HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Fadale, P. Articles by Wiggins, M. Search for Related Content PubMed PubMed Citation Articles by Fadale, P. Articles by Wiggins, M.

Corticosteroid Injections: Their Use and Abuse

Department of Orthopaedic Surgery, Rhode Island Hospital, Providence.

Local injections of corticosteroids are commonly used in orthopaedic practice on the assumption that they will diminish the pain of inflammation and accelerate healing. Less often considered is the possibility that their use may delay the normal repair response. Among the multitude of conditions treated with corticosteroids are acute athletic injuries, overuse syndromes, nerve compression, bone cysts, and osteoarthritis. Unfortunately, there is a paucity of well-controlled studies that provide definitive recommendations for nonrheumatologic use of corticosteroids. Also troubling are the significant potential complications that can occur with their use. The authors believe that use of corticosteroids should be limited to the few conditions that have been proved to be positively influenced by them. Their use must be accompanied by a well-orchestrated treatment plan including close follow-up, physical therapy, and limitation of activities.

This article has been cited by other articles:

				J. J. Nepple and M. J. Matava Soft Tissue Injections in the Athlete Sports Health: A Multidisciplinary Approach, September 1, 2009; 1(5): 396 - 404. [Abstract] [Full Text] [PDF]

				A. Kalaci, H. Cakici, O. Hapa, A. N. Yanat, Y. Dogramaci, and T. T. Sevinc Treatment of Plantar Fasciitis Using Four Different Local Injection Modalities: A Randomized Prospective Clinical Trial J Am Podiatr Med Assoc, March 1, 2009; 99(2): 108 - 113. [Abstract] [Full Text] [PDF]

				E. Kiter, E. Celikbas, S. Akkaya, F. Demirkan, and B. A. Kilic Comparison of injection modalities in the treatment of plantar heel pain: a randomized controlled trial. J Am Podiatr Med Assoc, July 1, 2006; 96(4): 293 - 296. [Abstract] [Full Text] [PDF]

				D. M. Kalainov and M. S. Cohen Posterolateral Rotatory Instability of the Elbow in Association with Lateral Epicondylitis. A Report of Three Cases J. Bone Joint Surg. Am., May 1, 2005; 87(5): 1120 - 1125. [Full Text] [PDF]

				W. N. Levine, J. A. Bergfeld, W. Tessendorf, and C. T. Moorman III Intramuscular Corticosteroid Injection for Hamstring Injuries: A 13-Year Experience in the National Football League Am. J. Sports Med., May 1, 2000; 28(3): 297 - 300. [Abstract] [Full Text] [PDF]

				F. Crawford, D. Atkins, P. Young, and J. Edwards Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial Rheumatology, October 1, 1999; 38(10): 974 - 977. [Abstract] [Full Text] [PDF]