The Shoulder

Procedure

As a rule, only one part of the bursa is affected.

If, on palpation local tenderness is found in the superficial (subdeltoid) part, this must be infiltrated.
If no local tenderness is detected on palpation, the deep (subacromial) part is considered to be at fault and infiltrated.
A diagnostic infiltration with 10 ml of a 0.5% procaïne solution is always administered first. The injection may prove curative as well.
The infiltration is repeated if there has been improvement but not full recovery after one week.
If no improvement is obtained after one week, 20 to 30 mg triamcinolone must be added to the next infiltration.
Weekly injections until full cure ( with a maximum of three injections with triamcinolone).