Due to the risk of long-term damage, injections should be considered as a last resort only.
While injections may provide short-term relief, evidence of long-term effectiveness is lacking, and combined with issues related to risk result in a very low rating for this therapy.
SELF CARE: 0/5
One obviously cannot inject themselves; therefore we rate this therapy as 0/5.
While not as costly as surgery, the costs of injections compared to other more conservative measures are very high, therefore they receive a very low rating.
Steroid injections are not recommended for shoulder sprain/strain injuries. However, they may be recommended for short-term use only for conditions such as: adhesive capsulitis, impingement syndrome, rotator cuff tendinopathy, or arthritis. Used over time and depending upon dosage, steroid injections have been shown to potentially damage the joints/soft tissue. So, while one may receive short-term benefit, long-term manage may result. Consider injections only as a last resort. [i], [ii]
[i] Babatunde OO, Jordan JL, Van der Windt DA, Hill JC, Foster NE, Protheroe J. Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. PLoS One. 2017;12(6):e0178621.
[ii]Skedros JG, Hunt KJ, Pitts TC. Variations in corticosteroid/anesthetic injections for painful shoulder conditions: comparisons among orthopaedic surgeons, rheumatologists, and physical medicine and primary-care physicians. BMC Musculoskelet Disord. 2007 Jul 6;8:63.
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