Shaping better health
REMEDY : BNSSG referral pathways & Joint Formulary

BNSSG Paediatric Joint Formulary

10.4 Soft tissue and joint disorders

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10.4 Soft tissue and joint disorders

First line drugs Second line drugs Specialist drugs Secondary care drugs


Link to BNF C Corticosteroids

10.4.1 Local inflammation of joints and soft tissue


Prednisolone (TLS Amber No SCP)

  • In children with rheumatic diseases corticosteroids should be reserved for specific indications (e.g. when other therapies are unsuccessful or while waiting for DMARDs to take effect) and should be used only under the supervision of a specialist


Methylprednisolone (TLS Red)


Local Corticosteroid Injections 

Triamcinolone acetonide (Kenalog®) (TLS Red)


10.4.2 Soft tissue disorders

Link to BNF Soft-tissue disorders


Hyaluronidase (TLS Red)