Steroid injections are commonly used to treat rotator cuff tendinopathy, but controlled studies have demonstrated modest benefit, particularly in the long term. 34 Steroid injections should be reserved for patients who have discomfort that would limit them from engaging in rehabilitative exercises. Injections into the gluteal muscle versus guided injections into the subacromial bursa have demonstrated similar levels of pain relief. 35 Surgical options are available for patients with persistent symptoms, or for patients in whom function cannot be maintained.
The Ultrasound Site is a free access, educational and online learning resource for those who use diagnostic MSK Ultrasound. You might be a Physiotherapist, Orthopaedic Specialist, Radiologist, Radiographer, Rheumatologist, Sports Medicine Physician, Radiographer, Osteopath, Chiropractor or another profession…but hopefully you will all offer your views, knowledge and skills to make this a fantastic learning environment. MSK sonography is used in different ways, in different settings, by different professions and this is where we hope to bring it all together! We are building a dynamic and interactive community..come and join in!
The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.