At Jaslok Hospital’s Restorative & Regenerative Medicine Department, ultrasound-guided nerve blocks are used to manage complex pain conditions where conventional treatments often fail. With real-time imaging, our specialists deliver targeted relief to nerves, joints, and inflamed tissues.

• Common conditions treated include:

Chronic Musculoskeletal Pain – Shoulder, neck, back, knee, tennis elbow injury and hip pain from arthritis, injuries, or overuse. Nerves (like suprascapular or genicular) and inflamed tissues (tendons, bursae, trigger points) can be precisely targeted.

Post-Surgical & Post-Trauma Pain – Residual pain after joint replacements, spine surgeries, or injuries managed with nerve or TAP blocks to reduce dependency on medication.

Joint Pain & Inflammation – Frozen shoulder, TMJ, AC joint pain, or knee osteoarthritis treated with guided joint injections for localized relief.

Nerve Entrapment & Compression – Conditions like carpal tunnel, piriformis syndrome, or pudendal neuralgia managed by pinpointing compressed nerves under ultrasound.

Pain with Neurological Disorders – Severe pain from post-herpetic neuralgia or CRPS eased with blocks like erector spinae or stellate ganglion.

Pelvic & Perineal Pain – Pudendal neuralgia, entrapment, or post-childbirth pain treated with USG-guided pelvic blocks.

1. Erector Spinae Plane (ESP) Block

Indications: Chronic back pain, thoracic neuropathic pain, post-surgical spine pain, rib fractures

How It Works: Local anesthetic is injected into the fascial plane beneath the erector spinae muscle.

Benefits:

• Excellent for multi-level dermatomal pain
• No motor weakness (preserves mobility)
• Effective relatively simple technique  in the chest wall and abdomen

2. Interscalene Brachial Plexus Block

Indications: Frozen shoulder, rotator cuff tear, shoulder dislocation, clavicle surgery

How It Works: Targets the brachial plexus at the interscalene groove.

Benefits:

• Profound relief from shoulder and upper arm pain
• Reduces need for opioids post-surgery

3. Carpal Tunnel Syndrome (CTS) Injection

Indications: Median nerve compression causing tingling, numbness, and weakness

How It Works: Steroid and anesthetic injected around the compressed nerve in the wrist

Benefits:

• Non-surgical alternative for early to moderate CTS
• Can delay or prevent need for decompression surgery

4. TM (Temporomandibular) Joint Block

Indications: TMJ dysfunction, facial pain, jaw locking, chewing difficulty

How It Works: Targets the joint capsule and surrounding nerves

Benefits:

• Improves jaw movement and pain while chewing or speaking
• Reduces inflammation in cases of arthritis or bruxism

5. Occipital Nerve Block

Indications: Occipital neuralgia, migraine, tension headaches, cluster headaches

How It Works: Local anesthetic/steroid delivered around the greater/lesser occipital nerves

Benefits:

• Rapid relief from debilitating head and neck pain
• Especially effective when standard migraine treatments fail

6. Suprascapular Nerve Block

Indications: Frozen shoulder, glenohumeral arthritis, post-stroke shoulder pain

How It Works: Anesthetic placed at the suprascapular notch

Benefits:

• Restores range of motion
• Facilitates physical therapy
• Delays need for shoulder surgery

7. Glenohumeral (GH) Joint Injection

Indications: Arthritis of the shoulder, adhesive capsulitis

How It Works: Steroid or PRP injection directly into the joint space close to the receptors in the capsule

Benefits:

• Improves flexibility and joint lubrication
• Minimally invasive alternative to surgical arthroplasty

8. AC (Acromioclavicular) Joint Injection

Indications: Osteoarthritis, sports injury, AC joint inflammation

How It Works: Delivered at the joint between the clavicle and scapula

Benefits:

• Reduces joint strain and inflammation
• Speeds recovery in athletes

9. SASD (Subacromial-Subdeltoid) Bursa Injection

Indications: Bursitis, rotator cuff impingement, shoulder stiffness

How It Works: Targets inflamed bursae beneath the acromion

Benefits:

• Relieves pain caused by overuse and impingement
• Helps avoid corticosteroid overuse orally

10. PECS I/II Blocks

Indications: Post-mastectomy pain, rib fractures, thoracic neuralgia

How It Works: Blocks intercostal and pectoral nerves

Benefits:

• Significant opioid-sparing effect post chest surgery
• Improves mobility and breathing comfort

11. TAP (Transversus Abdominis Plane) Block

Indications: Abdominal surgery pain, C-section recovery, hernia repair

How It Works: Local anesthetic placed between abdominal muscle layers

Benefits:

• Profound pain relief in lower abdominal wall
• Reduces systemic opioid use

12. Ilioinguinal/Iliohypogastric (II/IH) Nerve Block

Indications: Groin pain, hernia surgery pain, post-operative neuralgia

How It Works: Targets nerves in the lower abdominal/pelvic region

Benefits:

• Effective for post-hernia surgery pain
• Reduces numbness and tingling in groin

13. Lateral Cutaneous Nerve of Thigh (LCNT) Block

Indications: Meralgia paresthetica (burning thigh pain), obesity-related nerve compression

How It Works: Injection near anterior superior iliac spine

Benefits:

• Relieves burning, tingling, numbness in thigh
• Ideal for patients unable to take oral medications

14. Adductor Canal Block & Femoral Nerve Block

Indications: Total knee replacement, anterior thigh pain, patellar pain

How It Works: Targets sensory nerves without affecting muscle strength

Benefits:

• Improves rehab outcomes after surgery
• Preserves quadriceps function

15. Genicular Nerve Block

Indications: Knee osteoarthritis, non-surgical candidates for knee replacement

How It Works: Targets articular branches supplying the knee

Benefits:

• Long-lasting relief from knee OA pain
• Often a prelude to radiofrequency ablation

16. Piriformis Muscle Injection

Indications: Piriformis syndrome, sciatic nerve entrapment

How It Works: Direct injection into the piriformis to reduce spasm

Benefits:

• Eases radiating leg pain
• Improves gait and posture

17. Pudendal Nerve Block

Indications: Chronic pelvic pain, dyspareunia, interstitial cystitis

How It Works: Injected near the pudendal canal under USG guidance

Benefits:

• Offers relief in difficult pelvic and perineal pain syndromes
• Improves quality of life and daily activity

18. Intra-articular (IA) Knee Injection

Indications: Osteoarthritis, synovitis, meniscal degeneration

How It Works: Medication (PRP OR steroid or hyaluronic acid) injected directly into the knee joint

Benefits:

• Delivers relief where oral drugs fail
• Minimizes inflammation and joint stiffness

19. Stellate Ganglion Block

Indications: Complex Regional Pain Syndrome (CRPS), facial pain, post-traumatic stress disorder (PTSD), upper limb sympathetic pain

How It Works: A local anesthetic is injected near the stellate ganglion (Autonomic ganglion  in the neck), disrupting overactive sympathetic nerve signals.

Benefits:

• Calms nerve hypersensitivity
• Improves blood flow and temperature in affected limbs
• Effective for stress-related and neuropathic pain

20. IA Hip / Trochanteric Bursa Injection

Indications: Hip osteoarthritis, trochanteric bursitis, greater trochanteric pain syndrome

How It Works: Ultrasound-guided injection of corticosteroids or regenerative solutions (like PRP) into the hip joint or trochanteric bursa.

Benefits:

• Targets deep-seated hip pain precisely
• Reduces inflammation and restores range of motion
• Minimally invasive with no hospital admission required

21. ATFL (Anterior Talofibular Ligament) Injection

Indications: Chronic ankle instability, recurrent sprains, ATFL tears

How It Works: Injection of regenerative or anti-inflammatory agents directly into the injured ATFL under ultrasound guidance.

Benefits:

• Speeds up ligament healing and repair
• Enhances ankle stability and mobility
• Ideal for athletes or those with high ankle stress

22. Plantar Fascia Injection

Indications: Plantar fasciitis, chronic heel pain, heel spurs

How It Works: Ultrasound-guided injection into the thickened plantar fascia to relieve inflammation and promote tissue repair.

Benefits:

• Direct relief for persistent heel pain
• Restores pain-free walking and standing
• Avoids need for surgery in most cases

In pain management, precision is everything. Whether you’re dealing with chronic shoulder pain, neuropathic facial pain, or post-surgical nerve irritation, “one-size-fits-all” treatments often fail to offer lasting relief. That’s where Ultrasound-Guided (USG) Nerve Blocks redefine outcomes by offering personalized, image-guided relief at the source of pain.

Here’s why patients across India and beyond are choosing USG-guided blocks at the Restorative & Regenerative Medicine Department at Jaslok Hospital:

• Individualised approach
• Targeted and precise treatment
• Minimal side effects
• Reduced need for long-term medications
• OPD-based and quick recovery
• Backed by real-time imaging and decades of expertise

Pain isn’t one-size-fits-all, and neither should your treatment be. USG-guided blocks allow for pinpoint accuracy and real-time adjustment, reducing unnecessary risk.

Don’t let chronic pain dictate your life. Whether you’re struggling with nerve pain, post-operative complications, arthritis, or migraines ; a targeted, ultrasound-guided nerve block may be the breakthrough you’ve been waiting for.