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Hi Craig At 13:46 19/03/98 +1300, you wrote: >If this is truely trochanteric bursitis, ensure that the patient is >referred on to the appropriate specialist for an injection. This seems >to be a highly effective intervention, and greatly shortens the period >of pain and suffering that the patient endures. >Significant results from therapy should occur in 4 to 5 treatments. >You may have more joy in a strengthening/stretching programme post >injection, plus assess the need for orthotics. Why send the patient to a specialist when conservative physical techniques will suffice? There is some risk associated with injection. As a physical therapist (physiotherapist) I take some pride in our ability to often solve problems such as this without pharmaceutical/specialist intervention. I realise that there is a place for injection but certainly not as a first choice. >Mind you, thats if the patient comes back. As they may feel good and not >see/feel the need for further Physiotherapy. I see possible rebound with a statement as this. You are correct with the statement patients, 'feel good and not see/feel the need for further Physiotherapy'. Unfortunately I have also seen too many return with further and often more chronic problems once the 'effect' of the injection has ceased. Early education and graduated exercises is a must if an injection is used in my humble option. ******************************************** Erik Dombroski, Clinical Educator, School of Physiotherapy Auckland Institute of Technology, New Zealand E-Mail: [log in to unmask] URL: www.ait.ac.nz/depts/physio "Education is a man's going forth from cocksure ignorance to thoughtful uncertainty." Don Clark ********************************** %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%