Many find it hard to stay active during the long winter days. Once spring arrives, aches and pains can stand in the way of carrying on as you remember. Joints, muscles, and tendons decondition rapidly. Often, a little bit of concerted effort can get you back on track. A proper diagnosis and treatment plan will outline realistic options. Non-surgical interventions are often enough. Recalcitrant problems may respond to precisely administered injections; ultrasound imaging and careful local anesthesia make this well tolerated by virtually everyone. This smooth and effective treatment brings early and reliable improvement in pain, often allowing return to activity within days.