Injection Procedures Osteoarthritis and Related Conditions
Joint injection is a particularly beneficial treatment for inflammatory and degenerative conditions in the upper and lower extremities and the spine. The technique is effective for managing pain after other treatments have failed and, though the procedure
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Todd P. Stitik Editor
Injection Procedures Osteoarthritis and Related Conditions
Editor Todd P. Stitik Professor, Physical Medicine and Rehabilitation Co-Director, Musculoskeletal/Pain Management Fellowship Director, Occupational/Musculoskeletal Medicine Co-Director, Interventional Spine Injection Clinic Department of Physical Medicine and Rehabilitation New Jersey Medical School Newark, NJ, USA [email protected]
ISBN 978-0-387-76594-5 e-ISBN 978-0-387-76595-2 DOI 10.1007/978-0-387-76595-2 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: PCN applied for © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
I dedicate this book to my wife, Rossana, and children, Jeanette (“Jenna”) and Luke, whose patience, understanding, sacrifice, and support were greatly appreciated and necessary for the project to be completed. Without them in my life, this book would not have been written.
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Preface
It has been my belief, ever since I was a resident physician and performed my first musculoskeletal injection procedure (a carpal tunnel injection for a patient whom I had diagnosed by EMG testing with carpal tunnel syndrome), that better instructional material was needed for musculoskeletal medicine injection procedures. I recall in preparing for that injection that I had to refer to several different sources of information. Despite this, not one source adequately explained the entire procedure in a practical step-by-step fashion that also included helpful clinical pearls and pitfalls, and none of the sources provided me with a template that I could use to document the procedure in the medical record. The patient’s gratitude when the injection subsequently greatly relieved his symptoms helped to convince me that I wanted to develop a musculoskeletal medicine practice with an emphasis on officebased injection procedures. After struggling to learn and perform several other injection procedures while I was still a resident, I began to wonder why office-based musculoskeletal medicine injection procedures in general were not being performed at that time using some form of image guidance. It was my belief that image guidance could help with injection accuracy and that this would
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