Expanded and updated for its Third Edition, A Practical Guide to Joint & Soft Tissue Injection and Aspiration explains the rationale and step-by-step procedures for joint and soft tissue injections and aspirations. The book enables primary care practitioner to master the effective techniques for treating a variety of common skin and musculoskeletal conditions. This edition covers many alternative techniques and several new procedures, including a whole new section on ultrasound-guided injections.

Pages have color tabs for quick access to body part
Companion website includes text, images and video
Consistent headings throughout for easy to find navigation: Patient position, anatomy, Landmarks, Anesthesia, Equipment, Technique, Aftercare, Pearls
Full-color illustrations help practitioners identify anatomic landmarks and demonstrate how to perform each technique
References added at the end of every chapter
Step by step process of every procedure
Video with every procedure
Whole new section on musculoskeletal ultrasound and ultrasound-guided injections

1. INTRODUCTION

2. FOUNDATION CONCEPTS
Thoughtful Consideration
Alternatives to Medication Management
Understand Anatomy
Identify Landmarks
When to Refer to a Subspecialist
Indications for Injections and Aspirations
Contraindications to Injections and Aspirations
Safety
Synovial Fluid Analysis
Special Medical Conditions
Topical Anesthesia
Local Infiltration Anesthesia
Injectable Agents
Corticosteroids
Viscosupplementation
Botulinum Toxin
Other
Equipment
Technique
Musculoskeletal Ultrasound
Complications
Aftercare
Documentation of the Procedure
Billing and Coding
Informed Consent
Evidence-based Medicine

3. SKIN ANESTHESIA 
Direct Local Injection
Field Block Local Injection
Digital Nerve Block
Facial Nerve Blocks
Supraorbital and Supratrochlear Blocks
Infraorbital Nerve Block
Mental Nerve Block
Mucosal Fold Block

4. SKIN AND SKIN STRUCTURES 
Chalazion 
Keloid Scar
Common Warts
Granuloma Annulare and Other Thin, Benign, Inflammatory Dermatoses
Prurigo Nodularis and Other Thick, Benign, Inflammatory Dermatoses

5. HEAD AND NECK 
Temporomandibular Joint 
Greater Occipital Neuralgia 
Cervical Strain and Sprain 

6. UPPER EXTREMITIES 
Subacromial Space Injection—Posterior Approach 
Glenohumeral Joint—Posterior Approach 
Glenohumeral Joint—Anterior Approach 
Acromioclavicular Joint 
Sternoclavicular Joint 
Bicipital Tenosynovitis - Long Head 
Cubital Tunnel Syndrome 
Elbow Joint 
Olecranon Bursitis 
Lateral Epicondylitis 
Medial Epicondylitis 
Radial Nerve Entrapment 
Carpal Tunnel Syndrome— Preferred Flexor Carpi Radialis (FCR) Approach  
Carpal Tunnel Syndrome—Traditional Approach 
Wrist Joint 
de Quervain’s Tenosynovitis 
Dorsal Wrist Ganglion Cyst 
Thumb Carpometacarpal Joint 
Metacarpophalangeal Joint 
Trigger Finger 
Digital Mucous Cyst

7. TRUNK 
Myofascial Trigger Points 
Suprascapular Neuropathy 
Scapulothoracic Syndrome 
Sacroiliac Joint 

8. LOWER EXTREMITIES 
Hip Joint—Preferred Lateral Approach 
Hip Joint—Anterior Approach 
Piriformis Syndrome 
Meralgia Paresthetica 
Greater Trochanteric Pain Syndrome 
Hip Adductor Tendonitis 
Knee Joint Injections
Knee Joint—Preferred Lateral Suprapatellar Approach 
Knee Joint— Lateral Midpatellar Approach
Knee Joint— Anterior Medial and Anterior Lateral Approaches  
Prepatellar Bursitis 
Pes Anserine Bursitis 
Iliotibial Band Friction Syndrome 
Tibialis Posterior Tendonitis 
Tarsal Tunnel Syndrome 
Ankle Joint—Anterior-Lateral Approach 
Ankle Joint—Anterior-Medial Approach 
Fibularis Brevis Tendonitis 
Plantar Fasciitis 
First Metatarsophalangeal Joint 
Morton’s Interdigital Neuroma

APPENDIX 1: CONSENT FOR NEEDLE ASPIRATION AND/OR INJECTION
APPENDIX 2: ASPIRATION AND INJECTION AFTERCARE HANDOUT
APPENDIX 3: MEDICAL RECORD DOCUMENTATION