Intra-articular treatments in osteoarthritis: from the symptomatic to the structure modifying

L Gossec; M Dougados

doi:10.1136/ard.2003.013771

Intra-articular treatments in osteoarthritis: from the symptomatic to the structure modifying

Ann Rheum Dis. 2004 May;63(5):478-82. doi: 10.1136/ard.2003.013771.

Authors

L Gossec¹, M Dougados

Affiliation

¹ René Discartes University, Cochin Hospital, Rheumatology B Department, Paris, France. laure.gossec@cch.ap-hop-paris.fr

Abstract

The symptomatic and structural efficacy of intra-articular (IA) injections is reviewed. IA corticosteroid injections are rapidly effective, but their symptomatic benefit is short lived. Hyaluronan has delayed onset of efficacy but its benefit for pain may be longer lasting. Lavage and debridement are probably not as efficacious as once thought in osteoarthritis.

Publication types

Review

MeSH terms

Adjuvants, Immunologic / administration & dosage*
Adrenal Cortex Hormones / administration & dosage*
Disease Susceptibility
Humans
Hyaluronic Acid / administration & dosage*
Injections, Intra-Articular
Osteoarthritis / drug therapy*
Treatment Outcome

Substances

Adjuvants, Immunologic
Adrenal Cortex Hormones
Hyaluronic Acid