Common therapy for joint pain may not be as safe as experts believed, report says.
from the corticosteroid injections, he said, the injections may be detrimental in the long run. “They may actually harm your knee or your hip,” he said.
An exact explanation for the findings is unclear, Guermazi said, but there is some evidence that corticosteroid injections, which typically are combined with an anesthetic, can be toxic to cartilage, and more studies are needed to understand their effects and clarify their benefits and risks. Dr. Antonia Chen, an associate professor of orthopaedic surgery at Harvard Medical School and a spokesperson for the American Academy of Orthopedic Surgeons, said corticosteroid injections can help relieve pain in some, but not all, patients for as long as days or months. But patients should be informed that the injections carry risks, as the new paper and others have shown, which is why it’s recommended the injections be given no more frequently than every three months, she said.
“There are definitely benefits and there are definitely risks, and these risks must be mentioned to patients,” Chen said. “Some patients will say they don’t want to undergo temporary relief and they don’t want to have the chance of progressing their arthritis, and some say they need some sort of pain relief to just live day to day.”
But before turning to injections or other medications, Chen recommends that patients with osteoarthritis first talk with a physician about noninvasive approaches, such as
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