Indications and Usefulness of Common Injections for Nontraumatic Orthopedic Complaints

Med Clin North Am. 2016 Sep;100(5):1077-88. doi: 10.1016/j.mcna.2016.04.007.

Abstract

Pain related to various musculoskeletal conditions is a common patient complaint, and one that is often difficult to remedy. In addition to oral analgesics and physical therapy, local injections (most commonly of corticosteroids) are a common intervention and have been for decades. However, in most cases, the literature is full of poor-quality studies, making the true utility of these injections questionable. This article reviews some of the literature studying these injections with the goal of providing clinicians the information to make evidence-based, high-value choices.

Keywords: Arthritis; Corticosteroids; Joint injections; Steroid injections; Tendinopathy.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage*
  • Adrenal Cortex Hormones / adverse effects
  • Adrenal Cortex Hormones / economics
  • De Quervain Disease / drug therapy
  • Humans
  • Hyaluronic Acid / administration & dosage
  • Hyaluronic Acid / adverse effects
  • Hyaluronic Acid / economics
  • Injections, Intra-Articular
  • Lumbar Vertebrae*
  • Osteoarthritis, Knee / drug therapy*
  • Shoulder Impingement Syndrome / drug therapy*
  • Spinal Diseases / drug therapy*
  • Tennis Elbow / drug therapy*

Substances

  • Adrenal Cortex Hormones
  • Hyaluronic Acid