Did/do you use DM _with_ lidocaine? I would agree that it is extremely
painful without. Have also found physio good for non-responders. In an
ideal world physio for all........?
Dr GM Trowell
Highbridge Medical Centre
Highbridge
Somerset TA9 3YA
01278 783220
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Highbridge - a cemetery with lights
-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 12 March 1998 22:08
Subject: RE: RCGP. Time to be NICE?
> Date: Wed, 11 Mar 1998 19:46:33 -0000
> Subject: RE: RCGP. Time to be NICE?
> From: Stuart Skeates <[log in to unmask]>
> To: "[log in to unmask]" <[log in to unmask]>
> Reply-to: [log in to unmask]
> On Friday, March 06, 1998 11:55 PM, Paul Caldwell
> [SMTP:[log in to unmask]] wrote:
> > very true.I'm in the process of becoming a trainer. Did a tutorial with
> > registrars finsihing their scheme recently and was horrifeid to discover
> they
> > had never been taught to inject a tennis elbow,
> Maybe the trainers have looked at
> http://www.jr2.ox.ac.uk/bandolier/band38/b38-3.html and are sceptical
about
> it's long term value ;) I must admit I still inject some myself and show
> our Registrars but I am wondering why.
>
Having had tennis elbow myself, and having had it injected by my GP,
I've stopped doing them. It was so ****** painful! Could hardly use
my arm (left) for a week. Had to change gear with my right arm:-(
I think it only got better because of the iatrogenic enforced rest.
Our local orthopaedic upper limb specialist says *don't* inject
tennis elbows as it is causes necrosis at the inject site in the
tendon. Use analgesics/physio. If patient desperate he will consider
surgery, but that doesn't always work either:-(
Dr David J Plews
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