Corticosteroids effects can be divided into Glucocorticoid and Mineralcorticoid activity. It’s the Glucocorticoids which have the anti-inflammatory effect. In my Practice, I use Triamcinolone (Kenalog) because:-
However Methylprednisolone (Depomedrone) is perfectly suitable to use as well (double the dose when compared to Kenalog).
Side-Effects
Arise when:-
Systemic Effects
Local Effects
Dosages
This is a summary of the dosages I use for specific joints. I also incorporate/mix some local anaesthetic, usually 0.5% Marcaine, within the syringe to make up the final volume.
Joint | Volume (ml) | Kenalog (mg) |
Shoulder | 10 | 40 |
Hip | 10 | 40 |
Knee | 10 | 40 |
Elbow | 5 | 20 |
Ankle | 5 | 20 |
Fingers | 1 | 10-20 |
Wrist, Thumb | 2 | 10-20 |
Please see conditions listed in the menu above for advice on how to inject specific anatomical areas.