Efficacy of Foot and Ankle Corticosteroid Injections

Grice, John; Marsland, Daniel; Smith, George H.; Calder, James

doi:10.1177/1071100716670160

Cited by 57 publications

(37 citation statements)

References 32 publications

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“…While both patient populations had significant improvement in pain for up to 56 days following injection, patients who received HA had significantly improved pain with walking when compared to CS patients [76]. The only other three clinical studies involving IA corticosteroids for foot OA have supported its clinical efficacy, with each finding a majority of patients achieving significant pain relief for up to 3 months following injection (n = 180) [70,72,77]. Importantly, one study noted that patients with a BMI \ 30 had sustained pain relief for up to 12 months following treatment [72].…”

Section: Injection Substratesmentioning

confidence: 98%

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

et al. 2020

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Purpose of Review: This is a comprehensive literature review of the available evidence and techniques of foot injections for chronic pain conditions. It briefly describes common foot chronic pain syndromes and then reviews available injection techniques for each of these syndromes, weighing the available evidence and comparing the available approaches. Recent Findings: Foot and ankle pain affects 20% of the population over 50 and significantly impairs mobility and ability to participate in activities of daily living (ADLs), as well as increases fall risk. It is commonly treated with costly surgery, at times with questionable efficacy. Injection therapy is challenging when the etiology is anatomical or compressive. Morton's neuroma is a budging of the interdigital nerve. Steroid, alcohol, and capsaicin injections Enhanced Digital Features To view enhanced digital features for this article go to https://doi.org/10.6084/ m9.figshare.11836971.

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Section: Injection Substratesmentioning

confidence: 98%

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

et al. 2020

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“…No infections were reported by the study, a result consistent with the view that joint infection is a very rare complication resulting in septic arthritis. No adverse effects following the administration of 22 CSIs for hallux rigidus were noted by Grice et al [34] although they do report that the positive results (seen in 20 of the 22 patients) only lasted longer than three months in three of that cohort. At two years, two patients (9%) remained asymptomatic, but 12 patients (55%) had undergone surgery.…”

Section: Systematic Reviewsmentioning

confidence: 73%

A systematic review of injectable corticosteroid for osteoarthritis of the first metatarsophalangeal joint 

Reilly¹,

Bromley²,

Flanagan³

2020

Preprint

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Intra articular steroid injection is a common treatment modality for relief of pain and inflammation associated with degenerative joint disease. Use of injectable steroid preparations is widely accepted as safe and effective for the treatment of osteoarthritis of the 1st metatarsophalangeal joint. Despite the frequency of use, literature specific to pathology of the 1st metatarsophalangeal joint is sparse. The aim of this systematic review was to determine if good quality research exists to enable clinicians to adopt an evidenced based approach to corticosteroid injection of the 1st metatarsophalangeal joint. Despite the frequency of use, this review found no high quality studies that support the use of intra articular corticosteroid injection of the 1st metatarsophalangeal joint in osteoarthritis.

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“…Out of the total of 365 patients, 314 (80%) patients reported a significant improvement in symptoms, and 242 (66%) reported complete resolution of their pain, with 107 (29%) remaining asymptomatic at two year follow-up. [7] There were no reported infections. Complications occurred in 5 patients (1.3%), including steroid flare, pain, and plantar plate ruptures.…”

Section: Discussionmentioning

confidence: 93%

Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

Mittal¹,

Js²,

Ashok³

et al. 2018

Int. J. Orthop. Sci.

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Plantar fasciitis is the one of the most common causes of painful heel in adults. It is assumed to be caused by inflammation and is typically precipitated by biomechanical stress. Conservative management is the mainstream treatment option for plantar fasciitis like non steroidal anti-inflammatory drugs (NSAIDs), steroid injections, PRP injection, stretching exercises. There is no consensus on the efficacy of any particular conservative treatment regimen. This study was taken with objective to compare the efficacy of NSAID and local steroid injection in treating plantar fasciitis. Method: Sixty patients were randomized into 2 groups, group I patients were treat with oral NSAIDs and group II patients were treated with local steroid injection. Patients of both groups are given common supportive measures such as soft heel and advised same stretching exercises. The patients were evaluated using VAS score for pain assessment at pre-treatment stage, 1 week, 2 weeks, 4 weeks, 2 months and 3 months. Results: 60 patients were randomized into 2 groups, both groups had similar demographics. The VAS scores at pre treatment level in group I was 6.60±1.14 and in group II was 6.46±1.05. The VAS score reduced to 3.10±1.18 in group II after injection and in group I reduced to 4.9±1.33 after a starting oral NSAIDs. The VAS scores consistently reduced in both the groups till 4 weeks of follow up but group II VAS scores were always lower than group I (p-value < 0.001). After 4 weeks, a trend towards increase in VAS scores was noted in both groups, patients had complaints of relapse of pain or increase in intensity of it. Conclusion : With this study we concluded that as compared to NSAIDs the use of local injection of steroid gives better and more sustained pain relief with fewer complications and lesser recurrences of heel pain in cases of plantar fasciitis.

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Efficacy of Foot and Ankle Corticosteroid Injections

Abstract: IV, case series.

Cited by 57 publications

References 32 publications

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

A systematic review of injectable corticosteroid for osteoarthritis of the first metatarsophalangeal joint

Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

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Efficacy of Foot and Ankle Corticosteroid Injections

Abstract: IV, case series.

Cited by 57 publications

References 32 publications

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review

A systematic review of injectable corticosteroid for osteoarthritis of the first metatarsophalangeal joint&nbsp;

Plantar fasciitis treatment: What is better, oral nonsteroidal anti-inflammatory agents or locally injectable steroid?

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A systematic review of injectable corticosteroid for osteoarthritis of the first metatarsophalangeal joint