injection vs anti inflammatories

[asmallchild]

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Anyone aware of any trials/articles comparing the efficacy of cortisone injections against a one week trial of anti inflammatories for rotator cuff tendonitis?

 

[tmh84]

I found a few articles. Some of them are old though

Green S, Buchbinder R, Glazier R, Forbes A. Interventions for
shoulder pain: systematic review. Cochrane Musculoskeletal Group
Cochrane Database of Systematic Reviews 2002; 3.


Arroll B, Goodyear-Smith F.Corticosteroid injections for painful shoulder: a meta-analysis. Br J Gen Pract. 2005 Apr; 55(513):314
http://www.ncbi.nlm.nih.gov/pubmed/15808040


Rotator cuff tendinitis: comparison of subacromial injection of a long acting corticosteroid versus oral indomethacin J Rheumatol 1986 Jun;13(3):608-13.
http://www.ncbi.nlm.nih.gov/pubmed/3735283

Clinical study comparing acupuncture, physiotherapy, injection and oral anti- inflammatory therapy in shoulder-cuff lesions.
http://www.ncbi.nlm.nih.gov/pubmed/7002481

 

[asmallchild]

Fantastic, thanks!

 

[Juggler]

The Green cochrane review listed above has been withdrawn because the topic was split. Use this:

Buchbinder R, Green S, Youd JM. Corticosteroid injections for shoulder pain. Cochrane Database Syst Rev. 2003;(1):CD004016.

 

[rehab_sports_dr]

I think it's going to be interesting to see how the introduction of MSK US is going to affect the efficacy studies.

I suspect that as more and more docs use US for better localization, the relative benefits of the injections will be higher. But that is just speculation.