Dr Ajai Seth has extensive experience with High Volume Injection therapies and uses the latest techniques to treat his patients
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Tendon degeneration in the lower limb is a common overuse problem for athletes who do a lot of running and jumping. This most frequently occurs In the ankles as Achilles tendinopathy and in the knee as patellar tendinopathy. Symptoms may include marked pain, localised swelling and stiffness. To diagnose tendon issues Dr Ajai Seth performs diagnostic ultrasound scanning in his consultation which will often show that the tendon is thickened, disorganised and damaged. In severe cases, the addition of power doppler during the ultrasound scan will also demonstrate areas of abnormal blood vessel flow (neovascularity) around and into the tendon. Looking at these tissues under the microscope, these abnormal blood vessels are often accompanied by new nerve endings. It has been proposed that these nerve endings are responsible for the persistent pain that patients may experience. |
Procedure
Dr Ajai Seth is an expert in providing High Volume Image-Guided Injections (HVIGI) which is a novel and promising treatment for Achilles and patellar tendinopathy.
Using ultrasound guidance, Dr Ajai Seth performs a peritendinous injection of fluid (50mls around the Achilles tendon; 40mls around the patellar tendon) is injected into the interface between the tendon and underlying fat pad. This sterile fluid comprises local anesthetic, normal saline and only a small amount of corticosteroid.
The intention of HVIGIs is to destroy the abnormal blood vessels and nerve endings that have grown into the tendon. Dr Ajai Seth's patients often report significantly decreased pain, enabling them to progress with their rehabilitation.
Like any medical intervention, Dr Ajai Seth believes that it must be coupled with a comprehensive physiotherapy program to give a patient who suffers with tendinopathy the best chance of success.
Dr Ajai Seth has extensive specialist training in the latest techniques for HVIGI injection. Please see below to find out more about your condition and whether an injection may be suitable.
Dr Ajai Seth is an expert in providing High Volume Image-Guided Injections (HVIGI) which is a novel and promising treatment for Achilles and patellar tendinopathy.
Using ultrasound guidance, Dr Ajai Seth performs a peritendinous injection of fluid (50mls around the Achilles tendon; 40mls around the patellar tendon) is injected into the interface between the tendon and underlying fat pad. This sterile fluid comprises local anesthetic, normal saline and only a small amount of corticosteroid.
The intention of HVIGIs is to destroy the abnormal blood vessels and nerve endings that have grown into the tendon. Dr Ajai Seth's patients often report significantly decreased pain, enabling them to progress with their rehabilitation.
Like any medical intervention, Dr Ajai Seth believes that it must be coupled with a comprehensive physiotherapy program to give a patient who suffers with tendinopathy the best chance of success.
Dr Ajai Seth has extensive specialist training in the latest techniques for HVIGI injection. Please see below to find out more about your condition and whether an injection may be suitable.
If you are not sure as to whether a HVIGI injection is appropriate for you, contact Dr. Seth for more information or book in for a consultation.
If you have private health insurance, please check which type of injection you are covered for with your provider before your consultation with Dr. Ajai Seth.
If you have private health insurance, please check which type of injection you are covered for with your provider before your consultation with Dr. Ajai Seth.
What people are saying...
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I visited Dr Seth following an injury to my foot while training for a marathon. Dr Seth clearly talked me through the injury and the most appropriate course of action with race day so near. Communication from Dr Seth both during and in between appointments was fantastic. Would thoroughly recommend.
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Dr Ajai Seth has been excellent with my treatment, keeping me informed and going above and beyond to ensure I receive the best care. Thank you. 5 stars
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Outstanding treatment received for my long term shoulder injury. Dr Seth showed a depth of knowledge and compassion that I had struggled to find elsewhere. I wholeheartedly recommend him.
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I just wanted to thank Dr Seth for his treatment, he really listened to all my concerns and took them seriously! He was able to explain things to me in simple terms and most importantly fixed me!!!
I can’t thank you enough.
I can’t thank you enough.
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