Industrial Medicine and Acute Musculoskeletal Rehabilitation. 6. Upper- and Lower-Limb Injections for Acute Musculoskeletal Injuries and Injured Workers

Abstract

Foye PM, Sullivan WJ, Sable AW, Panagos A, Zuhosky JP, Irwin RW. Industrial medicine and acute musculoskeletal rehabilitation. 6. Upper- and lower-limb injections for acute musculoskeletal injuries and injured workers.

This self-directed study module focuses on the use of corticosteroids and other injections in the treatment of lateral epicondylitis, de Quervain’s tenosynovitis, carpal tunnel syndrome, Achilles’ tendinitis, and plantar fasciitis. It is part of the study guide on industrial rehabilitation medicine and acute musculoskeletal rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation.

Overall Article Objective

To review the medical literature to help clinicians make treatment decisions regarding corticosteroid and other injections in the upper and lower limbs in injured workers.

Key Words: Achilles tendon, Carpal tunnel syndrome, Corticosteroids, Injections, Fasciitis, Rehabilitation, Tendinitis, Tennis elbow, Tenosynovitis, Tendon injuries

a Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey: New Jersey Medical School, Newark, NJ

b Department of Physical Medicine and Rehabilitation, University of Colorado at Denver and Health Sciences Center, Denver, CO

c Department of Rehabilitation Medicine, Weill Cornell Medical Center, New York–Presbyterian Hospital, New York, NY

d Total Spine Specialists, Department of Physical Medicine and Rehabilitation, Carolinas Medical Center, Charlotte, NC

e St. John’s Macomb Hospital, Warren, MI

f Department of Rehabilitation Medicine, University of Miami, Miller School of Medicine, Miami, FL.

Correspondence to Patrick M. Foye, MD, Dept of PM&R, UMDNJ: New Jersey Medical School, 90 Bergen St, DOC-3100, Newark, NJ 07103.

No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

Reprints are not available from the author.

PII: S0003-9993(06)01568-1

doi:10.1016/j.apmr.2006.12.013

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