Dosage and injection
Physicians should perform all joint and soft tissue injections wearing gloves and using aseptic technique. Although sterile gloves and sterile precautions often are used, 18 the gloves need not be sterile if the approach is a “no-touch” technique. In this approach, once the injection site is cleaned with antiseptic solutions, it should not be touched or palpated for anatomical landmarks. The operator enters the needle through the cleaned skin without touching that skin. The dose of the corticosteroid and its potential effect are influenced by various factors, including the size of
the joint, choice of corticosteroid preparation, and severity of inflammation ( see Table 2 ).