Corticosteroid shots are often used to ease arthritis pain, but a new study suggests they may be riskier than thought, often worsening damage to joints and bones.
But the shots are only effective for some patients, and even then the pain relief is temporary, Guermazi said. If they caused no harm, he added, that might not be a problem. But that's not the case.
The findings are based on 459 patients who had one to three corticosteroid injections for hip or knee arthritis in 2018. Overall, 26 patients showed a quick progression of their arthritis; three patients suffered rapid joint destruction, including bone loss; four had stress fractures ; and three had complications from osteonecrosis, where bone tissue"dies.
If medication is needed, she said she typically starts with topical NSAIDs, and then moves to"judicious use" of oral versions, since long-term NSAID use carries risks, too.
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