Treatments I do
Interventions combined with Doppler ultrasound are a powerful tool in pain treatment and regeneration of the musculoskeletal system.
A vast majority of injections is administered “blindly”; unfortunately it significantly decreases precision of the procedure and exposes the patient to the risk of numerous undesired side effects. Injections under ultrasound control enable full control of the needle movement inside the patient’s body. The needle is aimed precisely into the target place. Thanks to a thorough knowledge of the ultrasound anatomy the important for life structures, such as vessels and nerves can be passed over.
Dr. Marcin Goczewski did numerous courses from the scope of carrying out interventions under ultrasound control. He twice did an individual internship from the intervention radiology at the eminent Radiologist and Educator prof. José del Cura from Bilbao. Please find below the most often performed interventions during everyday practice of dr. Goczewski.
Diagnostic block
Diagnostic blocks are performed to confirm information about the source of a patient’s pain....
Platelet Rich Plasma Therapy (PRP) Osteoarthritis Of The Knee
The most common symptoms of knee osteoarthritis are pain, stiffness, restriction of mobility and edema....
Achilles Tendon Injection
The Achilles tendon is the largest and the strongest tendon in the human body....
Hematoma Aspiration
A hematoma usually arises as a result of injury or blood coagulation disorders....
Golfer's Elbow Injection
Golfer's elbow is a condition that affects the attachment of the flexor tendons to the medial epicondyle....
Dorsal Scapular Nerve Injection
The entrapment of the dorsal scapular nerve may cause neck, shoulder and inter-scapular pain....
Anterior Cutaneus Branch Of Intercostal Nerve Block
According to the literature 20% of cases of chronic abdominal pain are due to abdominal wall disease....
Hyaluronic Acid Injection
Hialuronic acid is a key constituents of the synovial fluid and adds joint fluid viscoelastic properties....
Hip Injection
The hip joint is a kind of ball and socket joint ....
Knee Joint Injections
The knee joint is a very important and strong anatomical structure....
Inguinal Region Nerves Injection
The iliohypogastric nerve, ilioinguinal nerve, and genitofemoral nerve innervate the skin of the perineum and inguinal region....
Ganglion Evacuation
The ganglion is a space with very thick gelatinous contents....
Lateral Femoral Cutaneus Nerve Block
The lateral femoral cutaneous nerve is a sensory nerve, made by L3, L4 spinal nerve fibres....
Joint Fluid Aspiration
Intra-articular fluid aspiration is a medical procedure in which we evacuate a fluid collection in order to provide pain relief, increase function and for diagnostic and therapeutic purposes....
Plantar Fasciitis Injection
The plantar fascia supports the proper formation of the foot arch....
Piriformis Muscle Syndrome Injection
Piriformis muscle syndrome manifests as a pain in the buttock which may radiate also along the course of the sciatic nerve....
Lavage Of Rotator Cuff Clcifications
Calcific tendonitis is caused by calcium deposition in rotator cuff tendons.It’s a chronic condition with periods of exacerbations and remissions and it accounts for 7% of cases of shoulder pain....
Platelet Rich Plasma Injection (PRP)
Platelet rich plasma is a therapy using concentrated platelets acquired from autologous blood.
Lavage Of Trochanteric Calcifications
Greater trochanteric pain syndrome is a common cause of patient’s complaints with an estimated incidence of 2 per 1000 persons....
Nerve Hydrodissection
Peripheral nerves entrapment is a common cause of pain....
PRP Injection For Muscle Regeneration
Muscle injuries are very common problem in sport medicine ....
Quadratus Lumborum Muscle Injection
The quadratus lumborum muscle can be a cause of lumbar pain....
Shoulder Injections
The shoulder joint consists of a ball and socket glenohumeral joint and acromioclavicular joint....
Sacroiliac Joint Block
Impact of sacroiliac joint dysfunction on lumbar pain is a main subject of many scientific researches....
Tennis Elbow Injections
Tennis elbow is a chronic degenerative painful condition that affects the attachment of the extensor tendons to the lateral epicondyle....
Superficial Part Of Cervical Plexus Hydrodisssection
Neck pain of unknown origin is a problem for many patients and may last for many years....
Superior Cluneal Nerves Hydrodissection
The superior cluneal nerves are derived from the cutaneus branches of the dorsal rami of L1,L2,L3 and innervate the skin of the upper part of the buttocks....
Trochanteric Bursa Injection
Trochanteric bursae are a kind of thin space between anatomical structures of the hip that allow for reduction of friction during movement....
Trigger Finger Release
Trigger finger is a condition characterised by temporary locking of the involved finger during flexion and extension....