Precision in the Palm of Your Hand: Integrating Handheld Ultrasound in Pain Management Practice

For interventional pain physicians, the transition toward portable technology isn’t just about convenience, it’s about clinical flexibility. Dr. David Rosenblum, Director of Pain Management at AABPP Integrative Pain Care in Brooklyn, New York, has spent over a decade refining his practice using ultrasound guidance.

During a recent interview, Dr. Rosenblum shared how Clarius wireless handheld systems have become a vital part of his workflow alongside traditional imaging tools.

Watch the video to hear about Dr. Rosenblum’s experience. Scroll on for highlights.

Choosing the Right Tool for the Setting: Handheld vs. Cart-Based

While Dr. Rosenblum typically uses a cart-based system at the hospital, the office setting allows him to take advantage of the portability of handheld units. He finds that the handheld device offers a specialized solution for a busy, multi-location practice.

In the office setting, I use both. I do use the handheld quite a bit. I find it easy when I’m going from my office to the hematology surgical center downstairs, and when I need to travel… it’s lightweight and it fits in my bag”, he explains.

Because the image quality is comparable to larger, more expensive machines, Dr. Rosenblum now rarely relies on his cart-based systems for office procedures.

Enhancing Safety and Diagnostic Accuracy with Ultrasound Guidance

Whether using a cart or a handheld, Dr. Rosenblum emphasizes that ultrasound provides a level of visualization that X-rays simply cannot match. By allowing clinicians to see “the pathologic structure,” ultrasound helps distinguish between nerves, blood vessels, tendons, and ligaments in real-time.

The ultrasound creates a safer situation in which I can avoid blood vessels or vital organs, so it definitely improves the safety of my procedures”.

This diagnostic clarity often leads to better outcomes. During a recent shoulder injection, Dr. Rosenblum used ultrasound to identify unexpected fluid around the biceps tendon, allowing him to treat the additional pathology during the same visit.

Boosting Patient Confidence During Procedures

According to Dr. Rosenblum, patients have come to expect a high degree of precision for costly regenerative medicine like PRP or bone marrow aspiration and appreciate his use of ultrasound guidance during their procedures.

They like seeing for themselves the actual needle going in and the injection… When you’re doing the ultrasounds correctly, you can see the screen [with] a higher degree of satisfaction”, he says.

Watch this 1-minute video to see Dr. Rosenblum perform an out-of-plane PRP injection with an anterior approach using the Clarius L7 HD3 Linear wireless scanner.

AI Efficiency Benefits and Advice for Clinicians on the Fence

From a workflow perspective, Dr. Rosenblum appreciates the benefits of the AI-powered Clarius app, which enables Voice Controls for hands-free adjustments and the ability to save images to the cloud, making the procedures quicker and requiring less staff than traditional fluoroscopy.

When asked what advice he would give to colleagues considering the move to handheld ultrasound, his answer was direct:

Do it. You have to do it. You need ultrasound in the office. And if you’re going to do an ultrasound, why not go for the cheaper handheld models? It doesn’t make sense to spend $40,000 on a larger machine”.

Free Webinar with Dr. Rosenblum

Interested in learning Dr. Rosenblum’s proven techniques? Join us for a 1-hour webinar to learn the value of high-resolution point-of-care ultrasound to improve the accuracy and effectiveness of regenerative injections for patients suffering with chronic pain: Ultrasound-Guided Injections for Chronic Pain: A Regenerative Medicine Approach.

You’ll learn:

  • Key ultrasound landmarks and Clarius Intelligence features that help localize joints, tendons, bursae, and bone.
  • How using POCUS can reduce complications by avoiding inadvertent injection into critical neurovascular structures
  • Approved for regenerative treatment, including osteoarthritis, tendinopathy, facet joint arthropathy, and carpal tunnel syndrome
  • Injection techniques for intra-articular, peritendinous, and perineural delivery of PRP and lidocaine
  • How to optimize PRP placement using real-time imaging to maximize therapeutic effect at the target tissue

Visualize Your Needle in High Definition for Safe and Precise Pain Medicine Procedures 

Recognized for the best imaging quality among handheld systems, Clarius HD3 is highly affordable, easy to learn and use. With clear nerve and musculoskeletal imaging, watch your needle hit the target. Visit our MSK specialty page to learn more. A Clarius expert is available to provide a custom virtual demonstration. Contact us to schedule a demo at a time that works for you. 

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