Hermitage St, Geraldton WA 6530
(08) 9964 3757
(08) 9964 4498

Interventional

Pain management treatments

At Geraldton Radiology, we offer a variety of pain management treatments under imaging guidance as outpatient procedures.

The commonly performed procedures are

  1. CT guided Facet joint and Nerve root sleeve steroid injections for lower back pain.
  2. CT /ultrasound guided intra articular steroid injection into various joints in the body,
  3. Ultrasound guided steroid injections into various bursae in the body like sub acromial bursa, trochanteric bursa, ischio gluteal bursa, inter metatarsal bursae etc,
  4. Ultrasound guided peri tendon and peri neural steroid injections like injections around the hamstring tendon origin, the elbow for tennis and Golfer’s elbow and the wrist for carpal tunnel syndrome etc,
  5. Ultrasound guided steroid injection into Morton’s neuroma and at the plantar fascia for plantar fasciitis.

Please call us with the clinical details and the referral so we can help you regarding the treatment options offered at our centre.

Preparing for guided steroid injections

  • Appointment required for all the procedures.
  • If you take Warfarin or other blood thinning agents, you will need to notify our staff.
  • If you have any known allergies please let us know.
  • You will be asked to sign an informed consent form after having the risks and benefits of the procedure explained to you.
  • Ideally, you need to rest the part after the injection for 2 days to maximise the benefit from the injection.
  • You will need someone to drive you after some injections, you will be notified of this when making, and during the appointment.

Aspiration and drainage procedures

We offer a variety of aspiration procedures under imaging guidance like

  • Aspiration of pleural/ascetic fluid.
  • Aspiration of breast cysts and cysts elsewhere in the body.
  • Superficial and deep abscess drainage.

Call us with the clinical details and referral, we will guide you further. Specific preparations are required for aspiration and drainage procedures of which you will be informed when making an appointment.

Biopsies and FNA procedures

We perform several biopsies and FNA procedures like

  • Ultrasound guided breast mass biopsies and biopsies from superficial and few deep masses in the body.
  • Ultrasound guided liver lesion biopsy.
  • Ultrasound guided thyroid and other superficial mass FNA.

Call us with the clinical details and referral. Specific preparations are required for aspiration and drainage procedures of which you will be informed when making an appointment.

Who will get the biopsy/FNA reports?

Once the biopsy /aspiration is performed, you need to take the labelled sample and referral to Pathology. It will approximately take a week to get the final report from Pathology. The report will be sent directly to the referring doctor and you need to follow it up with them.

Do any of these procedures require prior blood investigations?

Few of these procedures require prior blood reports like coagulation profile for liver biopsy. We will inform you regarding the requirements when you call us for an appointment.

Do any of these procedures require hospital admission?

Few procedures require prior and post procedural hospital observation like liver biopsy, ascetic/pleural fluid aspiration and drainage. The admission needs to be arranged by the referring doctor prior to the appointment date. We will assist you with your referring physician to arrange the admission. We will give you all the required information when you call us for the appointment.

Are there any complications from these procedures?

All invasive procedures have potential complications, though the risk of having a complication is quite low. The common general complications are bleeding, pain and discomfort at the site for a couple of days.  Infection is a rare but possible complication at the puncture site. There are specific potential complications for biopsies, aspiration and drainage procedures which will be explained to you before starting the procedure.  You may be observed for a period of time following some procedures and rarely, you may require hospital admission if there are any serious complications.

In the event of post procedural complications developing after you have left the department we can be contacted during normal business hours.  If it is outside of business hours you will need to contact the emergency department at your nearest regional hospital.  Geraldton Regional Hospital is located at 51-85 Shenton Street Geraldton and can be contacted on (08) 9956 2222.  Alternatively you may wish to contact your referring doctor.

Who performs pain management procedures?

All interventional procedures are performed by the Consultant Radiologist, a specialist who is accredited by The Australian and New Zealand College of Radiologists (RANZCR) to perform the procedures. The Radiologists look at the referral when you come for the appointment and decide on the type of procedure, preparations and post procedural care.

The Radiologist will be assisted by a Sonographer or Radiographer during the procedure.

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