I agree, Erik! Trochanteric bursitis is usually a manifestation of biomechanical changes that have occurred. Injections...my opinion...temporary quick fix...with absolutely no guarantee that the problem will not continue or recur!
Di Howell
MA{A Dip Phys (NZ)
*********** REPLY PARTITION ***********
On 19/03/98, at 22:36, Erik Dombroski wrote:
>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
>**********************************
>
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