Ultrasound-guided procedures

The likelihood of complications is very low, and only mild forms are known.

A vasovagal reaction may occur during or immediately after the procedure.

Infection at the procedure site is also possible, but very rare.

In the first two days after the treatment, shoulder pain may temporarily increase. This is a side effect of the corticosteroid. If this happens, we recommend taking an oral painkiller. The pain usually subsides on its own after some time.

In patients with diabetes, a corticosteroid injection may cause blood sugar fluctuations for up to a few days after the procedure. We therefore advise measuring your blood sugar more frequently.

If significant swelling, skin redness and pain develop, or if systemic signs of infection appear (such as a raised body temperature), seek medical attention as soon as possible.

If you have a blood-clotting disorder, diabetes or any kind of infection, you must let us know before your treatment.

During the procedure, the doctor first punctures the calcification under US guidance. It is then flushed with saline solution in order to remove as much of it as possible. After this, an anti-inflammatory agent (a corticosteroid) is injected into the subacromial bursa to prevent subacromial bursitis, which can occur as a complication of the procedure itself. The aim of the treatment is to remove as much of the calcification as possible and thereby reduce its volume effect, which causes subacromial impingement and inflammation of the tendon in which the calcification is located. In this way, the clinical symptoms can be relieved to the greatest possible extent.

The procedure is performed under local anaesthesia.

Including preparation, it takes around 20–45 minutes.

The likelihood of complications is very low, and only mild forms are known.

A vasovagal reaction may occur during or immediately after the treatment.

Within a few days or weeks after the procedure, subacromial bursitis may develop, presenting as a return of more pronounced pain in the shoulder area. In such cases, treatment with anti-inflammatory tablets (non-steroidal anti-inflammatory drugs) is required, or we may opt for a US-guided injection of an anti-inflammatory agent into the subacromial bursa.

Infection may occur at the procedure site, but this is very rare.

In the first two days after the treatment, shoulder pain may temporarily increase. This is a side effect of the corticosteroid. If this happens, we recommend taking an oral painkiller. The pain usually subsides on its own after some time.

For 14 days, we advise against raising your arm above shoulder level or putting significant strain on the shoulder. After that, you can gradually start increasing your range of motion and the load on the shoulder.

In patients with diabetes, the corticosteroid injection may cause blood sugar fluctuations for up to a few days after the procedure. We therefore advise measuring your blood sugar more frequently.

If significant swelling, skin redness and pain develop, or if systemic signs of infection appear (such as a raised body temperature), seek medical attention as soon as possible.

If you have a blood-clotting disorder, diabetes or any kind of infection, you must let us know before your treatment.

The doctor first disinfects the puncture site and covers it with a sterile drape. Using US guidance, they then puncture the ganglion cyst with a needle and drain it. If the cyst contents are very viscous, flushing may also be needed, and sometimes the cyst cannot be drained completely. A corticosteroid is then injected into what remains of the cyst.

The procedure is performed under local anaesthesia.

Including preparation, it takes 10–20 minutes and causes only minimal pain.

The likelihood of complications is very low.

Infection or minor bleeding may occur at the wound site.

In patients with diabetes, a corticosteroid injection may cause blood sugar fluctuations for up to a few days after the treatment. We therefore advise measuring your blood sugar more frequently.

If significant swelling, skin redness and pain develop, or if systemic signs of infection appear (such as a raised body temperature), seek medical attention as soon as possible.

If you have a blood-clotting disorder, diabetes or any kind of infection, you must let us know before your treatment.