I can recall clearly at med school receiving the teaching on injection
methods, but also a very strong injunction, by all means inject - but do
not be injected.
How many of us would happily have this treatment for our tennis elbow?
Surely modification of use / activity with physio etc works every time - oh
yes and a little patience :-)
John Perkins
Westbank Exeter
>
>
> < 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:-( >
>
> But you probably stayed away from the GP for a few weeks ;) Just
remember,
> the more it hurts the more good it will do ;))
>
> I wonder whether your orthopod is seeing similar patients to us. This is
> typical consultant speak and he is influenced by his own prejudices as
much
> as any of us. Injection can cause tissue necrosis at site of injection
but
> I have never seen it. I wonder what the experience of others is. Of all
> the things I try to do in surgery I think joint and tennis elbow
injections
> generate the most thanks and are extremely rewarding. I wouldn't go on
> repeating injections however. A tiny fraction of patients need referring
to
> an orthopod. These are refractory cases who may have already had 2 or 3
> injections. At this stage further injection probably wouldn't be
> appropriate.
>
> Consultants often aren't well qualified to advise on how things should be
> managed in GP.
>
> Martin Bradley
> [log in to unmask]
>
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