![]() Gently aspirate fluid (procedure should not be painful).ĩ. ![]() Select appropriate length and gauge of needle judiciously guide needle into intra-articular space.Ĩ. Use cooling spray or local anesthetic for patient comfort (as needed).ħ. Clean overlying skin using isopropyl alcohol (povidone iodine also can be used).Ħ. Identify and mark the appropriate anatomic landmarks to guide needle placement.ĥ. Prepare equipment, including laboratory requests, needles, syringes, and medication.Ĥ. Obtain informed consent discuss risks, benefits, and alternatives with the patient.ģ. Steps for combined intra-articular aspiration and injectionĢ. Patients with diabetes who receive periarticular or soft tissue steroid injections should closely monitor their blood glucose for two weeks following injection. Complications from steroid injections are rare, but physicians should understand the potential risks and counsel patients appropriately. The medication used and the frequency of injection should be guided by the goal of the injection (i.e., diagnostic or therapeutic), the underlying musculoskeletal diagnosis, and clinical experience. There is little systematic evidence to guide medication selection for therapeutic injections. Intra-articular steroid injection provides pain relief in rheumatoid arthritis and osteoarthritis. Steroid injections can also be helpful in controlling pain during physical rehabilitation from rotator cuff syndrome and lateral epicondylitis. Steroid injection is the preferred and definitive treatment for de Quervain tenosynovitis and trochanteric bursitis. Local anesthetics may be injected with corticosteroids to provide additional, rapid pain relief. Injections can provide diagnostic information and are commonly used for postoperative pain control. Corticosteroid injections into articular, periarticular, or soft tissue structures relieve pain, reduce inflammation, and improve mobility. Injections are valuable procedures for managing musculoskeletal conditions commonly encountered by family physicians.
0 Comments
Leave a Reply. |