Dr. Md. Mosharaf Hossain Palash

Shoulder, Arm & Hand Treatments

Detailed view of a medical professional administering an injection for healthcare purposes.

In managing arm and hand pain, a less-invasive approach often delivers the most benefit. Minimally invasive procedures—such as targeted nerve blocks—offer effective pain relief while reducing post-procedure discomfort and supporting a faster return to daily activities.

EPIDURAL STEROID INJECTION IN THE CERVICAL SPINE

A cervical epidural steroid injection targets inflammation around irritated nerves in the neck. By reducing nerve swelling, it can provide significant relief for conditions such as herniated discs, spinal stenosis, or other issues that compress cervical nerve roots.

ULTRASOUND-GUIDED INTERVENTIONS FOR SHOULDER PAIN MANAGEMENT

Ultrasound-guided procedures offer precise, minimally invasive solutions for a range of shoulder conditions. Techniques such as saline hydrodilation for adhesive capsulitis, SASD bursa steroid or PRP injections, rotator cuff and biceps tendon PRP injections, and acromioclavicular (A-C) joint injections help reduce inflammation, promote tissue healing, and restore mobility. These targeted treatments provide effective pain relief and support faster recovery while minimizing risks associated with traditional interventions.

MYOFASCIAL TRIGGER POINT INJECTIONS FOR PAIN RELIEF

Myofascial trigger point injections target tight, painful knots within muscles that cause localized or referred pain. By delivering a small amount of anesthetic or therapeutic solution directly into the trigger point, this minimally invasive procedure helps relax the muscle, reduce pain, and restore function, offering quick and effective relief for chronic muscle discomfort.

MEDIAL BRANCH BLOCK

A medial branch block involves injecting a local anesthetic around the medial branch nerves, which supply the facet joints of the spine. When these joints are irritated or damaged, they can trigger pain that radiates through the neck, shoulders, upper back, or head. This procedure helps your physician pinpoint the exact source of your pain and may also provide temporary relief.

CERVICAL FACET RADIOFREQUENCY NEUROTOMY

Cervical facet radiofrequency neurotomy uses controlled heat from radio waves to disrupt pain signals coming from irritated facet joints in the neck. It is typically recommended when pain persists despite medications or physical therapy.

REGENERATIVE THERAPY FOR LATERAL AND MEDIAL EPICONDYLITIS

Regenerative therapies, such as Platelet-Rich Plasma (PRP) and stem-cell–based treatments, offer promising, minimally invasive options for managing lateral and medial epicondylitis—commonly known as tennis elbow and golfer’s elbow—as well as other chronic elbow conditions. By stimulating natural healing, enhancing tissue repair, and reducing inflammation, these therapies can provide long-lasting relief for patients who have not improved with conventional treatments like medications, rest, or physical therapy.

ULTRASOUND-GUIDED STELLATE GANGLION BLOCK

An ultrasound-guided stellate ganglion block is a precise, minimally invasive procedure that targets the sympathetic nerves in the neck to relieve chronic pain, improve circulation, and reduce nerve-related symptoms in the head, neck, and upper extremities. Using real-time imaging ensures accuracy, enhances safety, and provides effective pain relief for conditions such as complex regional pain syndrome, neuropathic pain, and vascular insufficiency.