MSK Ultrasound-Guided Injections

Real-time ultrasound-guided trigger point injections and peripheral nerve hydrodissection at Silver Spring Medical Center — with all images saved to Clarius Cloud for documentation and follow-up.

Precision Where It Matters Most

Musculoskeletal ultrasound (MSKUS) transforms soft-tissue injection procedures from landmark-based approximations into real-time, image-confirmed interventions. At Silver Spring Medical Center, Dr. Grossman uses the Clarius high-resolution wireless ultrasound system to visualize target tissues, guide needle advancement, and confirm injectate delivery at the precise anatomical target — with all procedural images archived to Clarius Cloud.

Trigger Point Injections (CPT 20552/20553)

• Ultrasound identification of taut bands and active trigger points
• Avoidance of adjacent neurovascular structures
• Injectate options: local anesthetic, saline, dextrose (prolotherapy), or dry needling
• Regions: cervical, thoracic, lumbar paraspinals; trapezius; gluteals; piriformis; extremity musculature

Peripheral Nerve Hydrodissection

• Ultrasound-guided separation of entrapped nerves from adhesive fascial planes
• Injectate (5% dextrose or dilute local anesthetic) injected perineurally to release entrapment
• Nerves commonly treated: median, ulnar, radial, common peroneal, tibial, lateral femoral cutaneous, sural
• Alternative to surgical decompression for many entrapments