This past week I've been doing my Sports Medicine elective - it's going well! There are so many different variations on what I thought were all the same thing... for example "ankle sprain" is not really a good diagnosis. There are so many other things that you can have, pertaining to specific anatomy... and some more serious things that I didn't
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Some joints - particularly ankles - are difficult to inject in the correct location, so my guess is that the cortisone may not have actually got into the joint, but went into the surrounding area.
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