قالب وردپرس درنا توس
Home / Health / According to a new study, steroid injections can cause more damage in the long term than previously thought

According to a new study, steroid injections can cause more damage in the long term than previously thought



The shots can do more harm than good.

In a new study published in the journal Radiology, the researchers examined 459 patients in a US hospital who were given one to three corticosteroid injections in one knee or one hip. [19659003] Of these patients, 36% or 8% had adverse events in their joints, as shown by medical imaging studies.

Researchers saw an acceleration in the progression of osteoarthritis in patients as well as other adverse effects, including subchondral insufficiency fracture, osteonecrosis, and rapid joint destruction with bone loss.

Ali Guermazi, a radiology professor at Boston University and co-author of the study, told CNN that the paper of another study from 201
9 had yielded similar results.

The evidence is piling up and the negative The effects could have possibly even extended beyond the 8% of patients with complications observed so far in the study. However, he warned that it was just an observational study and scientists still needed to conduct a duplicate study. Blind study to support these results.

The results give reason for reflection, as patients expect diseased joints.

Steroid injections often help with osteoarthritis According to the Mayo Clinic, the bone wears away over time.

Doctors often give steroid injections for short-term pain relief, especially in patients who can not tolerate acetaminophen and non-steroidal anti-inflammatory Dru gs. Side effects are rare in the short term.

Richard Kijowski, a professor of radiology at the University of Wisconsin Medical School, wrote in an editorial to the current study that the journal's special report was to "educate radiologists." The intra-articular corticosteroid injection they use routinely with little or no Performing no long-term security can cause more harm than good.

He noted that the beneficial effects of steroid injections did not occur after a Cochrane Review analysis of 2015. t last more than six months.

Patients should be cautious when considering steroid treatment.

In 10% of men and 13% of women over 60 diagnosed with osteoarthritis, the results affect those with the most common joint disease in the US

One important aspect, Guermazi said, is that Doctors should inform patients about all possible risks of steroid injections when weighing up treatment options.

Currently, the American College of Rheumatology recommends "conditionally" steroid treatments, and the Osteoarthritis Research Society International says they should be used in patients with moderate to severe Pain should be considered, it says in the publication.

Guermazi not ready to decide how exactly the steroid treatments could actually lead to osteoarthritis complications.

However, the study's observation results may be particularly relevant to younger patients considering steroid treatments, as they may need joint replacement earlier.

All in all, it still depends on the choice of the patient.

The researchers say, "Patient preferences should have a significant impact on the type of treatment chosen."


Source link