In moderate knee osteoarthritis, when should corticosteroid injections be added? скачать в хорошем качестве

In moderate knee osteoarthritis, when should corticosteroid injections be added?

Moderate knee OA, NSAIDs failed… inject now? Description: This discussion addresses adults with moderate knee osteoarthritis who continue to have pain despite NSAIDs and other conservative measures. The core decision is whether to add intra-articular corticosteroid injections or continue optimizing oral therapy alone. Although injections are widely used and can provide meaningful short-term pain and functional improvement, their benefits are time-limited and repeated use may increase risk. A structured framework is presented to guide selective use: prioritize patients with higher baseline pain, avoid overuse beyond three to four injections per year, and reconsider use in those with diabetes, immunosuppression, severe osteoarthritis, inflammatory arthritis, or recent knee surgery. The emphasis is on short-term symptom control rather than disease modification, with ongoing reassessment guiding further management. #Osteoarthritis #Orthopedics #PrimaryCare #SportsMedicine #Rheumatology