1. INTRODUCTION 2. FOUNDATION CONCEPTS Thoughtful Consideration Alternatives to Medication Management Understand Anatomy Identify Landmarks When to Refer to a Subspecialist Indications for Injections and Aspirations Contraindications to Injections and Aspirations Safety Synovial Fluid Analysis Special Medical Conditions Topical Anesthesia Local Infiltration Anesthesia Injectable Agents Corticosteroids Viscosupplementation Botulinum Toxin Other Equipment Technique Musculoskeletal Ultrasound Complications Aftercare Documentation of the Procedure Billing and Coding Informed Consent Evidence-based Medicine 3. SKIN ANESTHESIA Direct Local Injection Field Block Local Injection Digital Nerve Block Facial Nerve Blocks Supraorbital and Supratrochlear Blocks Infraorbital Nerve Block Mental Nerve Block Mucosal Fold Block 4. SKIN AND SKIN STRUCTURES Chalazion Keloid Scar Common Warts Granuloma Annulare and Other Thin, Benign, Inflammatory Dermatoses Prurigo Nodularis and Other Thick, Benign, Inflammatory Dermatoses 5. HEAD AND NECK Temporomandibular Joint Greater Occipital Neuralgia Cervical Strain and Sprain 6. UPPER EXTREMITIES Subacromial Space Injection--Posterior Approach Glenohumeral Joint--Posterior Approach Glenohumeral Joint--Anterior Approach Acromioclavicular Joint Sternoclavicular Joint Bicipital Tenosynovitis - Long Head Cubital Tunnel Syndrome Elbow Joint Olecranon Bursitis Lateral Epicondylitis Medial Epicondylitis Radial Nerve Entrapment Carpal Tunnel Syndrome-- Preferred Flexor Carpi Radialis (FCR) Approach Carpal Tunnel Syndrome--Traditional Approach Wrist Joint de Quervain''s Tenosynovitis Dorsal Wrist Ganglion Cyst Thumb Carpometacarpal Joint Metacarpophalangeal Joint Trigger Finger Digital Mucous Cyst 7. TRUNK Myofascial Trigger Points Suprascapular Neuropathy Scapulothoracic Syndrome Sacroiliac Joint 8.

LOWER EXTREMITIES Hip Joint--Preferred Lateral Approach Hip Joint--Anterior Approach Piriformis Syndrome Meralgia Paresthetica Greater Trochanteric Pain Syndrome Hip Adductor Tendonitis Knee Joint Injections Knee Joint--Preferred Lateral Suprapatellar Approach Knee Joint-- Lateral Midpatellar Approach Knee Joint-- Anterior Medial and Anterior Lateral Approaches Prepatellar Bursitis Pes Anserine Bursitis Iliotibial Band Friction Syndrome Tibialis Posterior Tendonitis Tarsal Tunnel Syndrome Ankle Joint--Anterior-Lateral Approach Ankle Joint--Anterior-Medial Approach Fibularis Brevis Tendonitis Plantar Fasciitis First Metatarsophalangeal Joint Morton''s Interdigital Neuroma APPENDIX 1: CONSENT FOR NEEDLE ASPIRATION AND/OR INJECTION APPENDIX 2: ASPIRATION AND INJECTION AFTERCARE HANDOUT APPENDIX 3: MEDICAL RECORD DOCUMENTATION.