The Shoulder

Technique

After the tendon has been palpated, the thumb remains on the bicipital groove.

A thin needle of 2.5 cm long is fitted to a 1ml syringe and filled with Triamcinoloneacetonide 10 mg/ml.
The needle is inserted in the middle of the affected part (proximal or distal depending on the localising sings), just medial of the palpating thumb, and directed towards the bone.
The tendon is only a few mm. thick so the bone is reached immediately after tendinous resistance is felt.
The infiltration is done at bony contact, along a line over about 1.5 cm so as to include the whole lesion.