Letters to the Editor

Helpful Tips for Performing Musculoskeletal Injections



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Am Fam Physician. 2010 Jan 1;81(1):15.

Original Article: Musculoskeletal Injections: A Review of the Evidence

Issue Date: October 15, 2008

Available at: http://www.aafp.org/afp/20081015/971.html

to the editor: I very much enjoyed your article on musculoskeletal injections. I teach residents in my program the skills you describe in your article because I believe any family physician with proper training can perform these procedures. I would like to add two of my own pearls of wisdom. First, it is helpful to have an injection kit on hand. I use a fishing tackle box, bought for less than $20 at a local sporting goods store, to store alcohol pads, adhesive bandages, gauze pads, needles, syringes, iodine-povidone (Betadine) swabs, steroid vials, and lidocaine vials. When I need to do an injection, all I have to do is grab the kit and I have everything I need in one place. Second, I always keep 3.5-inch spinal needles on hand in the event I have to do a trochanteric bursa injection on an obese patient. Quite often, a 1.5-inch needle will not suffice, and a spinal needle is needed to reach the bursa.

Author disclosure: Nothing to disclose.

Send letters to Kenneth W. Lin, MD, MPH, Associate Deputy Editor for AFP Online, e-mail: afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680.

Please include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.

Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the American Academy of Family Physicians permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.



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