An illustrated practical guide to the use and technique of injecting joints for the relief of musculoskeletal pain and inflammation. Introductory chapters deal with the effects of corticosteroids and local anaesthetics and their uses; safety procedures which should be observed when using these products for injection and guidelines to safe injection techniques. The bulk of the book deals with the technique of injection joint by joint. The text is laid out so that each page of text describing the technique is matched by a facing page of illustrations illustrating the procedure. For each joint there is a 4 colour line drawing of the anatomy of the joint and a full colour photograph showing the surface anatomy position for injection. The actual technique of giving the injectin and locatin the correct anatomical position for the insertion of the needle is demonstrated and explained on the CDRom.
The cd-rom will include:
An introduction by the author
Demonstrations of 21 upper limb injections (plus 7 clips using bones to show the correct anatomical location for the injection)
Demonstrations of 27 lower limb injections (plus 7 clips using bones to show correct anatomical location for the injection)
Demonstrations of 7 spinal/advanced techniques (with 5 clips using bones to show anatomical location for the injection)
Demonstrations of two real injections (ie not using a sheathed needle).

The book features:

• Step by step guide to injection techniques
• Highly illustrated: 4 colour line drawings and full colour photographs showing the area for needle insertion and the correct position for the needle
• Layout allows text and relevant illustrations to be on facing pages
• Canadian binding with PPC cover combines protective cover with ability to lie the text flat for easy referral
• Includes essential information on the substances to be injected
• Adopts the latest guidelines for the safety of the procedure
• Relevant to a wide range of practitioners who have to deal with the management of swollen and painful joints particularly in relation to sports and overuse injuries
• Written by two highly experienced practitioners who also have many years of experience in teaching the technique
• Main author was key player in defining the guidelines for safe practice.

• An introduction by the author
• Demonstrations of 21 upper limb injections (plus 7 clips using bones to show the correct anatomical location for the injection)
• Demonstrations of 27 lower limb injections (plus 7 clips using bones to show correct anatomical location for the injection)
• Demonstrations of 7 spinal/advanced techniques (with 5 clips using bones to show anatomical location for the injection)
• Demonstrations of two real injections (ie not using a sheathed needle).

Section 1 Guidelines and procedures

*The drugs
*Safety
*Aspiration, accuracy and miscellaneous injections
*Injection technique guideline
*Contraindications to injection therapy
*Preparation protocol
*Injection technique flowchart

Section 2 Injection techniques: assessment of the upper limb

*Tests
*The Shoulder
*Glenohumeral joint
*Suprascapular nerve
*Acromio-clavicular joint
*Sterno-clavicular joint
*Subacromial bursa
*Supraspinatus tendon
*Infraspinatus tendon
*Subscapularis tendon and bursa
*Long head of biceps tendon
*The Elbow
*Elbow joint
*Olecranon bursa
*Common extensor tendon
*Common flexor tendon
*Biceps tendon insertion
*Wrist and Hand
*Wrist joint
*Inferior radio-ulnar joint
*Thumb and finger joints
*Thumb tendons
*Flexor tendon nodule
*Carpal tunnel
*Summary of suggested upper limb doses

Section 3 Injection techniques: assessment of the lower limb

*Tests
*The Hip
*Hip joint
*Gluteal bursa
*Psoas bursa
*Trochanteric bursa
*Adductor tendons
*Hamstring origin
*Lateral cutaneous nerve
*The Knee
*Knee joint
*Superior tibio-fibular joint
*Coronary ligament
*Medial collateral ligament
*Infrapatella bursa
*Pes anseurine bursa
*Iliotibial band bursa
*Quadriceps expansion
*Infrapatella expansion
*Baker's cyst
*The Ankle and Foot
*Ankle joint
*Subtalar joint
*Deltoid ligament
*Lateral ligament
*Achilles tendon
*Achilles bursa
*Midtarsal joints
*Toe joints
*Peroneal tendons
*Plantar fascia
*Summary of suggested lower limb doses

Section 4 Injection techniques: spine and jaw

*Spinal injections
*Tests
*Cervical facet joint
*Lumbar facet joint
*Lumbar nerve root
*Caudal epidural
*Sacro-iliac joint
*Sacro-coccygeal joint
*Temporo-mandibular joint
*Summary of spinal doses

Appendix 1 Injection Survey - Peripheral joint & soft tissue injections given in General Practice 1991-2004

Appendix 2 Websites

References

CD to contain clips of all techniques:

*An introduction by the author
*Demonstrations of 21 upper limb injections (plus 7 *clips using bones to show the correct anatomical location for the injection)
*Demonstrations of 27 lower limb injections (plus 7 clips using bones to show correct anatomical location for the injection)
*Demonstrations of 7 spinal/advanced techniques (with 5 clips using bones to show anatomical location for the injection)
*Demonstrations of two real injections (ie not using a sheathed needle).

By Stephanie Saunders, FCSP, FSOM, Private Practitioner; Director of Courses in Orthopaedic Medicine and Injection Therapy, Orthopaedic Medicine Seminars and the Association of Chartered Physiotherapists in Orthopaedic Medicine; Fellow of Chartered Society of Physiotherapists, London, UK; and Steve Longworth