Can I echo this statement, using local and hydrocortistab is completely
painless and an ex partner of mine told me to massage the area immediately
after which seems to distribute it a bit better and gives a higher success
rate.
David Lloyd
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-----Original Message-----
From: Ruth Livingstone <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 14 March 1998 00:51
Subject: RE: RCGP. Time to be NICE?
>I am surprised to hear about your painful experience.
>Do you know what type of local corticosteroid was injected?
>
>In my previous practice we used Depomedrone,
>and the injections were often painful, and frequently
>provoked a strong inflamatory reaction.
>One case of fat necrosis that I remember.
>
>Nowadays, I use Adcortyl.
>Can't remember when a patient last complained it was painful.
>They usually say "Is that IT ? My mate said it would hurt."
>Also very good success rate, but may need repeating a few weeks later.
>However, if patient continues doing whatever it was the started trouble
>(often supermarket checkout work) - then doesn't get better - of course :-(
>
>I find M/S injections one of the most rewarding treatments
>you can give in general practice. Very good response, and
>patients very satisfied.
>
>--
>Ruth
>http://www.stamford.co.uk/littlesurgery/
>
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