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Ultrasound

Dr. Silberman at New Jersey Sports Medicine specializes in ultrasound examination of tendon, ligament, and muscle injuries and ultrasound guided injections of cortisone, hyaluronic acid, prolotherapy, platelet rich plasma (PRP), and stem cells.  All injections at New Jersey Sports Medicine are performed with ultrasound guidance.


Dr. Silberman holds a certification in the specialty of musculoskeletal sonography from the American Registry of Diagnostic Medical Sonography (ARDMS), the globally recognized standard of excellence in sonography.  Dr. Silberman teaches attending physicians, fellows, residents, and medical students how to perform musculoskeletal ultrasound.  Dr. Silberman and New Jersey Sports Medicine can save you time and money by diagnosing tendon and ligament tears right in the office without the need for an expensive orthopedic MRI.  Click here for our New Jersey Sports Medicine Ultrasound Imaging Library.

Ultrasound imaging uses high-frequency sound waves to produce pictures of the inside of the body.  Ultrasound imaging uses no ionizing radiation (like x-rays), gives a clear picture of soft tissues that do not show up well on x-ray, has advantages over MRI in seeing tendon structure and superficial orthopedic injuries that are can be missed by MRI, and causes no known health problems. Because ultrasound images are captured in real-time, they can show the structure and movement.  Ultrasound examinations are painless, fast and easy. Gel is placed on your skin and then a transducer is placed firmly against your body, moving it back and forth over the area of interest until the desired images are captured.

Ultrasound imaging to deliver injections is superior to blind injections and can improve the diagnosis, accuracy and ultimate effectiveness of injection therapies with less pain and complications.

a. Common extensor tendon tear ('tennis elbow') with spur diagnosed on ultrasound imaging.
b. Contralateral normal elbow with fibrillar intact tendon at insertion on lateral epicondyle.
c. Needle injection into an extensor tendon insertion performed under ultrasound guidance.

Shoulder Calcific Tendonitis Treatment with Ultrasound Guided Needle Lavage

a. X-ray of calcium deposit in shoulder subacromial space.
b. Ultrasound of needle insertion into calcium deposit.  Calcium can then be lavaged, broken up, and aspirated through the needle and syringe, without surgery.
c. Calcium deposits now seen in syringe after needle, lavage, aspiration.

Achilles Tendonosis Stem Cell Injection

 

 

Patella Tendonosis PRP Injection

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