TUNCHANOK MAKARASEN, M.D.
Physical Medicine and Rehabilitation

Back pain radiating down the legs, neck, shoulder, and back pain, Office Syndrome, chronic pain... these conditions may heal faster if treated "precisely." This is why Ultrasound Guided Injection has become a vital tool that treats pain accurately with more visible results.
Ultrasound Guided Injection involves using high-frequency sound waves to allow physicians to see the internal structures of the body in real-time, whether muscles, tendons, joints, or nerves. This enables the physician to guide the needle precisely to the problematic area, unlike traditional injections that may rely heavily on experience and estimation.
The highlight of this method is "Precision while reducing risks during treatment." Physicians can deliver medication directly to the pain point, such as nerve entrapment or chronic tendonitis, making the treatment more effective. Meanwhile, real-time visualization helps reduce the risk of hitting blood vessels or major nerves. Patients typically feel less pain as there is no need to reposition the needle multiple times to find the right spot.

The working principles of ultrasound are:
This treatment is suitable for individuals with musculoskeletal pain, such as:
While this is a highly safe procedure, there are precautions. Patients with bleeding disorders, those taking blood thinners, or those with a history of drug allergies should inform the doctor in advance. Additionally, the injection site must be free of infection.
Preparation is simple:
Ultrasound Guided Injection is not just a treatment for various types of pain—such as back pain radiating down the legs or Office Syndrome—but it is a more "precise" treatment to help patients regain a better quality of life faster.