Management of osteoarthritis in the primary-care setting: an evidence-based approach to treatment. The increasing need for nonoperative treatment of patients with osteoarthritis. 1997 56:634-6.īuckwalter JA, Stanish WD, Rosier RN, Schenck RC, Dennis DA, Coutts RD. Intra-articular corticosteroid injections in osteoarthritis: do they work and if so, how?. Injection with methylprednisolone proximal to the carpal tunnel: randomised double blind trial. Local corticosteroid injection for carpal tunnel syndrome. Does this patient have carpal tunnel syndrome?. Kelley's Textbook of rheumatology, 6th ed. In: Ruddy S, Harris ED, Sledge CB, Kelley WN. Aspiration and injection of joints and soft tissues. The proper technique, choice and quantity of pharmaceuticals, and appropriate follow-up are essential for effective outcomes.Ĭardone DA, Tallia AF. Painful limitation of motion occurring in trigger fingers of patients with diabetes or rheumatoid arthritis also improves with injection. ![]() If complicated by pain or paresthesias, wrist ganglion cysts respond to aspiration and injection. Pain associated with de Quervain's tenosynovitis is treated effectively by therapeutic injection. For the first carpometacarpal joint, injection may be used to treat pain secondary to osteoarthritis and rheumatoid arthritis. Indications for carpal tunnel syndrome injection include median nerve compression resulting from osteoarthritis, rheumatoid arthritis, diabetes mellitus, hypothyroidism, repetitive use injury, and other traumatic injuries to the area. In this article, the injection procedures for carpal tunnel syndrome, de Quervain's tenosynovitis, osteoarthritis of the first carpometacarpal joint, wrist ganglion cysts, and digital flexor tenosynovitis (trigger finger) are reviewed. Joint injection of the wrist and hand region is a useful diagnostic and therapeutic tool for the family physician.
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