Most primary care physicians find that injecting joints, bursae, tendon sheaths, and soft tissues of the human body is a useful diagnostic and therapeutic technique. For many common conditions, extensive practice-based experience supports the success of joint and soft tissue injection.
Physicians require further training in order to incorporate joint and soft tissue injection into their daily practice. Regular knee joint injections, plantar fascia injections, and shoulder joint injections are different procedures Dr. Garg has been trained to conduct.
Corticosteroid injections have a wide range of therapeutic effects. When selecting whether or not to reinject, the patient’s response to the last injection is critical. Most people will respond after the first injection if they are going to respond.
If the patient has shown a significant improvement after the first injection, there is a case to be made for giving a second injection if the symptoms persist. Patients who have not seen symptom relief or functional improvement after two injections should generally not have any more, as the likelihood of a favorable outcome is limited.