Intra articular steroid injection

MAIN OUTCOME MEASUREMENTS:Perceived improvement in symptoms at least 6 months after treatment, perceived change in visual analog scale score, assessment of functional pain, and overall satisfaction.
RESULTS:
On average, patients were 48 years old, had symptoms for a median of 18 months before treatment, and answered the survey on average 15 months after treatment. Overall, 82% of patients indicated moderate to complete improvement in symptoms. The most common injection sites were the lateral epicondyle, Achilles, and patellar tendons. Other sites treated included the rotator cuff, hamstring, gluteus medius, and medial epicondyle, among others. Furthermore, 60% of patients received only 1 injection, 30% received 2 injections, and 10% received 3 or more injections. Patients' perceived decrease in visual analog scale score was 75%, from ± to ± (-, SD , 95% confidence interval - to -, P < .0001). In addition, at follow-up, 95% of patients reported having no pain at rest that disrupted their activities of daily living and 68% reported no pain during activities. A total of 85% of patients were satisfied with the procedure.
​CONCLUSIONS:
In this retrospective study, in which we evaluated administration of PRP for chronic tendinopathy, we found that the majority of patients reported a moderate (>50%) improvement in pain symptoms.

CONCLUSIONS : IROP and FABER may be worthwhile components of the clinical evaluation of hip pain to determine intra-articular hip pathology. These tests are nonspecific and therefore not necessarily negative in the absence of intra-articular hip pathology. These hip provocation maneuvers are a useful part of an evaluation that includes history, further examination findings, and other diagnostic studies. Copyright 2010 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
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Intramuscular Injection: Provides an extended duration of therapeutic effect and fewer side effects of the kind associated with oral corticosteroid therapy, particularly gastro-intestinal reactions such as peptic ulceration. Studies indicate that, following a single intramuscular dose of 80 mg triamcinolone acetonide, adrenal suppression occurs within 24 - 48 hours and then gradually returns to normal, usually in approximately three weeks. This finding correlates closely with the extended duration of therapeutic action of triamcinolone acetonide.

Williams JS Jr, Abate JA, Fadale PD, Tung GA: Meniscal and nonosseous ACL injuries in children and adolescents. Am J Knee Surg 9:22-6,1996.
Wright TW, Cooney WP, Ilstrup DM: Anterior wrist ganglion. J Hand Surg 19:954-8,1994.
Yasuda K, Majima T: Intra-articular ganglion blocking extension of the knee: brief report. J Bone Joint Surg 70B:837,1988.
Young SC, Freiberg A: A case of intratendinous ganglion. J Hand Surg 10:723-4,1985.
Zubowicz VN, Ishii CH: Management of ganglion cysts of the hand by simple aspiration. J Hand Surg 12A:618-20,1987.

Intra articular steroid injection

intra articular steroid injection

Williams JS Jr, Abate JA, Fadale PD, Tung GA: Meniscal and nonosseous ACL injuries in children and adolescents. Am J Knee Surg 9:22-6,1996.
Wright TW, Cooney WP, Ilstrup DM: Anterior wrist ganglion. J Hand Surg 19:954-8,1994.
Yasuda K, Majima T: Intra-articular ganglion blocking extension of the knee: brief report. J Bone Joint Surg 70B:837,1988.
Young SC, Freiberg A: A case of intratendinous ganglion. J Hand Surg 10:723-4,1985.
Zubowicz VN, Ishii CH: Management of ganglion cysts of the hand by simple aspiration. J Hand Surg 12A:618-20,1987.

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