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.
Ultrasound guided Intra-articular injections are indicated, whenever, there is joint inflammation. This can be due to:
- Trauma like Ligament injuries
- Degeneration like Osteoarthritis
- Auto-immune conditions like Rheumatoid arthritis
- Idiopathic conditions like Adhesive capsulitis or Frozen shoulder
Targeted Intra-articular 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.
What are the common injectates used for this procedure?
- Low dose steroid
- Platelet rich plasma
- Dextrose solution (10-25%)
How Ultrasound guided Intra-articular injections MIPSI helps relief pain?
Whenever, there is Arthritis, there is severe pain and limitation of movement of the joints due to collection of inflammatory mediators in the joint space. Ultrasound guided MIPSI helps reduce this swelling by diluting these inflammatory mediators and also reducing further inflammation by injection of anti-inflammatory medications inside the bursa.
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