NEW Alabama State Seal. Here is a good one! These were even rare in the Old Days, and are, now, nearly impossible to locate with all the increased interest in collectible Civil War buttons. Choice button and premier backmark of Superfin/Paris. 23mm.
Make an Appointment. Intraarticular Facet Joint Injections. When facet joints regularly found around the spine are inflamed, a facet joint injection is administered to relieve the irritation and diagnose where the patients pain is coming from. Once the skin and tissue above the facet joint is thoroughly numbed with local anesthetic, the physician will use a fluoroscope to insert a needle into the facet joint. The proper positioning of the needle is confirmed with the injection of contrast dye and a soothing and numbing combination of anesthetic and anti-inflammatory steroid is injected. If the pain in the facet joint is relieved upon administration of the medication,the physician will then infer that that particular facet joint is the cause of pain.
Intramuscular (IM) injections deposit medication deeply into vascular muscle tissue, thus allowing rapid absorption. The deltoid, vastus lateralis, and ventrogluteal muscles are acceptable sites for IM injections. Previously, the dorsogluteal site was widely accepted and used, but current evidence has demonstrated that it is not acceptable due to its high risk for injury. When preparing to give an IM injection, examine the site to determine that there is adequate muscle tissue. Avoid any areas with lesions, trauma, inflammation, or bony prominences. To prevent tissue damage, rotate IM injection sites when injections are regularly scheduled.