Injection Techniques in Musculoskeletal Medicine. A Practical Manual for Clinicians in Primary and Secondary Care

Section 1 INJECTION THERAPY – THE EVIDENCE

The evidence base for injection therapy
Corticosteroids and local anaesthetics
Other substances used for injection therapy
Landmark and image guided injections
Aspiration and miscellaneous injections
Safety, drugs and sport, medicolegal issues

Section 2 PRACTICAL GUIDELINES FOR INJECTION THERAPY

Overview
How to use this book
Contraindications to injection therapy
Preparation protocol 
Injection technique flowchart 
References

Section 3 UPPER LIMB INJECTIONS

Examination of the upper limb
The shoulder
The elbow 
The wrist and hand
Temporomandibular joint
Summary of suggested upper limb dosages

Section 4 LOWER LIMB INJECTIONS

Examination of the lower limb
The hip
The knee 
The ankle and foot
Summary of suggested lower limb dosages 

Section 5 SPINAL INJECTIONS

Spinal injection guidelines
Examination of the spine
Spinal injection techniques
Summary of suggested spinal dosages
References

Appendix 1 Landmark technique accuracy and outcome studies
Appendix 2 Injection Survey

Index   

The fully updated fifth edition of Injection Techniques in Musculoskeletal Medicine is a trusted step-by-step guide for a wide range of practitioners who deal with the management of painful joints and soft tissues, particularly in relation to sports and overuse injuries.

Area by area guidance is given for each lesion on appropriate patient selection and delivery of the drug. Every technique has its own two-page spread; the first consisting of a detailed but easy to follow description of the causes, positive assessment findings, anatomical details and injection procedure. The facing page shows an anatomical illustration of the region and a photograph showing the landmarks for the injection. This edition features brand new full colour photographs and case studies

An online trainer, which covers all the most common injection techniques and aims to test the reader's knowledge, accompanies this edition. This trainer uses case studies, videos, animations and interactive self assessment on anatomical landmarks, differential diagnoses, assessment criteria, drug selection and technical skills. There is also access to a library of over 50 video clips showing supplementary injection techniques which clearly demonstrate the correct anatomical position for each needle insertion.

Author Information
By Stephanie Saunders, FCSP, FSOM, Private Practitioner; Course Director, Orthopaedic Medicine Seminars and the Association of Chartered Physiotherapists in Orthopaedic Medicine; Fellow of Chartered Society of Physiotherapists, London, UK and Steve Longworth, MB ChB MSc FRCGP DM-SMED DPCR FSOM, Principal in General Practice, East Leicester Medical Practice, Uppingham Road Health Centre, Leicester; Specialist Doctor, Department of Orthopaedics, University Hospitals of Leicester, Leicester, UK