Intra-articular injection with triamcinolone hexacetonide in patients with rheumatoid arthritis: prospective assessment of goniometry and joint inflammation parameters

Furtado, Rita Nely Vilar; Machado, Flávia Soares; Luz, Karine Rodrigues da; Santos, Marco Aurélio Rocha; Konai, Monique Sayuri; Lopes, Roberta Vilela; Natour, Jamil

doi:10.1016/j.rbre.2016.08.001

Cited by 11 publications

(12 citation statements)

References 12 publications

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“…Current studies examining the effects of intra-articular steroids for patients with RA affecting the ankle have been limited. Lopes (n = 54), Cunnington (n = 25), and Furtado (n = 45) all found significant improvement in VAS score for ankle pain following IA corticosteroid injection, although length of significant pain relief varied vastly from 1 week to 12 weeks following injection [92,94,95].…”

Section: Injectionsmentioning

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: Injectionsmentioning

confidence: 98%

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

et al. 2020

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“…In our study, we selected joint swelling at the next visit as the outcome measure; thus, we cannot rule out the possibility that the treatment effect in injected joints was faster than that in joints receiving only systemic treatment. Previous studies have shown response to intraarticular glucocorticoids after less than 2 weeks (3,28).…”

Section: Nordberg Et Almentioning

confidence: 99%

The Impact of Ultrasound on the Use and Efficacy of Intraarticular Glucocorticoid Injections in Early Rheumatoid Arthritis

Nordberg

Lillegraven

Aga

et al. 2018

Arthritis & Rheumatology

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“…Literatürde triamsinolon heksasetonidin betametazona üstün olduğunu belirten yayınlar mevcuttur (13,14). Triamsinolon heksasetonid florinize olmuş kortikosteroid türevi olup diğer steroid türevlerine göre sinoviyal sıvıda daha az çözülme özelliği ile eklem içerisinde daha uzun süre kalmaktadır ve sinovit üzerine etkisi diğer steroidlere göre daha fazladır (15). Prilokain hızlı ve kısa etkili lokal anestezik ilaçlardan olup çalışmamızda triamsinolon heksasetonid ve prilokain HCL kombine olarak kullanılmıştır.…”

Section: Gereç Ve Yöntemlerunclassified

Intra-articular Knee Steroid Injections Efficiency in Stage 3-4 Gonarthrosis

Bayrak¹,

Bayrak²,

Duramaz³

et al. 2018

BTDMJB

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Gonarthrosis is a chronic non-inflammatory, degenerative disease that starts with joint pain, movement limitation, as a result of joint cartilage damage in the knee joint. In gonarthrosis, patient education, rest, preventive measures, pharmacological, physical therapy and surgical treatment methods can be used alone or together according to the stages of the disease. Intra-articular injections are used to reduce pain and increase functional movements in gonarthrosis. The aim of this study is to evaluate the effect of intra-articular knee steroid injection on the knee pain. Materials and Methods: A total of 151 knees from 108 patients who were admitted to the orthopedics clinic with long-lasting knee pain and who had radiological grade 3-4 gonarthrosis according to the Kellgreen-Lawrence classification were included in the study. Pain scores were compared according to the Visual Analogue scale (VAS) and Verbal Category scale (VCS) before the injection and at 6-week post injection. Combination of 9 ccs 2% prilocaine and 1 cc triamcinolone hexacetonide injection was applied intra-articular. Results: A total of 151 knees from 101 patients aged between 48 to 88 (67.49±8.99) (F=77, M=31) were included. Of the cases, 55.6% (n=84) right and 44.4% (n=67) left knee were injected; 29.8% (n=45) were stage 3 and 70.2% (n=70.2) were stage 4. Pre-injection VAS score was 8.34±0.75, the VCS was 4.29±0.48; post-injection VAS score was 3.68±1.59, and VCS was 2.22±0.8 (p<0.001). Conclusion: Different treatment options are applied according to the stage of knee osteoarthritis. Intra-articular injections, physiotherapy and non-steroid anti-inflammatory drugs are commonly used conservative treatment modalities. Steroids and hyaluronic acid derivatives can be administered separately or together at intra-articular knee injections. Intra-articular knee injections are preferred in combination treatment of early-stage gonarthrosis due to rapid pain relief and replicable. Intra-articular knee steroid injections suggested for patients who don't consider the surgery or want to save time.

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Intra-articular injection with triamcinolone hexacetonide in patients with rheumatoid arthritis: prospective assessment of goniometry and joint inflammation parameters

Abstract: VASSw responded better at short and medium term after IAI with triamcinolone hexacetonide in our sample of RA patients.

Cited by 11 publications

References 12 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

The Impact of Ultrasound on the Use and Efficacy of Intraarticular Glucocorticoid Injections in Early Rheumatoid Arthritis

Intra-articular Knee Steroid Injections Efficiency in Stage 3-4 Gonarthrosis

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