(joints, tendons, ligaments, muscles, nerves, hernias, lumps & bumps)
Head & Neck
(salivary glands, thyroid gland, lumps & bumps)
(pancreas, liver, spleen, kidneys, gallbladder)
(upper and lower limb DVT scans, and aortic aneurysm screening)
(testes and epididymis)
Spine, hips, knee, ankle & foot, shoulder, elbow, wrist & hand, brachial plexus.
Assesses bones, joints, muscles, tendons, ligaments, menisci, nerves, spinal cord, lumps & bumps, collections, swellings, masses.
As with MRI, but provides finer detail of bony structures and is less affected by artefact from metallic implants such as spinal screws and joint replacements. However, MRI is better at viewing the soft tissues. The new Cone Beam CT scanner at Cobalt Health in Cheltenham has a much lower radiation dose, is more comfortable, has much less metallic artefact, and has reduced scan times.
SPECT imaging combined with CT improves the chances of finding the origin of bone or joint pain, e.g. differentiating pain originating from a disc or facet joint, or finding the source of pain from multiple joints in the foot or wrist.
Ultrasound guided local steroid or Ostenil injections, with local anaesthetic
(joints, tendon sheaths, nerves, ligaments, Morton's neuroma, plantar fasciitis)
Ultrasound guided shoulder hydrodilatation for frozen shoulder, and dry needling for plantar fasciitis or tennis elbow for example.
High volume injections for tendinopathy and bursitis (Achilles, patellar tendon, subacromial bursa and trochanteric bursa)
Ultrasound guided thyroid/neck fine needle aspiration (FNA)
Fluoroscopic guided local anaesthetic and steroid injections
(spinal nerve root blocks, facet joint injections, pars defect injections, shoulder hydrodilatation, hip and shoulder joint injections, arthrograms, rhizolysis)