As far as intra-articular steroid injections are concerned, it is generally agreed not to treat more than two joints simultaneously, with a maximal total dose of 50 mg triamcinolone acetonide. Usually 5 mg are used for small joints, 20 mg for average and 50 mg for hip and knee joints. An interval of one month is a minimum for weight-bearing joints.
For steroid infiltrations in and around soft tissues, a second and a third infiltration are possible (in case of incomplete therapeutic result), each time with a fortnight's interval. In case of persistent failure, the diagnosis should be questioned or, if it proves correct, another therapy should be installed.
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