With practice-based commissioning, pressure to reduce referrals, the desire to treat patients quickly and the need for variety in our working life, many GPs are keen to learn and develop new skills.
Performing joint injections safely is a useful skill to learn. Standard techniques, once mastered, are easy to perform and satisfying to do. Good instruction and acquiring confidence is key to safe practice.
This DVD, by Mr Grey Giddins and Mr Rob Turner, offers an excellent tutorial prior to performing techniques in front of an experienced teacher - but it should not be relied on as a sole source of learning.
Easy to use
The DVD is straightforward to use, just follow the on-screen instructions. A menu allows the user to watch an introduction, play the whole disc from beginning to end, or select a particular anatomical injection to review.
All sections have a running commentary with visual aids or video. The introduction gives a basic overview of joint injections, equipment and relative and absolute contraindications.
Within each section, the authors discuss the indications of a joint injection and review the anatomy on a skeleton. This is incredibly useful, helping the viewer gain a real understanding of where they are injecting.
Finally, an injection is shown live, on a real patient, with commentary throughout. Some sequences are shown on a patient who is under a general anaesthetic, which is a highly instructive exercise.
In addition to the injection videos, the DVD also contains a useful dosing poster and patient information leaflet.
Upper limb injections
Indications and techniques for many injection sites on the upper limb are reviewed.
Shoulder injections include subacromial and glenohumeral for rotator cuff disorders or frozen shoulder, respectively.
Golfer's and tennis elbow, wrist injections for conditions such as carpal tunnel syndrome and De Quervain's tenosynovitis and hand injections including trigger finger, interphalangeal joints, metacarpophalangeal joints and thumb carpometacarpal joints are all very well demonstrated.
The DVD may be used as a learning aid for doctors wanting to develop an interest in joint injections, or just as a quick reminder or revision tool prior to performing an injection.
- Dr Thakkar is a GP in Wooburn Green, Buckinghamshire
GP and Radcliffe Publishing are giving away three copies of Upper Limb Injections - An Instructional DVD by Mr Grey Giddins and Mr Rob Turner worth £29.99 each.
If you are unlucky in the draw, you can order a copy direct from the Radcliffe Publishing website, www.radcliffe-oxford.com