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Management of localized  Tender Points  Vinod Naneria
Classification – According to  Pathology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classification – cont…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification – cont…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification – cont…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Caution: Hypertension  ,[object Object],[object Object],[object Object],[object Object]
Management – cont… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management – Local Steroid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management – cont… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Instructions to patients ,[object Object],[object Object],[object Object],[object Object],[object Object]
Caution: Diabetes ,[object Object],[object Object],[object Object],[object Object]
Management – cont… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Instructions to patient after local steroid injection ,[object Object],[object Object],[object Object],[object Object]
Cortisone induced Leucoderma  of the wrist
A word of caution: ,[object Object]
Soft tissue necrosis
Tips….. ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Tips….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Tips….. ,[object Object],[object Object],[object Object],[object Object]
 
Tips….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
Contraindications for use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Triamcinolone is crystalline suspention ,[object Object],[object Object]
DISCLAIMER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Management Of Localised Tender Points

Notas do Editor

  1. A wide bore needle is required as triamcinolone is a crystal suspention and is quite thick.
  2. Dermal/sub-dermal atrophy or changes in the make-up of the connective tissue and depressions in the skin at the injection site may occur due to the presence of adrenal steroid crystals in the dermis. The skin should regenerate within a few months after all the crystals have been absorbed.