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OARSI – Recommendation XVI: Corticosteroids Should Be Considered For Moderate to Severe OA

July 28, 2010

This is a continuation of our series on the Osteoarthritis Research Society International (OARSI) recommendations for the management of hip and knee osteoarthritis published in the Journal of Osteoarthritis and Cartilage.

corticosteroid

Recommendation XVI

Intra-articular injections with corticosteroids should be considered to treat hip and knee osteoarthritis  when patients have moderate to severe pain and they are not responding to oral pain relievers and/or anti-inflmmatory agents.

Corticosteroid injections have been used to treat knee osteoarthritis for over 50 years.  It was recommended in 11 out of 13 existing guidelines.  The efficacy of intra-articular injections is well documented as a treatment for knee osteoarthritis.  Patients with knee OA were studied in 28 controlled trials and rarely were negative side effects reported.

Most experts do not recommend more than 4 corticosteroid injections per year.

The research team gave this osteoarthritis treatment option a Strength of Recommendation score of 78%.

W. Zhang Ph.D., Moskowitz M.D., et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage. (2008) 16, 137-162.


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