keywords: knee osteoarthritis, corticosteroid injections, osteoarthritis, injection therapy Authors: Elizabeth G. Matzkin, MD; Emily J. Curry, BA; Qingwu Kong, MD; Miranda J. Rogers, MD; Michael Henry, MD; Eric L. Smith, MD (c) J Am Acad Orthop Surg. 2017;25(10):703-714. Introduction: Intra-articular corticosteroid injections are often used for short-term pain relief in patients with knee osteoarthritis (OA). This […]
Corticosteroid Injections
CORTICOSTEROID INJECTIONS FREQUENTLY ASKED QUESTIONS Iain has also co-authored a comprehensive corticosteroid injection consumer guide with additional information for health professionals in Inside Radiology a project of The Royal Australian and New Zealand College of Radiologists. Here are the links to the Inside Radiology guide to Bursal Injections and Carpal Tunnel Injections. WHY HAVE I BEEN […]
Updates on PRP (platelet rich plasma) injections for osteoarthritis
Order of updates is newest to oldest Iain Duncan Update July 2020 Based on a number of studies and our own experience there are benefits from doing repeated or cycling PRP injections for osteoarthritis of the knee. One such study showed PRP injections led to a significant reduction in pain and improvement in function after […]
PRP Therapy Ongoing Updates
Latest updates first Update Late 2021 The PRP literature expands constantly, which is good because we all need more precise data. An important paper published in Arthroscopy July 2021 did a network meta analysis. Zhao et al. from Guangzhou University of Chinese Medicine included 43 randomized controlled trials in patients with knee osteoarthritis (level II evidence […]
Recommendations for Management of Rotator Cuff Tears
There are extensive recommendations from the American Academy of Orthopaedic Surgeons about Management of Rotator Cuff Injuries Clinical Practice Guidelines, Published in March 2019. Some strong and moderate recommendations are listed below. Weaker recommendations have not been listed. STRONG = Evidence from two or more “High” quality studies with consistent findings for recommending for or […]
Recent News and Updates
Dr Iain Duncan March 2024 The Maldives was a great place to spend a week at Christmas, but that was so long ago… Another year launched and already Summer has nearly finished and the deep delve into fiction and non-medical books is giving way to brushing up on latest findings. Meta-analyses are popular forms of […]
Lateral Epicondylitis: A Therapy Update
Background Definition: Lateral epicondylitis is a common, painful condition characterized by pain at the lateral side of the elbow, that increases during gripping or squeezing. Though sometimes referred to as “tennis elbow” it occurs mostly in middle aged adults regardless of sporting activity. Light microscopy reveals both an excess of fibroblasts and blood vessels that […]
Tendinopathy
WHAT IS TENDINOPATHY? Tendinopathy is a term used for painful conditions occurring in and around tendons in response to injury and/or overuse and ageing. The natural course of symptoms is variable but most ultimately resolve (even if the tendon appearance on scans does not). Generally the length of symptoms varies according to age and severity. […]