if your injections are not getting the desired results I would recommend having me teach you how to do them correctly. Please for the love of God do not be taught by an orthopedic surgeon. As a fellow with a great H Ralph Schumacher we did bedside hip aspirates on a weekly basis and why would we need ultrasound when the landmarks are always the same? My patented needle for carpal tunnel trigger finger in first CMC are flawless and I traveled the country treating the rich and famous the dignitaries and the regular guys-sorry I have got so much to say about this topic but it is very near and dear to my heart