blood is drawn and then centrifuged to extract concentrate platelets. Only the enriched plasma will then be injected into the area to be treated to optimize its healing. The injection is performed with ultrasound guidance for greater accuracy and to be able to examine damaged tissues.

Typically, three injections are required six weeks apart. A short immobilization period of a few days is required after each injection.

PRP therapy can work well for chronic tendonitis, ligament injuries or mild to moderate arthritis.

In the case of osteoarthritis, the treatment based on PRP aims to modify the biological environment of the inflamed joint and to slow down the degradation of the cartilage by stimulating the deposition of collagen in the joint tissues and of course to relieve pain.

“After years of getting cortisone injections, I was looking for a new solution for my arthritis afflicted finger. Dr. Brutus convinced me to try a new treatment approach called PRP which basically uses the patient’s own blood. Dr. Brutus gave me 2 injections spaced 4 weeks apart and asked to see me again after six weeks. PRP works! The pain and swelling have disappeared and are still gone a year later, compared to 3-4 months with cortisone injections. Thank you Dr. Brutus for being a leader for the benefit of your patients.”    

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Practical medical guides

Dr. Brutus offers a series of publications on a variety of health topics. Written in a clear and simple language, in collaboration with experts of various fields, these books are offered free of charge in downloadable version.

By Jean Paul Brutus MD and Nathalie Brisebois

Practical medical guides

Dr. Brutus offers a series of publications on a variety of health topics. Written in a clear and simple language, in collaboration with experts of various fields, these books are offered free of charge in downloadable version.

By Jean Paul Brutus MD and Nathalie Brisebois

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