Corticosteroids

The Role of Systemic Steroids in Sciatica Due to Herniated Lumbar Disc

A Systematic Review and Meta-analysis Vale, João MDa; Rocha, Eduardo MDb; Lemos, Carolina MD, PhDc,d; Valente, Cristina PhDe,f; Andrade, Renato BSce,f,g; Espregueira-Mendes, João MD, PhDe,f,h,i,,j; Rodrigues-Pinto, Ricardo MD, PhD, FEBOTa,c,k Spine 48(23):p E391-E400, December 1, 2023. | DOI: 10.1097/BRS.0000000000004801 Abstract Study Design. Systematic review and meta-analysis. Objective. Evaluate the role of systemic steroids in treating […]

Cost Study Backs PT Over Steroid Shots in Knee Osteoarthritis

— Better efficacy and no pricier over time by John Gever, Contributing Writer, MedPage Today January 24, 2022 Although physical therapy for osteoarthritis of the knee costs more than an intra-articular steroid injection, it’s cost-effective when clinical outcomes a year later are taken into account, researchers said. A secondary analysis of data from 156 participants […]

ACR 2020: Corticosteroid Injections Do Not Hasten Progression of Knee Osteoarthritis

November 9, 2020—It does not appear that corticosteroid injections for the management of pain associated with knee osteoarthritis contribute to worsening of the condition, according to research presented at the American College of Rheumatology Virtual Convergence 2020, which took place online from November 5 to 9. “Cortisone injections have been used for a long time […]

Sobering Data on Risks of Short-Term Oral Corticosteroids

Sobering Data on Risks of Short-Term Oral Corticosteroids — Short steroid bursts linked to serious adverse events within a month by Nicole Lou, Staff Writer, MedPage Today July 6, 2020 Corticosteroid bursts as short as 2 weeks or less were still linked to severe adverse events among relatively healthy users, according to a large study […]

A Warning From a Doctor Who Has Done Thousands of Steroid Injections for Arthritis

The extremely common treatment might be causing more harm than previously thought. JAMES HAMBLIN OCTOBER 17, 2019 After giving birth to a baby, a young woman told her nurses at Boston Medical Center that she was having pain in her hip. That happens sometimes after births, says Ali Guermazi, one of the doctors involved. As […]

Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain: The SOOTHE Randomized Clinical Trial

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:49 Issue:7 Pages:491–500 DOI: 10.2519/jospt.2019.8807 Background Plantar heel pain is a common foot complaint that causes significant disability and poorer health-related quality of life. Foot orthoses and corticosteroid injection are effective treatments for plantar heel pain; however, it is unclear whether one is more effective than […]

Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain: The SOOTHE Randomized Clinical Trial

Study Design Randomized clinical trial. Background Plantar heel pain is a common foot complaint that causes significant disability and poorer health-related quality of life. Foot orthoses and corticosteroid injection are effective treatments for plantar heel pain, however it is unclear if one is more effective than the other. Therefore, the aim of this trial was […]

Questions Linger About Steroid Injections and Knee Arthritis

Janis C. Kelly February 08, 2019 Patients with mild to moderate knee osteoarthritis (KOA) who used intra-articular corticosteroids (IACs) experienced substantially faster disease progression than those in a matched group who had not received IACs. However, experts caution that the difference in progression rates might reflect underlying differences that influenced the decision to treat with IACs. Thus, […]

Association of rapidly destructive osteoarthritis of the hip with intra-articular steroid injections – Full Text Article

Arthroplast Today. 2018 Jun; 4(2): 205–209. Published online 2018 May 7. doi: 10.1016/j.artd.2017.12.002 PMCID: PMC5994787 PMID: 29896554 Shane R. Hess, DO Abstract Background To assess the relationship between rapidly destructive osteoarthritis (RDOA) of the hip and intra-articular steroid injections. Methods Coding records from 2000 to 2013 were used to identify all subjects who had a […]

A case report of multiple cervical artery dissection after peripheral type facial palsy and use of steroids

BMC Neurol. 2018; 18: 74. Published online 2018 May 28. doi: 10.1186/s12883-018-1080-x PMCID: PMC5971422 PMID: 29807531 Sung eun Chung, Abstract Background Cervical artery dissection is one of the most important causes of ischemic stroke in young age patients. However, multiple cervical artery dissection simultaneously involving the anterior and posterior circulation is uncommon. Here, we would […]

Long-Term Use of Inhaled Steroids May Up Fracture Risk in COPD

– Patients could benefit from regular monitoring for BMD, fracture risk by Salynn Boyles, Contributing Writer February 07, 2018 Long-term use of inhaled corticosteroids (ICS) at high doses was associated with a modest increase in risk for bone fractures in both men and women with chronic obstructive pulmonary disease (COPD), reported Canadian researchers. Use of […]

Corticosteroid injections for rotator cuff tendinosis

The wide use of corticosteroid injections into the subacromial space for symptomatic rotator cuff tendinosis may be attributable to habit or an incentive to satisfy the patient with a “quick fix” rather than discuss other options such as physiotherapy and exercise. This 2016 meta-analysis found corticosteroid injections provide, at best – minimal transient pain relief […]

Hydrocortisone, Vitamin C, and Thiamine for the Treatment of Severe Sepsis and Septic Shock – Full Text

A Retrospective Before-After Study Chest June 2017 Volume 151, Issue 6, Pages 1229–1238 Paul E. Marik, MD, FCCP Background The global burden of sepsis is estimated as 15 to 19 million cases annually, with a mortality rate approaching 60% in low-income countries. Methods In this retrospective before-after clinical study, we compared the outcome and clinical […]

Steroid Shots Do Little for Knee Pain of Arthritis

May 16, 2017 Doctors often prescribe steroid injections for the pain of knee arthritis, but a rigorous trial has found they work no better than a placebo. Researchers randomly assigned 140 men and women over 45 with painful knee osteoarthritis to injections of either a corticosteroid or a saline placebo. The subjects were injected every […]

Dry Needling Versus Cortisone Injection in the Treatment of Greater Trochanteric Pain Syndrome: A Non-Inferiority Randomized Clinical Trial

Kindyle L. Brennan, PT, PhD Study Design Prospective, randomized, partially-blinded. Background Greater trochanteric pain syndrome (GTPS) is the current terminology for what was once called greater trochanteric or sub-gluteal bursitis. Cortisone (corticosteroid) injections into the lateral hip is a traditionally accepted treatment for this condition. However, the effectiveness of injecting the bursa with steroids is […]

Platelet-Rich Plasma Superior to Corticosteroid Injection for Lumbar Facet Joint Syndrome

Autologous platelet-rich plasma efficacious for a longer duration than LA/corticosteroid WEDNESDAY, Dec. 28, 2016 (HealthDay News) — For intra-articular injection autologous platelet-rich plasma (PRP) and local anesthetic (LA)/corticosteroid are effective, easy, and safe in the treatment of lumbar facet joint syndrome, according to a study published online Dec. 18 in Pain Practice. Jiuping Wu, from […]

Timing of Injections Affects Trigger Finger Outcome

03.05.2016 Need for surgery high if steroid injections repeated within 6 months by Nancy Walsh Senior Staff Writer, MedPage Today ORLANDO — Patients with the hand ailment stenosing tenosynovitis — “trigger finger” — who need more than one corticosteroid injection within 6 months are likely to need early surgery and to develop the condition in […]

Inhaled Steroids May Suppress Growth in Children With Asthma

Laurie Barclay, MD July 18, 2014 Inhaled corticosteroids may suppress growth in the first year of treatment in children with asthma, but lower doses may minimize the effects, according to findings of 2 systematic reviews published online July 17 in the Cochrane Library. Inhaled corticosteroids are the most effective drugs for asthma control, reducing asthma mortality, […]