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Thursday, March 10, 2011

Gout Inflammation: Pre and Post Injection

From my last post on Robert as he presented with the classic gout vs infection decision making process, I decided to injection a low dose of cortisone into the big toe joint, and the other joint in the big toe (1/2 ml of Kenalog 10 with 1/2 ml of 0.5% Sensorcaine plain). He had not improved on 3 weeks of antibiotics from his primary. There was no reason he should be infected. Here again is the pre-shot photo.

Following the shot, he felt improvement that night. When he returned to the office 5 days, 85-90% of his pain was gone. Here is a post injection photo.

This sounds logical, but the fear of infection makes docs think about antibiotics first. So I am glad I got to the patient second!!

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.