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Medical Procedures

Non-Surgical Orthopedics:

Diseases and Injuries of the muscles and joints and spine is what we specialize in. Most of these problems can be treated without surgery. With a comprehensive team approach to evaluating and managing your orthopedic problems, surgery is rarely required. And in the event that we decide with you that a surgical consultation is needed, we will get you to the very best specialist for your problem . . .one who we know and trust and is committed to working with us and our conservative natural approach to health care.

Joint Injections:

  • Shoulders, Elbows, Wrists, Hips, Knees, and Ankles
  • Injections are performed using safe, radiation free, ultrasound guidance
  • Injections can be performed with nutrient rich substances used to lubricate the joints, as well as steroidal medication.

Trigger Point Injections:

Trigger Points are the tight bands of muscles that may be felt as a knot.  Trigger points can restrict movement and cause muscle weakness and may cause referred and/or radiating pain.

Our patients get excellent results with our Trigger Point Injection Treatments.  Trigger Point Therapy takes just a few minutes, and is performed by our Medical Staff.

We can do trigger point injections, usually using a cocktail of lidocaine and dexamethasone

Arthritis of the Knee

  • Ultrasound Evaluation of the knee prior to any injections
  • Ultrasound Guidance for knee injections allowing us to place the needle with maximum accuracy
  • Natural anti-inflammatory medications used to “cool off” painful knees without the use of steroids or cortisone.
  • Injections of Supartz (a nutrient rich lubricating injection) to give more mobility and decrease pain.
  • Will delay, or eliminate your need for knee replacement


  • At Achieve Medical, we are committed to providing the best available care to our patients.  Our goal is to help you obtain the health you want. As a general rule we try always to do the most common sense things and provide the most natural services, and to work with your body to create the best conditions for it to heal. Sometimes, prescription medications are needed. And when they are we will prescribe those medications in consultation with you, taking into account your personal medical history and any other medications you may be taking.

Our doctors and staff will do all the procedures to resolve your issues without surgery. If necessary, they will help you regain your health after surgery.

Ultrasound Guided Injections

The term Ultrasound is one most of us have heard before. Ultrasound has many uses in medicine both for treatment and for taking pictures of or “imaging” structures inside the body.  Perhaps the use of ultrasound many of us are most familiar with is to take pictures of the unborn fetus inside its mother’s womb.  In a similar way Ultrasound Guided Injections use the picture taking or “imaging” properties of ultrasound to allow the structures that are being injected to be seen or “imaged” in real time.  This allows accurate placement of the needle tip during the injection, while staying away from other structures that need to be avoided during the injection procedure.

Comfort.  CT scans, Fluoroscopy, and MRIs usually require patients to lie down.  Most of our Ultrasound Guided Injection Procedures are done with the patient sitting up. And while we prefer our patients to lie down for some of our procedures, almost all of them can be done with the patient seated comfortably when needed.

Convenience.  Because we maintain our own state of the art Ultrasound Imaging equipment, all of our imaging procedures can be done in our office often on the same day that it is determined that it is needed.

No Sedation.  All of our Ultrasound Guided Injection procedures are relatively pain free and do not require sedation. Patients can usually drive themselves to our office and back home again when receiving an injection in our office.

No Contrast Material. When doing Ultrasound Guided Injections it is the sound itself that clarifies the contour of the joints, muscles, tendons, and nerves. No risk of allergic reaction or chemical side effects from Ultrasound . . . Ever.