Evidence Behind Injections on the Elbow, Wrist and Hand

Evidence Behind Injections on the Elbow, Wrist and Hand

 This article will cover some of the randomized trials and reviews on corticosteroid injections for some of the most common issues that present to a sports medicine practice including lateral and medial epicondylitis, de Quervain’s tenosynovitis,  trigger finger, carpal tunnel syndrome.

Read More

Review of Evidence Behind Corticosteroid Injections of the Shoulder

Review of Evidence Behind Corticosteroid Injections of the Shoulder

This article will cover some of the randomized controlled trials behind shoulder injections including adhesive capsulitis, subacromial impingement and biceps tendonitis.  Injections with depot corticosteroids are used by many to provide both therapeutic and diagnostic value. They can also serve to delay or possibly avoid the need for surgery in some situations.

Read More

NSAIDS and Renal Complications

NSAIDS and Renal Complications

ports medicine physicians should be cognizant of potential complications, especially nephrotoxicity. Acute kidney injury (AKI) is a major cause of morbidity and mortality. In individuals admitted to the hospital with AKI requiring emergent dialysis, mortality rates can exceed 50%. Awareness can lead to better prescribing practices and increased safety for at-risk patients.

Read More

Frequency, Cartilage Loss and Common Complications of Corticosteroid Injections

Frequency, Cartilage Loss and Common Complications of Corticosteroid Injections

Many orthopedic practices in the United States will perform injections in 3-month intervals or more spaced out if possible.  The main reasoning behind the limitation of injections is preservation of cartilage and avoidance of side effects. There is contrasting evidence regarding repeated corticosteroid joint injections and cartilage damage.

Read More

Platelet Rich Plasma (PRP) and Lateral Epicondylitis

Platelet Rich Plasma (PRP) and Lateral Epicondylitis

Lateral epicondylitis is one of the most commonly treated conditions in a primary care sports medicine clinic. Patient’s typically complain of lateral elbow pain that is worse with activity. Certain activities like holding a jug of milk or turning over their hand are likely to worsen the pain. Fortunately,  we have multiple treatment modalities to offer them.

Read More

Introduction and Comparison of Corticosteroids

Introduction and Comparison of Corticosteroids

Corticosteroids are medications that are commonly injected and many people refer to these injections as “cortisone” injections.  The first corticosteroid injection was performed in 1953 and the first clinical trial was performed in 1958 1,8.  The medications are synthetically formulated to mimic the steroid hormone cortisone, which is produced by the adrenal gland and released in response to stress

Read More