Injectable Corticosteroids in Musculoskeletal Pathology: A Narrative Review
DOI:
https://doi.org/10.25759/spmfr.403Keywords:
Adrenal Cortex Hormones/administration & dosage, Adrenal Cortex Hormones/therapeutic use, Injections, Intra-Articular, Musculoskeletal Diseases/drug therapyAbstract
Musculoskeletal complaints take a place in the primary health care consultation grounds. Synthetic injectable corticosteroids (CCT) have been widely used as anti-inflammatory agents in several musculoskeletal disorders, both articular and soft tissues, allowing greater symptomatic control, greater range of motion and / or improved function. The effectiveness in its use depends not only on a correct medical diagnosis, but also on the selection of the most appropriate drug and on the technical execution of the procedure. Currently, there is little evidence to guide the selection of the most appropriate CCT. This review article offers an overview of the different CCT preparations that can be used in injectable procedures in musculoskeletal pathology, their indications and complications in order to assist the physician in choosing the best drug. The choice must be guided by the objective, the underlying musculoskeletal diagnosis and clinical experience. Complications resulting from its use are rare, but the doctor must be alert and understand its potential risks, in order to properly advise the patient.
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