At CHARM we use image guidance with injections. Injections into and around joints, nerves, ligaments and tendons can be done “blind” or with use of image guidance. Blind injections involves placement of a needle based on anatomical landmarks alone. The needle tip is assumed to be in the correct position with this technique, but strategy is very susceptible to error. To improve safety and accuracy of needle placement, physicians can use fluoroscopy, ultrasound or EMG for guided-injections.