How do you inject the rotator cuff tendon?

Injecting the rotator cuff tendon involves precise targeting to deliver medication directly into the affected area for therapeutic purposes. The procedure typically involves the following steps:

1. Patient Preparation: The patient is positioned comfortably with their affected shoulder exposed and supported. Vital signs may be monitored throughout the procedure.

2. Anesthesia: Local anesthesia is usually administered to minimize pain during the injection. This may involve a skin injection and a deeper injection closer to the tendon.

3. Ultrasound Imaging: Ultrasound technology is commonly used to provide real-time visualization of the shoulder structures, including the rotator cuff tendons, surrounding tissues, and underlying bone.

4. Needle Placement: Under ultrasound guidance, a thin hollow needle is carefully guided toward the affected rotator cuff tendon. This is done using a combination of visual reference and gentle probing to ensure accurate needle placement.

5. Medication Injection: Once the needle tip is confirmed to be within the desired area, the medication is slowly injected. This may include corticosteroids or other therapeutic agents to reduce inflammation, provide pain relief, and promote healing.

6. Withdrawal: The needle is gently withdrawn while applying pressure to the injection site to minimize any post-injection bleeding or leakage of medication.

7. Rest and Immobilization: After the injection, the patient's shoulder may be immobilized temporarily to protect it from excessive movement and allow the medication to take effect. This may involve wearing a sling or performing specific physical therapy exercises.

It's important for the injection to be performed by a trained healthcare professional, usually a doctor specializing in musculoskeletal medicine like an orthopedist or a physical medicine and rehabilitation specialist. They will ensure proper technique, appropriate medication selection, and patient monitoring during the procedure.