Joint, Tendon, Ligament & Sports Injury

Expert Pain Medicine & Medical-Legal Evaluation

Joint, Tendon, Ligament, And Sports Injuries We Treat

Joint, tendon, ligament, and sports injuries can make it difficult to walk, exercise, work, sleep, or stay active. Some patients experience pain after a specific injury, while others develop gradually worsening symptoms from overuse, repetitive movement, arthritis, or ongoing strain.

Our pain management team helps identify the likely source of your symptoms and recommend treatment options based on your condition, medical history, activity level, and goals.

We commonly help patients experiencing:

Tendinitis

Tendinosis

Chronic tendon pain

Ligament sprains

Partial ligament tears

Plantar fasciitis

Small joint arthritis

Ankle and foot joint pain

Wrist and hand joint pain

MCP joint pain

TMJ pain

Bursitis

Sports injury-related pain

Tendinitis, Tendinosis, And Tendon Pain Treatment

Tendons connect muscles to bones and help transfer force during movement. Tendon pain may develop after repetitive activity, overuse, sudden strain, or gradual tissue changes.
Tendinitis generally refers to tendon irritation or inflammation, while tendinosis describes longer-term degeneration or changes within the tendon. Patients may experience localized pain, tenderness, stiffness, weakness, or discomfort that worsens with activity.
Treatment options may include:
  • Image-guided tendon injections
  • Tendon-targeted injections
  • Ligament-targeted injections
  • PRP when appropriate
Image guidance helps the provider visualize the affected tendon and place treatment accurately near the suspected pain source. PRP may be considered in appropriate cases based on the tendon involved, the duration of symptoms, prior treatment, and overall diagnosis. The goal is to reduce pain, improve movement, and support a return to normal activity.

Ligament Sprain And Partial Tear Treatment

Ligaments connect bones and help stabilize joints. A ligament sprain or partial tear may occur after twisting, overstretching, a sudden impact, or repetitive stress.
Symptoms may include:
  • Localized pain
  • Swelling or tenderness
  • Reduced joint stability
  • Pain with weight-bearing
  • Difficulty returning to sports or exercise
  • Discomfort during specific movements
  • Ongoing symptoms after the initial injury
Treatment options may include:
  • Image-guided ligament injections
  • PRP when appropriate
  • Rehabilitation coordination
Image-guided treatment may be used to target the injured ligament or nearby pain-generating tissue. PRP may be considered in appropriate cases as part of a broader treatment plan.
Rehabilitation may also be coordinated to restore strength, improve stability, and support a safer return to activity.

Plantar Fasciitis Treatment

The plantar fascia is a thick band of tissue that runs along the bottom of the foot and helps support the arch. When this tissue becomes irritated, patients may develop plantar fasciitis.
Pain is often felt near the heel or along the bottom of the foot. Symptoms may be especially noticeable during the first steps after getting out of bed, after prolonged sitting, or following extended periods of walking or standing.

Treatment options may include:

  • Plantar fascia injections
  • PRP when appropriate
  • Ultrasound-guided evaluation and treatment

Ultrasound can help evaluate the plantar fascia and guide treatment accurately toward the affected area. The recommended approach will depend on the duration and severity of symptoms, prior care, and clinical findings.

Treatment is designed to reduce pain and help patients return to walking, work, exercise, and daily activities more comfortably.

Small Joint Arthritis And Pain Treatment

Small joints throughout the body can become painful due to arthritis, inflammation, repetitive use, injury, or age-related changes. These joints may be difficult to treat accurately without imaging because of their size and location.
Areas treated may include:
  • Ankle joints
  • Foot joints
  • Metacarpophalangeal, or MCP, joints
  • Wrist joints
  • Other hand joints
  • Temporomandibular joints, or TMJ
Treatment options may include:
  • Fluoroscopy-guided small joint injections
  • Ultrasound-guided small joint injections
  • Steroid injections
  • PRP when appropriate
Image guidance allows the provider to visualize the joint and place medication or another treatment more precisely. Steroid injections may be considered when inflammation is contributing to pain, while PRP may be discussed in appropriate cases.
The recommended injection will depend on the joint involved, the suspected cause of pain, prior treatment, and the patient’s goals.

Bursitis Treatment

Bursae are small, fluid-filled sacs that help reduce friction between bones, tendons, muscles, and surrounding tissues. When a bursa becomes irritated or inflamed, patients may develop localized pain, swelling, tenderness, or discomfort with movement.

Bursitis can affect several areas of the body and may develop from repetitive activity, direct pressure, injury, or irritation involving nearby tendons.

Treatment options may include:

    • Image-guided bursa injections
  • Steroid injections
  • PRP when appropriate

Image guidance helps the provider accurately target the affected bursa. The recommended treatment will depend on the location of the bursitis, the duration of symptoms, and whether tendon or other soft-tissue involvement is also suspected.

Sports Injury-Related Pain Treatment

Sports injuries can affect joints, tendons, ligaments, muscles, bursae, and other soft tissues. Some injuries occur suddenly during training or competition, while others develop gradually from repetitive stress or overuse.
Patients may experience:
  • Pain with activity
  • Swelling or tenderness
  • Reduced strength
  • Limited range of motion
  • Joint instability
  • Difficulty running, lifting, throwing, or changing direction
  • Symptoms that return after resuming activity
  • Pain that has not improved with rest or rehabilitation
Treatment options may include:
  • Diagnostic evaluation
  • Ultrasound-guided injections
  • Fluoroscopy-guided injections
  • PRP or other orthobiologic options
  • Rehabilitation coordination
The first step is identifying which structure is contributing to the pain. Treatment planning may then combine targeted injections with rehabilitation designed to restore mobility, strength, stability, and function.

Image-Guided Musculoskeletal Injections

Joint and soft-tissue injuries often involve small or closely positioned structures. Image guidance helps improve accuracy by allowing the provider to see the treatment area during the procedure.

Depending on the condition, treatment may be performed using:

The type of imaging and injection selected will depend on the affected structure, the patient’s anatomy, physical examination findings, and prior treatment history.

PRP And Orthobiologic Treatment Options

PRP, or platelet-rich plasma, may be considered in appropriate cases involving tendon pain, ligament injury, plantar fasciitis, bursitis, small joint pain, or sports-related injuries.

PRP is prepared from a sample of the patient’s own blood and concentrated before being injected into the targeted area. Whether PRP or another orthobiologic option is appropriate depends on the diagnosis, affected tissue, symptom duration, imaging findings, and previous response to care.

These treatments are not appropriate for every injury. A focused evaluation can help determine whether an orthobiologic option may fit your condition and treatment goals.

Patient Stories

What To Expect At Your Visit

Your evaluation may include a physical exam, a review of your symptoms and medical history, and a discussion of whether imaging, prior records, or additional diagnostic steps are needed to better understand your condition and recommend appropriate next steps.

We may ask about:

  • Where your pain begins and whether it travels
  • Whether symptoms started suddenly or gradually
  • Whether the pain followed a sports injury or repetitive activity
  • Which movements or activities make symptoms worse
  • Whether you experience swelling, weakness, or instability
  • Whether pain improves with rest
  • How long have the symptoms been present
  • Prior medications, injections, imaging, therapy, or surgery
  • Whether symptoms affect work, exercise, sleep, or daily activities
  • What activities do you hope to return to

Your provider may also evaluate range of motion, strength, joint stability, areas of tenderness, and whether the symptoms appear to involve a joint, tendon, ligament, bursa, plantar fascia, or another soft tissue.

From there, we can discuss which treatment options may be appropriate for your specific diagnosis and goals.

A More Targeted Approach To Joint And Sports Injury Pain

Not all joint or sports-related pain comes from the same source. Tendon irritation, ligament damage, bursitis, arthritis, plantar fasciitis, and other soft-tissue injuries may require different treatment strategies.

Our approach focuses on:

  • Identifying the likely source of your pain
  • Distinguishing joint pain from tendon, ligament, bursa, or muscle-related symptoms
  • Reducing unnecessary trial-and-error treatment
  • Using ultrasound or fluoroscopy guidance when appropriate
  • Providing targeted injections based on the affected structure
  • Considering PRP or orthobiologic options in appropriate cases
  • Coordinating rehabilitation when needed
  • Supporting a safe return to work, exercise, or sports
  • Helping you understand your treatment options clearly
You do not have to keep guessing whether your pain is coming from a joint, tendon, ligament, bursa, or another soft tissue. A focused evaluation can help clarify the cause and guide your next step.

Schedule A Joint, Tendon, Ligament, Or Sports Injury Consultation

If joint pain, tendon symptoms, ligament injuries, plantar fasciitis, bursitis, or sports-related pain is interfering with your movement, exercise, work, or daily activities, our team can evaluate your condition and discuss available treatment options.

Request A Medical-Legal Consult

Request A Medical-Legal Consult