Using ultrasound and fluoroscopic (live X-ray) guidance to place treatment precisely at the source of pain — performed in theatre, within a multidisciplinary team.
Image guidance means the needle is placed under direct, real-time vision rather than by landmarks alone. Ultrasound is used for many joint and soft-tissue targets; fluoroscopy — live X-ray — is used for spinal work where bony detail matters. The goal is the same: accurate placement, confirmed before any medication is given.
Real-time soft-tissue imaging without radiation. Commonly used for joint, tendon and soft-tissue injections, and for peripheral nerve targets.
Live X-ray guidance for spinal procedures — including facet and medial branch blocks and transforaminal injections — where precise bony landmarks are essential.
Whether a procedure is appropriate depends on your assessment. These are conditions where image-guided procedures are often part of the plan:
We review your history, examination and any imaging to decide whether a procedure is appropriate — and which one. If a surgical or sports-medicine opinion is useful, that's arranged through the team.
Done under local anaesthetic with image guidance. Placement is confirmed on imaging before any medication is given. Most procedures take a short time and are performed as a day case.
You'll go home with clear aftercare instructions and a follow-up plan. Your referring doctor receives feedback on what was done and what comes next.
It uses real-time imaging — either ultrasound or fluoroscopy (live X-ray) — to place a needle precisely at the source of pain. The imaging improves accuracy and confirms correct placement before any medication is given.
Most procedures are done under local anaesthetic and are well tolerated. You may feel brief pressure or discomfort during needle placement. Sedation options are discussed where appropriate.
A referral isn't always required, but it's helpful. Many patients are referred by their GP, surgeon or physiotherapist. If you're self-referring, an initial assessment is done first to decide whether a procedure is appropriate.
Most patients go home the same day and resume normal activity within one to two days, depending on the procedure. Specific aftercare instructions are given at the time.
This is a private, fee-for-service practice. Cover depends on your medical-aid plan and the specific procedure. You're welcome to request procedure and billing codes in advance to check with your scheme.
Send a referral and I'll assess whether an image-guided procedure is appropriate, keeping you informed throughout. Referrals welcome from GPs, surgeons, physicians and allied health colleagues.