In-Office Ultrasound-Guided Joint Injections & Knee Lubrication in Plano, TX
Avoid invasive surgery and hospital facility fees. Our sports medicine and internal medicine specialists restore pain-free mobility with targeted in-office joint procedures covered by Medicare and major commercial insurers.
At our dedicated procedural facility on Example Parkway (Plano West Suite 234), Dr. Mateo Arrieta and our musculoskeletal clinicians provide non-operative joint restoration. Using real-time high-definition ultrasound guidance, medication is delivered with microscopic precision directly into the intra-articular synovial capsule, preventing painful misplaced injections and maximizing chondral cushioning for osteoarthritis sufferers.
Who is a good candidate
- Diagnosed with Mild to Severe Knee Osteoarthritis (Kellgren-Lawrence Grades II-IV)
- Chronic pain, stiffness, or joint grinding when climbing stairs, walking, or standing
- Desire to avoid or postpone total joint replacement surgery
- Unresponsive to oral NSAIDs (ibuprofen, meloxicam) or physical therapy alone
Treatment protocol
- Step 1: Diagnostic MSK Ultrasound & Evaluation — Live dynamic ultrasound assessment to quantify joint space narrowing, subchondral sclerosis, and synovial fluid effusion without hospital radiation.
- Step 2: High-Precision Ultrasound-Guided Delivery — Topical anesthetic buffering followed by real-time visualization of needle tip entering the capsule. Infiltration of cushioning hyaluronic lubricating gel or anti-inflammatory agents.
- Step 3: Rapid Discharge & Functional Mobilization — Zero downtime. Patients walk out of our clinic within 20 minutes with immediately cushioned articulation and reduced friction.
- Step 4: Longitudinal Joint Maintenance — Follow-up evaluation at 6 months to determine ongoing synovial health. Series can be repeated every 6 months under Medicare Part B guidelines.
Frequently asked questions
Why is ultrasound guidance essential for joint injections?
Studies demonstrate that blind ("anatomical landmark") knee injections miss the joint capsule up to 30% of the time, causing pain and wasted medication. Our physicians use high-resolution ultrasound (CPT 76942) so both doctor and patient watch the needle safely enter the joint space on screen in real time.
Does Medicare cover gel knee injections (viscosupplementation)?
Yes. Medicare Part B covers FDA-approved hyaluronic acid joint injections for knee osteoarthritis every 6 months when conservative therapy (such as exercise or over-the-counter pain relievers) is insufficient.
Is there downtime after an in-office knee injection?
No. Patients are able to walk immediately and drive home. We simply advise avoiding high-impact running or heavy squatting for 24 to 48 hours following the procedure.