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Fluoroscopy-Guided Injections for Muscle, Bone, and Joint Pain

Fluoroscopy is a type of X-ray imaging that allows physicians to see images of your internal structures in real time. It involves the use of X-ray dyes, which cause the selected part of the body to stand out from surrounding tissue in a scan. For muscle, bone, and joint pain, fluoroscopy-guided injections will show the specific area of pain to target. Radiologist Nicholas Nacey, MD, discusses the benefits of fluoroscopy for musculoskeletal pain. Learn more at: https://uvahealth.com/services/imagin... Transcript Fluoroscopy is an imaging technique where we use low-dose X-ray to essentially take a short X-ray movie. And that's helpful in the musculoskeletal system, because we can use it to guide procedures that we do. We're able to see bones, and the joint space between the bones. We're able to see the metallic needle as we guide it into place. We're also able to see contrast dye, which we typically inject to confirm the location of our injection. We have a lot of patients who come in with either acute or chronic pain. And we hope to be able to decrease that, so people can do the things that they want to do in life, whether it be sports or other activities. The secondary goal is, we'll target our injection for a specific location. So the ankle is an example. There are a number of different joints around the ankle. There are multiple different tendons, multiple different nerves, and it can be challenging for your referring doctor to know what site is actually the trigger for your pain. So if we do one of our injections, they'll tell us what specific area to target. If your pain improves after that, then that goes with the thought that that site is actually the cause of your underlying pain. So there's some diagnostic information that comes from doing the procedure as well. We have a large team of sub-specialist trained physicians who perform the procedures. I'm the director of our procedural components within the division. And then, we also have a team of technologists and nurses who work closely with us who will be part of the experience when patients come in.