And that’s the problem. Because to “feel” your way into a joint, you often have to touch bone — or even hit it — to know you’re deep enough. That’s uncomfortable for patients. And it’s imprecise. If you’ve ever had a joint injection that made you wince, that’s why. Blind Joint Injections are Not Necessary Now here’s what’s changed everything in my practice. Since switching entirely to ultrasound-guided joint injections, my patients tell me the same thing again and again: “Tha

By Deborah Westergaard, MD Pain Experts The Problem: Incomplete Diagnosis and Treatment of Tennis Elbow Tennis elbow, or lateral epicondylitis, is often misdiagnosed or treated with outdated approaches. Many doctors rely solely on physical exams and blind injections into the extensor tendon using steroids or platelet-rich plasma (PRP). While this may provide temporary pain relief, it often misses key issues like joint involvement, ligament instability, or cartilage damage tha