Small Joint, Tendon, and Myofascial Injections

Lindsay Lafferty; Smriti Gupta; Ashley Koontz; Cayce Onks

doi:10.1016/j.pop.2021.10.006

Small Joint, Tendon, and Myofascial Injections

Prim Care. 2022 Mar;49(1):131-143. doi: 10.1016/j.pop.2021.10.006. Epub 2022 Jan 5.

Authors

Lindsay Lafferty¹, Smriti Gupta², Ashley Koontz³, Cayce Onks⁴

Affiliations

¹ Department of Family and Community Medicine, Penn State Health, 500 University Drive, Hershey, PA 17033, USA; Department of Orthopedics and Rehabilitation, Penn State Health, 500 University Drive, Hershey, PA 17033, USA.
² Department of Family and Community Medicine, Penn State Health, 1850 East Park Avenue Suite 207, State College, PA 16803, USA.
³ Department of Family and Community Medicine, Penn State Health, 500 University Drive, Hershey, PA 17033, USA.
⁴ Department of Family and Community Medicine, Penn State Health, 500 University Drive, Hershey, PA 17033, USA; Department of Orthopedics and Rehabilitation, Penn State Health, 500 University Drive, Hershey, PA 17033, USA. Electronic address: conks@pennstatehealth.psu.edu.

PMID: 35125153
DOI: 10.1016/j.pop.2021.10.006

Abstract

Small joint, peritendinous, and myofascial injections can be used for both diagnostic and therapeutic purposes. This article reviews injections for carpal tunnel, first dorsal compartment, trigger finger, ganglion cysts, trigger point, and plantar fascia. Necessary equipment should be gathered before the procedure and informed consent should be obtained. Indications, contraindications, and possible complications should be reviewed. Complete understanding of anatomy before injection is paramount. The injection technique should minimize risk of infection. There are no evidence-based postinjection protocols, and outcomes vary depending on the site and medication injected.

Keywords: Carpal tunnel; Ganglion; Injection; Plantar fascia; Trigger finger; Trigger point; de Quervain.

Publication types

Review

MeSH terms

Humans
Tendons*