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Therapy: Corticosteroid Therapy

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Management of a Patient With Acute Acetabular Labral Tear and Femoral Acetabular Impingement With Intra-articular Steroid Injection and a Neuromotor Training Program.
Discussion This case demonstrates a clinical pathway for collaborative medical management of a patient with confirmed intra-articular pathology. Details illustrate the clinical reasoning and rationale used to guide the clinical decision-making process. Level of Evidence Therapy, level 4. J Orthop Sports Phys Ther 2016;46(11):965-975. Epub 29 Sep 2016. doi:10.2519/jospt.2016.6573. PMID: 27686411 [PubMed - in process]
Source: Physical Therapy - October 31, 2016 Category: Physiotherapy Authors: Narveson JR, Haberl MD, Grabowski PJ Tags: J Orthop Sports Phys Ther Source Type: research

Dry Needling Versus Cortisone Injection in the Treatment of Greater Trochanteric Pain Syndrome: A Non-Inferiority Randomized Clinical Trial.
Conclusions Cortisone injections for GTPS did not provide greater pain relief or reduction in functional limitations than DN. Our data suggest that DN is a non-inferior treatment alternative to cortisone injections in this patient population. Level of Evidence Therapy, level 1b. Registered December 2, 2015 at www.clinicaltrials.gov (NCT02639039) J Orthop Sports Phys Ther, Epub 3 Mar 2017. doi:10.2519/jospt.2017.6994. PMID: 28257614 [PubMed - as supplied by publisher]
Source: Physical Therapy - March 2, 2017 Category: Physiotherapy Authors: Brennan KL, Allen BC, Maldonado YM Tags: J Orthop Sports Phys Ther Source Type: research

August 2017 Letters to the Editor-in-Chief.
Authors: Abstract Letter to the Editor-in-Chief of JOSPT as follows: "Manual Therapy: More Than Elaborate Swordplay" with Authors' Response "Comparing Dry Needling to Corticosteroid Injection for Greater Trochanteric Pain Syndrome" with Authors' Response J Orthop Sports Phys Ther 2017;47(8):580-585. doi:10.2519/jospt.2017.0204. PMID: 28760094 [PubMed - in process]
Source: Physical Therapy - August 1, 2017 Category: Physiotherapy Tags: J Orthop Sports Phys Ther Source Type: research

Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain: The SOOTHE Randomized Clinical Trial.
CONCLUSION: Corticosteroid injection is more effective than foot orthoses at week 4, but this effect does not last, and appropriately contoured foot orthoses are more effective than corticosteroid injection at week 12. However, patients may not notice a clinically worthwhile difference between the interventions. LEVEL OF EVIDENCE: Therapy, level 1b. J Orthop Sports Phys Ther, Epub 26 May 2019. doi:10.2519/jospt.2019.8807. PMID: 31130060 [PubMed - as supplied by publisher]
Source: Physical Therapy - May 25, 2019 Category: Physiotherapy Authors: Whittaker GA, Munteanu SE, Menz HB, Gerrard JM, Elzarka A, Landorf KB Tags: J Orthop Sports Phys Ther Source Type: research

Sports Doctors May Accidentally Prescribe Banned Steroids Sports Doctors May Accidentally Prescribe Banned Steroids
Sports physicians routinely prescribe corticosteroids to athletes but not all of them know which forms of these drugs are banned under anti-doping rules, a study suggests.Reuters Health Information
Source: Medscape Medical News Headlines - March 4, 2020 Category: Consumer Health News Tags: Orthopaedics News Source Type: news

Optimal Dose of Intra-articular Corticosteroids for Adhesive Capsulitis: A Randomized, Triple-Blind, Placebo-Controlled Trial
Conclusion: We assessed the efficacy of corticosteroid injections according to 2 different doses that are most widely used in intra-articular injections for adhesive capsulitis. This study shows that there were no significant differences between the high- and low-dose corticosteroid groups, indicating the preferred use of a low dose in the initial stage.
Source: The American Journal of Sports Medicine - May 1, 2013 Category: Sports Medicine Authors: Yoon, S.-H., Lee, H. Y., Lee, H. J., Kwack, K.-S. Tags: Shoulder, Nonoperative Source Type: research

Simultaneous bilateral rupture of achilles tendon asymptomatic postendinopathy
Discussion Simultaneous and spontaneous rupture of bilateral Achilles tendons in patients without pathological factors is really unusual. 25% of the healthy population above 30 years of age has degenerative structural changes in the Achilles tendon that increase the risk of rupture depending on the patient's activity level. Both percutaneous and open surgical treatments on young and active patients provide an appropriate alternative. The open surgical treatment allows the possibility of tendon reinforcement techniques and a more complete visualisation of the damage. The postsurgical rehabilitation management is an imp...
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Martinez, L. A., Vicente, I. G., Contreras, E. A., Jaramillo, C. R., Jaen, T. F. Tags: Asthma Abstracts from the 2nd International Scientific Tendinopathy Symposium (Vancouver, 2012) Source Type: research

Retrospective review of injection therapy in morton's neuroma
Conclusion Injection therapy is often the treatment of choice. No advantage has been demonstrated in this survey of ultrasound guided injection versus palpation guided injection. Further studies are needed to prove the effectiveness of ultrasound guided corticosteroid injection.
Source: British Journal of Sports Medicine - June 10, 2013 Category: Sports Medicine Authors: Schiffer, G., Chan, O., Jalan, R., Padhiar, N. Tags: ORAL PRESENTATIONS: NUTRITION, OTHER TOPICS & amp; LIGAMENTS Source Type: research

Calcific Tendinitis of the Rotator Cuff: A Randomized Controlled Trial of Ultrasound-Guided Needling and Lavage Versus Subacromial Corticosteroids
Conclusion: On average, there was improvement at 1-year follow-up in both treatment groups, but clinical and radiographic results were significantly better in the barbotage group.
Source: The American Journal of Sports Medicine - July 1, 2013 Category: Sports Medicine Authors: de Witte, P. B., Selten, J. W., Navas, A., Nagels, J., Visser, C. P. J., Nelissen, R. G. H. H., Reijnierse, M. Tags: Shoulder, Nonoperative Source Type: research

Expert Q&A: Childhood Vaccine Safety
WebMD Health News By Kathleen Doheny Reviewed by Jennifer Shu, MD For parents, childhood vaccines are a source of reassurance — protecting your child against disease naturally helps you sleep better at night — but also anxiety about side effects and reactions. With misinformation about vaccines and health problems, it can be difficult for a parent to sort it all out. For help, WebMD turned to the CDC’s Frank DeStefano, MD, MPH, director of its immunization safety office. Are there dangerous side effects or reactions to childhood vaccines? Fortunately, dangerous side effects or reactions to vaccines are fe...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - October 23, 2013 Category: Consumer Health News Authors: mreal197 Tags: WebMD News Source Type: news

Strong evidence against platelet-rich plasma injections for chronic lateral epicondylar tendinopathy: a systematic review
Conclusions There is strong evidence that PRP injections are not efficacious in the management of chronic lateral elbow tendinopathy.
Source: British Journal of Sports Medicine - May 23, 2014 Category: Sports Medicine Authors: de Vos, R.-J., Windt, J., Weir, A. Tags: Editor's choice, Physiotherapy, Physiotherapy Review Source Type: research

Red flags to screen for malignancy and fracture in patients with low back pain
STUDY QUESTION What are the best red flags to indicate the possibility of fracture or malignancy in patients presenting with low back pain in primary, secondary, or tertiary care? SUMMARY ANSWER Older age, prolonged corticosteroid use, severe trauma, and presence of a contusion or abrasion increase the likelihood of spinal fracture (likelihood was higher with multiple red flags); a history of malignancy increases the likelihood of spinal malignancy.
Source: British Journal of Sports Medicine - September 25, 2014 Category: Sports Medicine Authors: Downie, A., Williams, C. M., Henschke, N., Hancock, M. J., Ostelo, R. W. J. G., de Vet, H. C. W., Macaskill, P., Irwig, L., van Tulder, M. W., Koes, B. W., Maher, C. G. Tags: Trauma, Injury Republished research from the BMJ Source Type: research

Platelet-rich plasma injections for chronic plantar fasciopathy: a systematic review
Introduction There is an increasing interest in platelet-rich plasma (PRP) injection as a treatment for chronic plantar fasciopathy (PF). We wished to evaluate the evidence for the use of PRP in PF/fasciitis. Sources of data We performed a systematic review on the effects of PRP in PF. In June 2014, we searched Medline, Cochrane, CINAHL and Embase databases using various combinations of the commercial names of each PRP preparation and ‘plantar’ (with its associated terms). We only included prospectively designed studies in humans. Areas of agreement Eight articles met the inclusion criteria, three of them wer...
Source: British Medical Bulletin - December 3, 2014 Category: Journals (General) Authors: Franceschi, F., Papalia, R., Franceschetti, E., Paciotti, M., Maffulli, N., Denaro, V. Tags: Sports Medicine Articles Source Type: research

Piriformis Syndrome: A Cause of Nondiscogenic Sciatica
Piriformis syndrome is a nondiscogenic cause of sciatica from compression of the sciatic nerve through or around the piriformis muscle. Patients typically have sciatica, buttocks pain, and worse pain with sitting. They usually have normal neurological examination results and negative straight leg raising test results. Flexion, adduction, and internal rotation of the hip, Freiberg sign, Pace sign, and direct palpation of the piriformis cause pain and may reproduce symptoms. Imaging and neurodiagnostic studies are typically normal and are used to rule out other etiologies for sciatica. Conservative treatment, including medic...
Source: Current Sports Medicine Reports - January 1, 2015 Category: Sports Medicine Tags: Head, Neck, and Spine: Section Articles Source Type: research

Piriformis Syndrome: A Cause of Nondiscogenic Sciatica
Piriformis syndrome is a nondiscogenic cause of sciatica from compression of the sciatic nerve through or around the piriformis muscle. Patients typically have sciatica, buttocks pain, and worse pain with sitting. They usually have normal neurological examination results and negative straight leg raising test results. Flexion, adduction, and internal rotation of the hip, Freiberg sign, Pace sign, and direct palpation of the piriformis cause pain and may reproduce symptoms. Imaging and neurodiagnostic studies are typically normal and are used to rule out other etiologies for sciatica. Conservative treatment, including medic...
Source: Current Sports Medicine Reports - January 1, 2015 Category: Sports Medicine Tags: Head, Neck, and Spine: Section Articles Source Type: research