The Department of Physical Medicine and Rehabilitation at Montefiore
Injection of soft tissues (muscle tendon, ligament, bursa), joints and peripheral nerve blocks are a very useful addition to physical or occupational therapies in combating musculoskeletal pain and disability. They are most effective when combined with rehabilitation regimens such as stretching and strengthening. Many patients benefit from injections with relief of pain, increased range of motion and improved activity.
Injections of local anesthetic agents or a combination of corticosteroids with local anesthetic agents into the joint, bursa, and tendon relieve inflammation/pain and help to restore function. They are performed by or under the supervision of experienced physiatric faculty who establish and coordinate a comprehensive program of treatment and secondary prevention.
The service evaluates and treats patients with musculoskeletal problems such as:
- Shoulder Pain caused by tendonitis, bursitis, rotator cuff disease, arthritis, frozen shoulder
- Tennis or Golf Elbow, olecranon bursitis, ulnar nerve entrapment
- Carpal Tunnel Syndrome
- DeQuervain's Disease
- Trigger Finger, degenerative joint disease of small hand joints
- Sacroiiliac Joint Dysfunction
- Greater Trochanteric or Gluteal Bursitis
- Iliotibial Band Friction Syndrome
- Knee Pain caused by knee arthritis or Pes Anserine bursitis
- Plantar Fasciitis
- Myofascial Pain (Trigger points)
- TMJ pain
Once a month, the injection service is focused exclusively on spasticity management through Botox/Phenol injection supplemented by appropriate medications and physical/occupational therapies.