Steroid injections in adult patients with joint and soft tissue conditions JCG0055v4


download Steroid injections in adult patients with joint and soft tissue conditions JCG0055v4


A joint Trust Guideline between James Paget Hospital and NNUH.

Joint and soft tissue injections are commonly undertaken in patients with joint and soft tissue pathology in both primary care and a hospital setting. This is an established therapy which has been embedded in standard clinical practice for many years but the evolving evidence base and the improved access to radiological imaging for targeted injection therapy has changed current practice and it is timely to unify practice across the Trust. 
Medical staff from the following departments are trained in joint and soft tissue injections in their speciality training posts:

  • Orthopaedics
  • Pain Team
  • Radiology
  • Rheumatology

Other health care professionals who may undertake joint and soft tissue injections having undertaken the relevant courses are:

  • Physiotherapists
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Clinical Guidelines
This guideline has been approved by the Trust's Clinical Guidelines Assessment Panel as an aid to the diagnosis and management of relevant patients and clinical circumstances. Not every patient or situation fits neatly into a standard guideline scenario and the guideline must be interpreted and applied in practice in the light of prevailing clinical circumstances, the diagnostic and treatment options available and the professional judgement, knowledge and expertise of relevant clinicians. It is advised that the rationale for any departure from relevant guidance should be documented in the patient's case notes.
The Trust's guidelines are made publicly available as part of the collective endeavour to continuously improve the quality of healthcare through sharing medical experience and knowledge. The Trust accepts no responsibility for any misunderstanding or misapplication of this document.