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After the suitable risks of the injection were discussed with the patient, including infection and elevated blood glucose levels, and there were no known allergies to the materials involved with the injection, the patient chose to proceed. The area was cleansed with Hibistat. Using a clean, sterile, no touch technique, through the superolateral approach directed medial to the underside of the patella, 10 mL of Xylocaine 1% without epinephrine was injected into the knee joint using a twenty two gauge inch and a half needle. Following this, the syringe with the Xylocaine was removed while the needle was left intact and 1 mL of Depo-Medrol 80 was injected. This was done without complications.

The patient was told that the injection may cause more pain for two to three days afterwards and if this occurred they would best be served by icing the area 15-20 minutes every 6 hours. The patient was advised to protect the knee by limiting repetitive bending, squatting , kneeling and excessive heavy use for a week. Also, they were asked to follow up in two weeks p.r.n.

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