A PRACTICAL GUIDE TO JOINT AND SOFT TISSUE INJECTIONS

1. INTRODUCTION

2. FOUNDATION CONCEPTS
Thoughtful Consideration
Alternatives to Medication Management
Understand Anatomy
Identify Landmarks
When to Refer to a Subspecialist
Indications for Injections and Aspirations
Contraindications to Injections and Aspirations
Safety
Synovial Fluid Analysis
Special Medical Conditions
Topical Anesthesia
Local Infiltration Anesthesia
Injectable Agents
Corticosteroids
Viscosupplementation
Botulinum Toxin
Other
Equipment
Technique
Musculoskeletal Ultrasound
Complications
Aftercare
Documentation of the Procedure
Billing and Coding
Informed Consent
Evidence-based Medicine

3. SKIN ANESTHESIA
Direct Local Injection
Field Block Local Injection
Digital Nerve Block
Facial Nerve Blocks
Supraorbital and Supratrochlear Blocks
Infraorbital Nerve Block
Mental Nerve Block
Mucosal Fold Block

4. SKIN AND SKIN STRUCTURES
Chalazion
Keloid Scar
Common Warts
Granuloma Annulare and Other Thin, Benign, Inflammatory Dermatoses
Prurigo Nodularis and Other Thick, Benign, Inflammatory Dermatoses

5. HEAD AND NECK
Temporomandibular Joint
Greater Occipital Neuralgia
Cervical Strain and Sprain

6. UPPER EXTREMITIES
Subacromial Space Injection—Posterior Approach
Glenohumeral Joint—Posterior Approach
Glenohumeral Joint—Anterior Approach
Acromioclavicular Joint
Sternoclavicular Joint
Bicipital Tenosynovitis - Long Head
Cubital Tunnel Syndrome
Elbow Joint
Olecranon Bursitis
Lateral Epicondylitis
Medial Epicondylitis
Radial Nerve Entrapment
Carpal Tunnel Syndrome— Preferred Flexor Carpi Radialis (FCR) Approach
Carpal Tunnel Syndrome—Traditional Approach
Wrist Joint
de Quervain’s Tenosynovitis
Dorsal Wrist Ganglion Cyst
Thumb Carpometacarpal Joint
Metacarpophalangeal Joint
Trigger Finger
Digital Mucous Cyst

7. TRUNK
Myofascial Trigger Points
Suprascapular Neuropathy
Scapulothoracic Syndrome
Sacroiliac Joint

8. LOWER EXTREMITIES
Hip Joint—Preferred Lateral Approach
Hip Joint—Anterior Approach
Piriformis Syndrome
Meralgia Paresthetica
Greater Trochanteric Pain Syndrome
Hip Adductor Tendonitis
Knee Joint Injections
Knee Joint—Preferred Lateral Suprapatellar Approach
Knee Joint— Lateral Midpatellar Approach
Knee Joint— Anterior Medial and Anterior Lateral Approaches
Prepatellar Bursitis
Pes Anserine Bursitis
Iliotibial Band Friction Syndrome
Tibialis Posterior Tendonitis
Tarsal Tunnel Syndrome
Ankle Joint—Anterior-Lateral Approach
Ankle Joint—Anterior-Medial Approach
Fibularis Brevis Tendonitis
Plantar Fasciitis
First Metatarsophalangeal Joint
Morton’s Interdigital Neuroma

APPENDIX 1: CONSENT FOR NEEDLE ASPIRATION AND/OR INJECTION
APPENDIX 2: ASPIRATION AND INJECTION AFTERCARE HANDOUT
APPENDIX 3: MEDICAL RECORD DOCUMENTATION

Get step-by-step, evidence-based guidance on the injections most beneficial to your patients – and your primary care practice! A Practical Guide to Joint & Soft Tissue Injection, 3rd Edition, helps you master the techniques that can provide optimal pain relief, save health care dollars, increase patient satisfaction, and enhance the doctor/patient relationship. This easy-to-understand, fully-illustrated text offers practical, evidence-based information on a wide variety of injection and aspiration techniques for common skin and musculoskeletal conditions. The interactive eBook that accompanies the print book includes dozens of videos to help you perfect your technique.

Features:
- Hundreds of full-color illustrations help you identify landmarks and determine exactly how to proceed.
- An all-new chapter on injected anesthesia, including nerve blocks, brings you up to date in this key area.
- New coverage of inflammatory dermatoses, carpal tunnel syndrome, myofascial trigger points, and different approaches to the knee joint help you provide pain relief and improved function to a wide variety of patients.
- Comprehensive coverage includes a diverse group of musculoskeletal disorders, chalazions, keloids, warts, and occipital neuralgia, as well as the use of corticosteroids, viscosupplementation, and dry needling.
- Solid guidance in foundational principles covers anatomy and landmarks, when to refer, indications and contraindications, special medical conditions, equipment, complications, coding and billing, and much more.
- Helpful appendices provide consent forms, aftercare handouts, and information on documentation.

Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to:
- Dozens of step-by-step videos that show you exactly how to perform each injection
- Complete content with enhanced navigation
- Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web
- Cross-linked pages, references, and more for easy navigation
- Highlighting tool for easier reference of key content throughout the text
- Ability to take and share notes with friends and colleagues
- Quick reference tabbing to save your favorite content for future use