CORR Insights®: Corticosteroid Injections Give Small and Transient Pain Relief in Rotator Cuff Tendinosis: A Meta-analysis

Gelber, Jonathan

doi:10.1007/s11999-016-5044-4

Cited by 2 publications

(2 citation statements)

References 4 publications

(7 reference statements)

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“…Changes in the range of motion were not investigated in the meta-analysis, too. In addition, the meta-analysis has been critiqued by other researchers from different aspects [8]. According to our results, we still believe that corticosteroid would alleviate pain, at least in the short term.…”

Section: Discussionmentioning

confidence: 61%

“…In spite of the frequent use of corticosteroid injections as standard therapy, there is still much controversy about its efficacy, indications, and adverse effects [6,7]. Even systematic reviews were not consistent in their conclusions [4,8,9]. A recent meta-analysis showed that the efficacy of corticosteroid injection in reducing pain is similar to placebo.…”

Section: Introductionmentioning

confidence: 99%

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Subacromial corticosteroid injection versus subcutaneous 5% dextrose in patients with chronic rotator cuff tendinopathy: A short-term randomized clinical trial

Amanollahi

Asheghan

Hashemi

2020

IMAS

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Aim The aim of this study is to compare subcutaneous 5% dextrose versus subacromial corticosteroid injection for the treatment of chronic rotator cuff tendinopathy. Methods We carried out a randomized clinical trial with two parallel groups at a university hospital. Overall, 57 (32 women) were included in two groups of corticosteroid (n = 29) and dextrose (n = 28). The mean pain score was 6.6 (1.0). We used a visual analog scale for pain and goniometry for the range of motion. The measurements were repeated 1 month after the interventions. For corticosteroid, a single injection of triamcinolone and 1% lidocaine, and for dextrose, a mixture of 5% dextrose and 2% lidocaine three times weekly were prescribed. Results Both interventions were effective in decreasing pain compared to the baseline (both p < 0.001). The difference in pain between the two groups was nearly significant 1-month post-intervention (p = 0.052). The comparison of the two groups in considerable pain reduction (≥2.8) was in favor of dextrose (p = 0.046). The differences in the range of motion were not conclusive. None of the participants reported an important adverse effect. Conclusion The 5% dextrose treatment is at least as effective as corticosteroid for reducing pain in patients with rotator cuff tendinopathy.

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Section: Discussionmentioning

confidence: 61%