Patient Positioning
Patient seated on a revolving stool, arm in slight internal rotation. Elbow flexed (90°), palm up.
Probe Positioning
On the top of the shoulder in a coronal plane over the acromioclavicular joint. move medially over the muscles / trigger points of interest. Perform the injection best in plane.
note: even trigger points can easily be injected under ultrasound guidance – either at the level of the trapezius or levator muscle. It is a reasonable area to excercise injections under ultrasound.