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Possible risks of local anaesthetic injection for extra-articular tissues Injections of local anaesthetics around tendons are regularly employed to diagnose or treat tendon pain

Baseline and periodic blood pressure measurements, particularly in patients with cardiovascular disease or those taking cardiovascular medications, would identify any clinically significant hemodynamic effects

Because the use of diuretics can accentuate the diminished intravascular volume, avoid diuretics except in the late phase of resolution as described below

Care team oversight is essential for off-label applications, and baseline assessment of metabolic parameters, including fasting glucose, lipid panel, and IGF-1, is recommended with periodic re-monitoring