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Ultrasound guided Peri-tendinous Tendinous injections MIPSI

MIPSI or Minimally invasive pain and spine interventions is a broad term which encompasses all the Non-invasive and minimally invasive interventions done by the interventional spine and pain physicians for myriad of conditions right from Musculo-skeletal disorders like back pain, neck pain, knee pain etc.

Tendinitis/ Tendinopathy/ Tendon tears are common causes of chronic pain around the joints in our body. Ultrasound guided injections play very important role in treatment of these conditions.

These targeted injections are done under the guidance of Ultrasound with 100% accuracy which greatly increases the chances of positive outcomes as maximum dose of the medication reaches the pathological sites.

Some commonly targeted tendons in our body are


  • Rotator cuff tendons around shoulder joint
  • Biceps tendon (Biceps tendinitis)
  • Common extensor origin at elbow joint (Lateral epicondylitis/Tennis elbow)
  • Common Flexor origin at elbow joint (Medial epicondylitis/Golfer’s elbow)
  • De quervain tenosynovitis
  • Trigger finger
  • Ilio-psoas tendinitis
  • Patellar tendonitis
  • Achilles tendinitis
  • Peroneal tendinitis

What are the common injectates used for this procedure?

  • Low dose steroid
  • Platelet rich plasma
  • Dextrose solution (10-25%)

How Ultrasound guided Peri-tendinous/ Tendinous injection MIPSI helps relief pain?


Whenever, there is Tendinitis, there is severe pain and limitation of movement of the joints due to collection of inflammatory mediators around the tendons. Ultrasound guided MIPSI helps reduce this swelling by diluting these inflammatory mediators and also reducing further inflammation by injection of anti-inflammatory medications around the tendon.  

In cases of tendinopathies and tendon tears PRP or Dextrose injections are done inside the injured tendons under ultrasound guidance. These injections initiate the healing process inside the damaged tendons and thus relieving pain.



When will the medication begin to work?

Patient can start appreciating the effect of the medications 3-4 days post-procedure and maximal effect is achieved over a period of 3-4 weeks.

How many times this procedure has to be repeated?

Most patients need only one injection, however, some patients may need repetition of the procedure. Decision to repeat the procedure is taken by your doctor looking at the relief percentage from previous procedure.

Will I require hospitalization for this procedure?


No. This is a Day care procedure. Patient is advised about the Pre-procedure precautions before- hand. On the day of the procedure, patient arrives 2 hours before the procedure and is discharged same day after 2 hours of monitoring.

To see how this procedure is done, click the below link