Role of Injections

The choice of laborious and unnecessary physical therapy, when injection would have been much quicker, is surprised and the incorporation of a local anesthetic into the injection confirms the diagnosis.

Abstract

To the Editor: I would like to comment on an article that appeared in the December 1986 issue of Physical Therapy, “Physical Therapy Management of the Shoulder,” by Arthur J. Nitz. I am not a subscriber, but my attention was drawn to this article when I was doing a literature review on shoulders. I have been involved for years with what now is called orthopedic medicine, but I knew little about shoulders until about five years ago. At that time, I stumbled upon a Cyriax course and was taught something about the selective tissue diagnosis of shoulders and the injection techniques. What surprised me about the article was the choice of laborious and unnecessary physical therapy, when injection would have been much quicker. Also, the incorporation of a local anesthetic into the injection confirms the diagnosis. I have seen about 1,000 shoulders in the last five years.… [ ARTICLE][1] [1]: /lookup/volpage/66/1912?iss=12