Chapter 62 Injection Therapy
OVERVIEW.
Joint and soft tissue injection may be administered to differentially diagnose (i.e., identify the pain source), treat soft tissue pain, reduce inflammation (e.g., corticosteroid injections), or assist in the physical therapy of inflamed joints.1 Three sources (all physicians) mentioned 39 concerns for injection therapy. Concerns ranged from 10 to 31; many are corticosteroid related. The largest proportion of concerns was procedural (e.g., excessive cortisone treatments, poor technique) or musculoskeletal (e.g., some arthritic conditions). The most frequently cited injection therapy concerns were septicemia, coagulation defects, local infection, dosage restrictions with corticosteroids, and the need for aseptic technique.