particularly with the recent development of
>physios being trained to inject.
Dear Panos,
Where is this happening? Certainly not on the cards in Australia.
Curiously yours
Matt McEwan
BAppSc (Physio)
Grad Dip App Sc (Sports Physio)
At 14:31 20/03/98 +0000, you wrote:
>Dear All,
>I have been following the discussion both on the diagnosis and treatment
>of bursitis as well as the querries on the effects of steroid injections
>for such conditions. I wonder however, when steroid therapy is known to
>slow healing, cause collagen damage and even cause spontaneous rupture,
>why these drugs are used so much by people that not only do not
>understand the nature of the drug action but even more dangerously, do
>not recognise different anatomic entities (eg. bursa vs tendon). In the
>recent edition of Bandolier (49) there is a good piece about the
>effectiveness of steroid injections for shoulder pain. It has shown no
>effectiveness in the long term followup. Perhaps we should review our
>stance to this practice, particularly with the recent development of
>physios being trained to inject. this is further reinforced by the
>empirical and therefore very weak observation that patients that fail to
>repeated steroid injections very rarely respond to any other form of
>conservative treatment.
>My two pence
>
>Panos Barlas, BSc(Hons)PDD, DPhil, MCSP, SRP, LicAc
>Lecturer
>
>
>On Thu, 19 Mar 1998, [log in to unmask] wrote:
>
>> I would always regard an injection as a last resort! I have often
>> seen patients injected by GP's with little real skill in determining
>> where they should inject and the patient is then left with a painful
>> injection site as well as the original pain. They also raise false
>> hope that this will be an instant cure for their pain and lack of
>> mobility. I would always suggest a course of physical therapy for
>> long term improvement rather than the short-sighted 'wham-bam' of the
>> injection.
>> Mags
>>
>
>Department of Physiotherapy
>School of Health and Social Sciences,
>Coventry University,
>Priory Street,Coventry, CV1 5FB
>Tel: +44- (0)1203- 838980
>Fax: +44- (0)1203- 838020
>E-mail: [log in to unmask]
>
>
>
>
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