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Thu Jun 28, 2018, 03:20 PM

Finally, something to feel good about.

I just did my first joint injection since graduating from PA School nine years ago.

It was a fairly routine shoulder joint injection. But routine isn't so routine when it's been so long.

The patient was very pleased, and said it was better and less painful than the two previous ones he had received from his orthopedist.

It's a very gratifying boost to my clinical confidence, and means one less thing I'll have to refer out for.

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Response to Aristus (Original post)

Thu Jun 28, 2018, 03:30 PM

1. i had one ..after a yr of pt my shoulder was barely usable.. I had been warned about the shots...

...how long the needle is and how much it hurt....possible long term effects etc. Well my shoulder hurt that much anyway! So I get a recommendations from my PT, I chose the female PA. During the visit I told her I was a bit nervous about needles etc. She left and got the shot and hid it behind her. She explained where the injection site would be and that I would feel a sensation elsewhere (thank gawd she didnt say a LONG ways from where I first inject you)...and the procedure was painless! I fel a little sensation but she had me ast such ease...and her skill....made the procedure cake!

I dont know how long the cortisone effects will last. This was done end of Dec and I do feel the beginnings of impairment but nowhere what it was when I got the shot. I would do it again way before PT.


Congratulations and job well done!

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Response to samnsara (Reply #1)

Thu Jun 28, 2018, 03:33 PM

3. Thank you.

Glad to hear a fellow PA did such a good job on you.

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Response to Aristus (Original post)

Thu Jun 28, 2018, 03:31 PM

2. If you know the anatomy, not so hard. But virtually no non-Orthopedic physicians will try it.

Good on you.

I find it amazing that most veterinarians comfortably and accurately do so, but at least in Colorado, this is a basic procedure that primary care physicians avoid at all cost.

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Response to hlthe2b (Reply #2)

Thu Jun 28, 2018, 03:35 PM

4. The shoulder isn't so bad if you know the anatomical landmarks.

After that, it's just needle-depth and angle, and speed of the med push (slow-to-moderate).

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Response to Aristus (Original post)

Thu Jun 28, 2018, 03:49 PM

5. I had several of those in my hip and they always seemed hit-or-miss.

It takes a special touch, that's for sure. Some of them worked great; others, not so much. Oddly, the worst outcome I had was under flouroscopy. I was quite young when I had those due to early-onset OA, as I was pretty active. It's such a relief when you get up and it feels better immediately.

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