Patient has single bipartite sesamoid, evidence of DJD on US between segements and limited benefit so far with offloading with foot orthoses.
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I am considering going a US guided shot, have no prior experience for this and assuming this will be pretty unpleaseant without doing a tibial nerve block first.
Anyone have any recomendations based on their experience regarding making a corticosteroid injection into tibial sesamoid joint a civilised affair in terms of pain.
TIA
Martin
The St. James Foot Clinic
1749 Portage Ave.
Winnipeg
Manitoba
R3J 0E6
phone [204] 837 FOOT (3668)
fax [204] 774 9918
www.winnipegfootclinic.com
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