Intended for healthcare professionals

Rapid response to:


Comparison of fluoroscopically guided and blind corticosteroid injections for greater trochanteric pain syndrome: multicentre randomised controlled trial

BMJ 2009; 338 doi: (Published 14 April 2009) Cite this as: BMJ 2009;338:b1088

Rapid Response:

Image guided injections

As a radiologist I perform a number of image guided injections when
"blind" injections have not been as effective as possible. However, I
always use ultrasound guidance - it is more readily available, and in my
hands a much more effective technique, plus avoiding ionising radiation.
For those clinicians regularly performing injections who require some form
of image guidance the use of ultrasound should be considered. It is a
technique that can be easily learnt, and gives confidence that the needle
has actually been placed where it is needed. I would strongly advocate
usage of ultrasound for as many superficial injections as possible.

Competing interests:
None declared

Competing interests: No competing interests

16 April 2009
Louise Gaunt
Consultant radiologist
Princess Elizabeth Hospital, Guernsey GY4 6UU