Sound Experience

From time to time we have a request for an injection into a tendon. With a clear rationale and usually a documented history of reasonable rehabilitation failing we may make an exception.

This post summarises a recently published article, incorporating a brief quality appraisal of recent evidence, and presents a coherent opinion reinforcing why we will continue to recommend against most tendon steroid injections.

After slipping down a hill, a 61-year-old man presented with a painful Achilles region. First impressions show a tendon most closely fitting with Cook and colleagues’ definition of degenerative tendinopathy, but why then the pain?

Muscle tears, Grading Muscle Injury and Reporting. What’s new? At our recent referrer’s evening, we spent time discussing our current approach to reporting and monitoring muscle tears.

“Not Sever’s Disease” A 10-year-old boy, very active, presents with a 4-month history of heel pain, aggravated by activity.

Quality healthcare is accessible to all.

Serial ultrasound examination of a quadriceps muscle injury. Our grading system is based on anatomy, not numbers. A 61-year-old man presented suffering from right anterior thigh pain following tripping and essentially doing the splits.