We always begin the examination of a patient with an anamnesis which often helps to determine a temporary diagnosis.
One of the most important anamnestic data is also a reaction of a patient on the previous therapy and its effectiveness, mainly steroid injections. At present the patient seldom comes to the rheumatologist without any previous peritendinous steroid injections done by the general practitioner or orthopaedist. If the first steroid injection is not effective, it shows that it deals with:
more serious affection
unsuitably targetable application of the injection
affection at which an inflammatory reaction does not play any role.