MSK Injections

Retrocalacneal bursas are bit like buses 🚌! We haven't injected one in ages and have had 3 in the last 2 weeks.

It is important to note that we didn't jump straight to injection with these patients, they all had symptom management and optimal loading rehab before considering an injection. Unfortunately their pain was the limiting factor to their rehab and recovery.

I'd be interested on peoples thoughts. Do you put the patients in a boot or not following a retrocalcaneal injection?

An interesting injection clinic this afternoon:
- Trigger thumb and 1st MCPJ injection
- Retrocalcaneal bursa
- Sub-acromial bursa
- Sub-acromial bursa
- A huge Bakers cyst aspiration and combined CS and HA knee injection
- Bakers cyst aspiration and knee HA injection

Now the hard work of rehab begins!

Paul and Johnny had a great time in Leamington Spa yesterday with an enthusiastic group of injection therapists from the SWIMS team. We discussed the latest evidence around local anaesthetics, rehab & optimising outcomes post injection and practices lots of injection techniques around the wrist, hand, ankle and foot. Thanks for having us for your CPD day.

Click on the link to sign up for our next injection CPD in Sheffield.

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Would be interested to hear from any Barbotage enthusiasts or critics… in the meantime we're sitting on the fence 😉

Why has barbotage gone out of fashion? Once a popular treatment for calcification tendinitis at the shoulder, we look at the reasons why barbotage seems to have gone out of fashion

Kenalog and Depomedrone have been battling it out for supremacy for decades. Finally, one has prevailed… let's say goodbye to Kenalog😕

It's 'game over' for Kenalog Clinicians relying on triamcinolone acetonide (Kenalog) for MSK injections will need to find an alternative it is soon to be discontinued.

Even if you're not using PRP, it's not a bad idea to have enough knowledge to field questions and advise patients. We'll be posting a little series on PRP over the next couple of weeks including the latest on physios using it.

How does PRP help with healing? PRP is a from of regenerative medicine. But how does PRP help with healing? Johnny puts his geeky biochemistry hat on to answer this one.

Here is the last in our Bakers cyst/aspiration series.
❓What happens if you aspirate blood?
❓Do you have access to microbiology labs?
❓What is the difference between normal fluid and an infected aspirate?

Do reach out via our private facebook group if you have any queries.

https://mskinjections.com/what-do-aspirates-tell-us/
https://www.facebook.com/groups/877973340527467/

What do aspirates tell us? If aspiration is part of your practice, it's important to understand what the aspirate is telling us and how best to manage them.

Last week we posted about aspirating a Bakers cyst. We are big advocates of aspiration (under US guidance of course!) and it is now common practice in our clinic. Does aspiration deserves a re-visit in your injection therapy practice?

Aspiration - why, when and what We answer why aspiration (or arthrocentesis) is necessary, when it should be considered and what the benefits are for patients.

It has been Bakers cyst central this week in our injection clinics! I am always impressed with how much symptomatic relief patients experience after aspirating Bakers cysts (& injection therapy to the knee joint). Do check our latest blog on Bakers cysts below and be sure to watch the video of this aspiration in the reel.
https://mskinjections.com/what-is-a-bakers-cyst/

Do you regularly inject patients with glaucoma? Should you?
Is glaucoma part of your standard medical screening and contraindications for injection therapy?

Read our latest blog for specific considerations and recommendations for patients with glaucoma:

Is it safe to inject patients with Glaucoma? We look at the types of glaucoma, the effect corticosteroid has on intraorbital pressure and guidance on safe practice