A Practical Guide to Joint and Soft Tissue Injections

Hundreds of full-color illustrations help you identify landmarks and determine exactly how to proceed.
An all-new chapter on injected anesthesia, including nerve blocks, brings you up to date in this key area.
New coverage of inflammatory dermatoses, carpal tunnel syndrome, myofascial trigger points, and different approaches to
the knee joint help you provide pain relief and improved function to a wide variety of patients.
Comprehensive coverage includes a diverse group of musculoskeletal disorders, chalazions, keloids, warts, and occipital
neuralgia, as well as the use of corticosteroids, viscosupplementation, and dry needling.
Solid guidance in foundational principles covers anatomy and landmarks, when to refer, indications and
contraindications, special medical conditions, equipment, complications, coding and billing, and much more.
Helpful appendices provide consent forms, aftercare handouts, and information on documentation.
Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access
to:
Dozens of step-by-step videos that show you exactly how to perform each injection
Complete content with enhanced navigation
Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even
the web
Cross-linked pages, references, and more for easy navigation
Highlighting tool for easier reference of key content throughout the text
Ability to take and share notes with friends and colleagues
Quick reference tabbing to save your favorite content for future use


Table of Contents
1. INTRODUCTION

2. FOUNDATION CONCEPTS
Thoughtful Consideration
Alternatives to Medication Management
Understand Anatomy
Identify Landmarks
When to Refer to a Subspecialist
Indications for Injections and Aspirations
Contraindications to Injections and Aspirations
Safety
Synovial Fluid Analysis
Special Medical Conditions
Topical Anesthesia
Local Infiltration Anesthesia
Injectable Agents
Corticosteroids
Viscosupplementation
Botulinum Toxin
Other
Equipment
Technique
Musculoskeletal Ultrasound
Complications
Aftercare
Documentation of the Procedure
Billing and Coding
Informed Consent
Evidence-based Medicine

3. SKIN ANESTHESIA 
Direct Local Injection
Field Block Local Injection
Digital Nerve Block
Facial Nerve Blocks
Supraorbital and Supratrochlear Blocks
Infraorbital Nerve Block
Mental Nerve Block
Mucosal Fold Block

4. SKIN AND SKIN STRUCTURES 
Chalazion 
Keloid Scar
Common Warts
Granuloma Annulare and Other Thin, Benign, Inflammatory Dermatoses
Prurigo Nodularis and Other Thick, Benign, Inflammatory Dermatoses

5. HEAD AND NECK 
Temporomandibular Joint 
Greater Occipital Neuralgia 
Cervical Strain and Sprain 

6. UPPER EXTREMITIES 
Subacromial Space Injection뾒osterior Approach 
Glenohumeral Joint뾒osterior Approach 
Glenohumeral Joint뾃nterior Approach 
Acromioclavicular Joint 
Sternoclavicular Joint 
Bicipital Tenosynovitis - Long Head 
Cubital Tunnel Syndrome 
Elbow Joint 
Olecranon Bursitis 
Lateral Epicondylitis 
Medial Epicondylitis 
Radial Nerve Entrapment 
Carpal Tunnel Syndrome?Preferred Flexor Carpi Radialis (FCR) Approach  
Carpal Tunnel Syndrome뾗raditional Approach 
Wrist Joint 
de Quervain뭩 Tenosynovitis 
Dorsal Wrist Ganglion Cyst 
Thumb Carpometacarpal Joint 
Metacarpophalangeal Joint 
Trigger Finger 
Digital Mucous Cyst

7. TRUNK 
Myofascial Trigger Points 
Suprascapular Neuropathy 
Scapulothoracic Syndrome 
Sacroiliac Joint 

8. LOWER EXTREMITIES 
Hip Joint뾒referred Lateral Approach 
Hip Joint뾃nterior Approach 
Piriformis Syndrome 
Meralgia Paresthetica 
Greater Trochanteric Pain Syndrome 
Hip Adductor Tendonitis 
Knee Joint Injections
Knee Joint뾒referred Lateral Suprapatellar Approach 
Knee Joint?Lateral Midpatellar Approach
Knee Joint?Anterior Medial and Anterior Lateral Approaches  
Prepatellar Bursitis 
Pes Anserine Bursitis 
Iliotibial Band Friction Syndrome 
Tibialis Posterior Tendonitis 
Tarsal Tunnel Syndrome 
Ankle Joint뾃nterior-Lateral Approach 
Ankle Joint뾃nterior-Medial Approach 
Fibularis Brevis Tendonitis 
Plantar Fasciitis 
First Metatarsophalangeal Joint 
Morton뭩 Interdigital Neuroma

APPENDIX 1: CONSENT FOR NEEDLE ASPIRATION AND/OR INJECTION
APPENDIX 2: ASPIRATION AND INJECTION AFTERCARE HANDOUT
APPENDIX 3: MEDICAL RECORD DOCUMENTATION