Small Joint, Tendon, and Myofascial Injections
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Updated: Oct 4, 2025

Author Spotlight: Fu's Subcutaneous Needling for Knee Osteoarthritis Pain
Published on: March 24, 2023
Lindsay Lafferty1, Smriti Gupta2, Ashley Koontz3
1Department of Family and Community Medicine, Penn State Health, 500 University Drive, Hershey, PA 17033, USA; Department of Orthopedics and Rehabilitation, Penn State Health, 500 University Drive, Hershey, PA 17033, USA.
Abstract:
Small joint, peritendinous, and myofascial injections can be used for both diagnostic and therapeutic purposes. This article reviews injections for carpal tunnel, first dorsal compartment, trigger finger, ganglion cysts, trigger point, and plantar fascia. Necessary equipment should be gathered before the procedure and informed consent should be obtained. Indications, contraindications, and possible complications should be reviewed. Complete understanding of anatomy before injection is paramount. The injection technique should minimize risk of infection. There are no evidence-based postinjection protocols, and outcomes vary depending on the site and medication injected.
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