Given that you have found some evidence that tennis elbow injection works at all
(there is precious little) then it does not have to be injected very accurately - the region of the tender site will do - and "spreading the injection out" by fanning or repeated prodding will only increase the patient's pain.
Bradley Cheek
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-----Original Message-----
From: John King <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 09 June 1998 21:56
Subject: Dual Purpose Kenalog
>A patient came in today for his Kenalog hay fever injection, his first
>for two years.
>Back then he was also suffering from tennis elbow - I remarked that the
>injection would probably work for that as well!
>Today he said that it had worked really well and he had not been
>troubled again until recently. As a keen table tennis player he was very
>grateful.
>
>A couple of points arise...
>
>(1) Just how accurate does a tennis elbow injection need to be?
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