Musculoskeletal injections

A review of the evidence

Mark Stephens, Anthony I. Beutler, Francis G. O'Connor

Research output: Contribution to journalReview article

88 Citations (Scopus)

Abstract

Injections are valuable procedures for managing musculoskeletal conditions commonly encountered by family physicians. Corticosteroid injections into articular, periarticular, or soft tissue structures relieve pain, reduce inflammation, and improve mobility. Injections can provide diagnostic information and are commonly used for postoperative pain control. Local anesthetics may be injected with corticosteroids to provide additional, rapid pain relief. Steroid injection is the preferred and definitive treatment for de Quervain tenosynovitis and trochanteric bursitis. Steroid injections can also be helpful in controlling pain during physical rehabilitation from rotator cuff syndrome and lateral epicondylitis. Intra-articular steroid injection provides pain relief in rheumatoid arthritis and osteoarthritis. There is little systematic evidence to guide medication selection for therapeutic injections. The medication used and the frequency of injection should be guided by the goal of the injection (i.e., diagnostic or therapeutic), the underlying musculoskeletal diagnosis, and clinical experience. Complications from steroid injections are rare, but physicians should understand the potential risks and counsel patients appropriately. Patients with diabetes who receive periarticular or soft tissue steroid injections should closely monitor their blood glucose for two weeks following injection.

Original languageEnglish (US)
Pages (from-to)971-976
Number of pages6
JournalAmerican Family Physician
Volume78
Issue number8
StatePublished - Oct 15 2008

Fingerprint

Injections
Steroids
Pain
Adrenal Cortex Hormones
Tennis Elbow
Tenosynovitis
Bursitis
Intra-Articular Injections
Rotator Cuff
Family Physicians
Postoperative Pain
Local Anesthetics
Osteoarthritis
Blood Glucose
Rheumatoid Arthritis
Therapeutics
Rehabilitation
Joints
Inflammation
Physicians

All Science Journal Classification (ASJC) codes

  • Family Practice

Cite this

Stephens, M., Beutler, A. I., & O'Connor, F. G. (2008). Musculoskeletal injections: A review of the evidence. American Family Physician, 78(8), 971-976.
Stephens, Mark ; Beutler, Anthony I. ; O'Connor, Francis G. / Musculoskeletal injections : A review of the evidence. In: American Family Physician. 2008 ; Vol. 78, No. 8. pp. 971-976.
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Stephens, M, Beutler, AI & O'Connor, FG 2008, 'Musculoskeletal injections: A review of the evidence', American Family Physician, vol. 78, no. 8, pp. 971-976.

Musculoskeletal injections : A review of the evidence. / Stephens, Mark; Beutler, Anthony I.; O'Connor, Francis G.

In: American Family Physician, Vol. 78, No. 8, 15.10.2008, p. 971-976.

Research output: Contribution to journalReview article

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