Intra articular steroid injection for frozen shoulder

Recommended Monitoring
Monitoring recommendations for GC treatment vary depending on the duration of treatment and dose intensity. Recommended baseline monitoring includes serum glucose, lipid profile, and bone mineral density. After treatment begins, blood pressure, weight gain, visual changes, shortness of breath, edema, and polydipsia (excessive thirst) also should be checked during each physician visit. Additionally, if chronic long-term treatment with steroids is used, bone mineral density should be monitored at least

Intramuscular Injection: Provides an extended duration of therapeutic effect and fewer side effects of the kind associated with oral corticosteroid therapy, particularly gastro-intestinal reactions such as peptic ulceration. Studies indicate that, following a single intramuscular dose of 80 mg triamcinolone acetonide, adrenal suppression occurs within 24 - 48 hours and then gradually returns to normal, usually in approximately three weeks. This finding correlates closely with the extended duration of therapeutic action of triamcinolone acetonide.

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Wright TW, Cooney WP, Ilstrup DM: Anterior wrist ganglion. J Hand Surg 19:954-8,1994.
Yasuda K, Majima T: Intra-articular ganglion blocking extension of the knee: brief report. J Bone Joint Surg 70B:837,1988.
Young SC, Freiberg A: A case of intratendinous ganglion. J Hand Surg 10:723-4,1985.
Zubowicz VN, Ishii CH: Management of ganglion cysts of the hand by simple aspiration. J Hand Surg 12A:618-20,1987.

An assessment of viscosupplementation for knee OA by the Canadian Agency for Drugs and Technologies in Health (CADTH) (Dagenais, 2006) found that evidence suggests modest short-term reductions in pain and improvements in function, and no superiority among viscosupplement products.  Adverse events are rare, benign, temporary, and likely associated with the intra-articular injection.  The assessment reported that clinical practice guidelines and evidence suggest that this approach is most suitable for patients with mild to moderate knee OA, and in those for whom other approaches are contraindicated, or have failed.

Intra articular steroid injection for frozen shoulder

intra articular steroid injection for frozen shoulder

An assessment of viscosupplementation for knee OA by the Canadian Agency for Drugs and Technologies in Health (CADTH) (Dagenais, 2006) found that evidence suggests modest short-term reductions in pain and improvements in function, and no superiority among viscosupplement products.  Adverse events are rare, benign, temporary, and likely associated with the intra-articular injection.  The assessment reported that clinical practice guidelines and evidence suggest that this approach is most suitable for patients with mild to moderate knee OA, and in those for whom other approaches are contraindicated, or have failed.

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