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Therapy: Corticosteroid Therapy

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Hip pain in young athletes: Q & A with a sports medicine specialist
When your child plays a sport, it’s often hard to tell where everyday aches and pains end and a potentially serious injury begins. Bumps and bruises are anything but rare in contact sports, and muscle soreness can be a common complaint for any young athlete — especially given the rigor of youth athletics these days. So how do you know when your child’s hip pain is due to an actual injury? Dr. Mininder Kocher, orthopedic surgeon and Associate Director of the Sports Medicine Division at Boston Children’s Hospital, helps answer parents’ questions about hip pain in young athletes. What are some of the more common h...
Source: Thrive, Children's Hospital Boston - October 3, 2017 Category: Pediatrics Authors: Connor Ertz Tags: Ask the Expert Child and Young Adult Hip Preservation Program Division of Sports Medicine Dr. Mininder Kocher FAI femoracetabular impingement hip dysplasia hip impingement labral tear Source Type: news

Congenital Adrenal Hyperplasia in an Elite Female Soccer Player; What Sports Medicine Clinicians Should Know about This?
Conclusions: A female adolescent with CAH may compete at the high level of outdoor and indoor soccer. However, there are many questions regarding the advantages and disadvantages of this congenital disorder and its treatment on sports related issues.
Source: Asian Journal of Sports Medicine - August 31, 2012 Category: Sports Medicine Source Type: research

AMSSM scientific statement concerning viscosupplementation injections for knee osteoarthritis: importance for individual patient outcomes.
Abstract Osteoarthritis (OA) is a disabling disease that produces severe morbidity reducing physical activity. Our position statement on treatment of knee OA with viscosupplementation injection (hyaluronic acid, HA) versus steroid (intra-articular corticosteroids, IAS) and placebo (intra-articular placebo, IAP) is based on the evaluation of treatment effect by examining the number of participants within a treatment arm who met the Outcome Measures in Rheumatoid Arthritis Clinical Trials-Osteoarthritis Research Society International (OMERACT-OARSI) criteria, which is different and more relevant than methods used in...
Source: British Journal of Sports Medicine - January 1, 2016 Category: Sports Medicine Authors: Trojian TH, Concoff AL, Joy SM, Hatzenbuehler JR, Saulsberry WJ, Coleman CI Tags: Br J Sports Med Source Type: research

London International Consensus and Delphi study on hamstring injuries part 2: operative management
Br J Sports Med. 2023 Jan 17:bjsports-2021-105383. doi: 10.1136/bjsports-2021-105383. Online ahead of print.ABSTRACTThe key indications for surgical repair of hamstring injuries (HSIs) remain unclear in the literature due to a lack of high-level evidence and expert knowledge. The 2020 London International Hamstring Consensus meeting aimed to highlight clear surgical indications and to create a foundation for future research. A literature review was conducted followed by a modified Delphi process, with an international expert panel. Purposive sampling was used with two rounds of online questionnaires and an intermediate rou...
Source: British Journal of Sports Medicine - January 17, 2023 Category: Sports Medicine Authors: Ricci Plastow Gino M M J Kerkhoffs David Wood Bruce M Paton Babar Kayani Noel Pollock Nick Court Michael Giakoumis Paul Head Sam Kelly James Moore Peter Moriarty Simon Murphy Paul Read Ben Stirling Laura Tulloch Nicol van Dyk Mathew Wilson Fares Haddad 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. PMID: 23757661 [PubMed - in process]
Source: British Journal of Sports Medicine - June 14, 2013 Category: Sports Medicine Authors: Schiffer G, Chan O, Jalan R, Padhiar N Tags: Br J Sports Med Source Type: research

Injured NFL Players Return To Play Sooner When Treated With Corticosteroid Injections
Corticosteroid injections may speed-up the return time for National Football League (NFL) players suffering high ankle sprains, according to research presented at the American Orthopaedic Society for Sports Medicine's Annual Meeting in Chicago, IL. Players treated with these injections typically returned 40% faster or approximately 10 days earlier than those not receiving the same treatment...
Source: Health News from Medical News Today - July 16, 2013 Category: Consumer Health News Tags: Sports Medicine / Fitness Source Type: news

Corticosteroid and platelet-rich plasma injection therapy in tennis elbow (lateral epicondylalgia): a survey of current UK specialist practice and a call for clinical guidelines.
CONCLUSIONS: Recent high-quality evidence that corticosteroids may delay recovery in tennis elbow appears to have had a limited effect on current practice. Treatment is not uniform among specialists and a proportion of them use platelet-rich plasma injections. PMID: 24195919 [PubMed - as supplied by publisher]
Source: British Journal of Sports Medicine - November 6, 2013 Category: Sports Medicine Authors: Titchener AG, Booker SJ, Bhamber NS, Tambe AA, Clark DI Tags: Br J Sports Med Source Type: research

Red flags to screen for malignancy and fracture in patients with low back pain.
Abstract 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. PMID: 25257627 [PubMed - in process]
Source: British Journal of Sports Medicine - October 1, 2014 Category: Sports Medicine Authors: Downie A, Williams CM, Henschke N, Hancock MJ, Ostelo RW, de Vet HC, Macaskill P, Irwig L, van Tulder MW, Koes BW, Maher CG Tags: Br J Sports Med Source Type: research

Piriformis syndrome: a cause of nondiscogenic sciatica.
Abstract 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 treatmen...
Source: Current Sports Medicine Reports - January 1, 2015 Category: Sports Medicine Authors: Cass SP Tags: Curr Sports Med Rep Source Type: research

Lateral epicondylosis: emerging management options.
Abstract Lateral epicondylosis is one of the most prevalent disorders of the arm and results in significantly decreased function among the workforce and athletes. Historically, the disorder has been diagnosed clinically and treated as an inflammatory entity. Management strategies have included anti-inflammatory medications and techniques, including oral nonsteroidal anti-inflammatories, injected corticosteroid, and physical therapy with modalities. More recent literature postulates a degenerative or compressive etiology, directing some clinicians to try new, more regenerative management strategies such as platelet...
Source: Current Sports Medicine Reports - May 1, 2015 Category: Sports Medicine Authors: Thompson C, Visco C Tags: Curr Sports Med Rep Source Type: research

Economic evaluation favours physiotherapy but not corticosteroid injection as a first-line intervention for chronic lateral epicondylalgia: evidence from a randomised clinical trial.
Abstract AIM: To determine the cost-effectiveness of corticosteroid injection, physiotherapy and a combination of these interventions, compared to a reference group receiving a blinded placebo injection. METHODS: 165 adults with unilateral lateral epicondylalgia of longer than 6 weeks duration from Brisbane, Australia, were randomised for concealed allocation to saline injection (placebo), corticosteroid injection, saline injection plus physiotherapy (eight sessions of elbow manipulation and exercise) or corticosteroid injection plus physiotherapy. Costs to society and health-related quality of life (estima...
Source: British Journal of Sports Medicine - June 2, 2015 Category: Sports Medicine Authors: Coombes BK, Connelly L, Bisset L, Vicenzino B Tags: Br J Sports Med Source Type: research

Injection therapies for plantar fasciopathy ('plantar fasciitis'): a systematic review and network meta-analysis of 22 randomised controlled trials.
Abstract OBJECTIVE: To compare the efficacy of different injection therapies for plantar fasciopathy (historically known as 'plantar fasciitis'). DESIGN: Systematic review and network meta-analysis. DATA SOURCES: Electronic databases (MEDLINE, CENTRAL, Web of Science and Scopus) were searched up to 11 July 2015 for completed studies. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: We considered randomised trials comparing various injection therapies in adults with plantar fasciopathy. The primary outcome was pain relief. Secondary outcomes included functional disability, composite and health-related out...
Source: British Journal of Sports Medicine - May 2, 2016 Category: Sports Medicine Authors: Tsikopoulos K, Vasiliadis HS, Mavridis D Tags: Br J Sports Med Source Type: research

Hamstring Injuries in the Athlete: Diagnosis, Treatment, and Return to Play.
Abstract Hamstring injuries are very common in athletes. Acute hamstring strains can occur with high-speed running or with excessive hamstring lengthening. Athletes with proximal hamstring tendinopathy often do not report a specific inciting event; instead, they develop the pathology from chronic overuse. A thorough history and physical examination is important to determine the appropriate diagnosis and rule out other causes of posterior thigh pain. Conservative management of hamstring strains involves a rehabilitation protocol that gradually increases intensity and range of motion, and progresses to sport-specifi...
Source: Current Sports Medicine Reports - April 30, 2016 Category: Sports Medicine Authors: Chu SK, Rho ME Tags: Curr Sports Med Rep Source Type: research

Rare Adverse Events Associated with Corticosteroid Injections: A Case Series and Literature Review.
PMID: 27172081 [PubMed - in process]
Source: Current Sports Medicine Reports - April 30, 2016 Category: Sports Medicine Authors: Smuin DM, Seidenberg PH, Sirlin EA, Phillips SF, Silvis ML Tags: Curr Sports Med Rep Source Type: research