Injection therapies for soft-tissue disorders

Local injection therapies are used in the management of a variety of musculoskeletal pain syndromes and include the local infiltration of substances such as corticosteroid and/or anaesthetic, dry needling and neural blockade. Although commonly used, the rationale for their use in many conditions is...

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Bibliographic Details
Published in:Best practice & research. Clinical rheumatology 2003-02, Vol.17 (1), p.167-181
Main Author: Speed, C.A
Format: Article
Language:English
Subjects:
Anti-Inflammatory Agents - administration & dosage
botulinum
Botulinum Toxins - administration & dosage
corticosteroid
Humans
injection
Injections
Musculoskeletal Diseases - complications
Musculoskeletal Diseases - drug therapy
nerve block
Nerve Block - methods
pain
Pain - drug therapy
Pain - etiology
soft tissue
Steroids
tendon
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Summary:Local injection therapies are used in the management of a variety of musculoskeletal pain syndromes and include the local infiltration of substances such as corticosteroid and/or anaesthetic, dry needling and neural blockade. Although commonly used, the rationale for their use in many conditions is arguable and evidence of efficacy is often lacking. In this chapter, a number of common injection therapies for soft-tissue-mediated pain are described. The reasoning for their use, potential mechanisms of action and unwanted effects are discussed. The literature relating to their documented effects is critically reviewed. Practical suggestions for their utilization in the management of soft-tissue conditions are given and proposals are made for future research in this important area.
ISSN:1521-6942
1532-1770
DOI:10.1016/S1521-6942(02)00122-5