Mga Ineksyon ng Cortisone at Corticosteroid Impormasyon

Ano ito

Ang cortisone injection ay isang suntok ng gamot na may anti-inflammatory na epekto na inilalagay nang direkta sa loob ng isang kasu-kasuan o malambot na tisyu. Ginagamit ng iyong doktor ang paggamot na ito upang bawasan ang pamamaga at mapawi ang sakit sa mga lugar tulad ng iyong balikat, bukong-bukong, hinlalaki, o balikat. Karaniwang itinuturing ito kapag mayroon kang arthritis na dulot ng pagkasira o paggamit (wear-and-tear arthritis) o mga kondisyon tulad ng trigger finger at carpal tunnel syndrome.

Gumagana ang gamot na ito sa pamamagitan ng pagbaba ng pamamaga sa pinagmulan ng iyong hindi komportableng pakiramdam. Para sa ilang kondisyon, tulad ng ankle arthritis, ang pagpagsama ng injection na ito sa isang lubricating fluid na tinatawag na hyaluronic acid ay nagbibigay ng mas mahusay na pagpapawi ng sakit kaysa sa paggamit ng steroid lamang. Sa mga kaso tulad ng heel spurs, madalas itong pinipiling opsyon dahil nagdudulot ito ng mas mataas na kasiyahan ng pasyente kumpara sa ibang mga konservatibong paggamot.

Maaaring pumili ang iyong doktor ng high-dose version para sa mga isyu sa kamay, dahil mas matagal itong tumatagal at binabawasan ang pangangailangan para sa paulit-ulit na suntok o operasyon. Kung kailangan mo ng operasyon sa hinaharap, tulad ng para sa rotator cuff tear, ang pagkakaroon ng injection loob ng isang taon bago ang operasyon ay hindi nagpapataas ng panganib ng pagkabigo o nakakaapekto sa iyong lakas at galaw. Ang paulit-ulit na mga injection para sa mga kondisyon tulad ng carpal tunnel syndrome ay itinuturing din na ligtas at hindi nagpapakabigat sa mga future release surgeries.

Gumagana ba ito?

Para sa maraming kondisyon, nagbibigay ang mga suntok ng corticosteroid ng epektibong pagpapagaan ng sakit at pagpapabuti ng kakayahan. Madalas itong pinipiling opsyon para sa mga heel spur dahil mas mataas ang kasiyahan ng mga pasyente kumpara sa ibang mga konservatibong paggamot. Sa arthritis ng buhos at pagkasira sa bukong-bukong, mas epektibo ang pagsasama ng steroid sa hyaluronic acid kaysa sa paggamit ng steroid mag-isa. Para sa mga isyu sa kamay, mas matagal ang epekto ng mga suntok na may mataas na dosis at binabawasan ang pangangailangan para sa paulit-ulit na suntok o operasyon kumpara sa mga opsyon na may mababang dosis.

Gayunpaman, nag-iiba ang mga resulta depende sa kondisyon. Para sa trigger finger, binabawasan ng pagdaragdag ng lidocaine sa steroid ang sakit sa panahon ng pag-suntok mismo, ngunit maaaring hindi nito baguhin ang iyong pangkalahatang paggaling. Sa pagkatigas ng balikat (adhesive capsulitis), mas mahusay ang pagpapagaan ng sakit at paggalaw ng balikat na ibinibigay ng mga nerve block sa 3-4, 6-7, at 12 linggo kaysa sa mga suntok ng steroid. Para sa mga isyu ng tendon (tendinopathy), mas superior ang pagpapagaan ng sakit at pagpapabuti ng kakayahan na ibinibigay ng platelet-rich plasma sa gitnang panahon kumpara sa mga steroid.

Mahalaga ang timing at ang nakaraang tugon para sa mga operasyon sa hinaharap. Kung may hip impingement ka, hindi nagpapahiwatig ang iyong tugon sa suntok ng steroid bago ang operasyon sa iyong pangmatagalang resulta o pangangailangan para sa ulit na operasyon. Para sa rotator cuff repair, hindi nakakaapekto ang timing ng isang suntok bago ang operasyon sa loob ng 1 taon sa mga rate ng pagkabigo o lakas. Kung may carpal tunnel syndrome ka, ligtas ang mga paulit-ulit na suntok at hindi nito pinapataas ang mga panganib para sa operasyon sa huli. Nakakagulat, ang mga pasyente na may kronikong sakit sa sakong na nakakaranas ng pansamantalang pagpapagaan mula sa mga steroid ay madalas na may mas magagandang resulta kung sila ay hihingi ng operasyon para sa plantar fascia release.

Ligtas ang mga ito sa pangkalahatan. Hindi pinapataas ng mga suntok bago ang operasyon ang panganib ng malalim na impeksyon pagkatapos ng carpal tunnel release o rotator cuff repair. Maaaring ligtas na gamitin ang mga suntok pagkatapos ng operasyon upang gamutin ang pagkatigas pagkatapos ng rotator cuff repair, lalo na para sa mga pasyente na may osteoporosis. Gayunpaman, may mga panganib ang mga suntok sa balakang tulad ng mabilis na pag-unlad ng arthritis, kamatayan ng buto (osteonecrosis), o fracture. Nag-iiba ang dalas ng mga panganib na ito ngunit seryoso ang mga ito.

Sa huli, hindi pantay ang access sa mga paggamot na ito. Mas mababa ang pagkakataon ng mga minoridad na makatanggap ng suntok ng steroid para sa arthritis sa kamay at mas mababa ang pagkakataon na makatanggap ng ito o makapagkaroon ng operasyon para sa sakit ng rotator cuff, kahit na magkapareho ang kasaysayan medikal.

Tama ba ito para sa iyo?

Ang mga suntok ng cortisone ay madalas nakakatulong kapag kailangan ng mabilisang pagpapagaan ng sakit. Ito ay isang paboritong opsyon para sa mga heel spurs dahil maraming pasyente ang mas nasisiyahan sa mga ito kumpara sa ibang mga gamot. Nakakatayo rin ito nang maayos para sa pansamantalang sakit sa kamay at hinlalaki. Kung mayroon kang arthritis sa bukong-bukong, ang paghahalo ng cortisone sa hyaluronic acid ay maaaring mas epektibong magpahinga ng sakit kaysa sa paggamit ng cortisone mag-isa. Para sa mga tear ng rotator cuff, ang pagtatakda ng suntok sa loob ng isang taon bago ang operasyon ay hindi nagbabago ng iyong paggaling o lakas. Ang mga suntok ay ligtas din para sa carpal tunnel syndrome at hindi nagpapataas ng panganib ng impeksyon bago ang release surgery.

Gayunpaman, ang paggamot na ito ay maaaring hindi angkop para sa lahat. Ang mga suntok ay hindi nagpapabuti ng pangmatagalang resulta para sa hip impingement surgery o hindi pinipigilan ang pillar pain pagkatapos ng carpal tunnel release. May mga seryosong panganib para sa mga suntok sa hip, kabilang ang mabilis na pag-unlad ng wear-and-tear arthritis, pagkamatay ng buto, at pagkabagsak ng buto. Ang mga pangyayaring ito ay bihira ngunit posibleng mangyari. Dapat mong malaman na ang mga minority group ay mas bihira natatanggap ang mga suntok na ito, kahit na ang kanilang pangangailangan sa kalusugan ay katulad ng iba. Ang mga suntok ng platelet-rich plasma ay mas hindi epektibo kaysa sa cortisone para sa pansamantalang sakit, kaya huwag mong inaasahan na gagana ito nang magkakatulad.

Ang iyong doktor ay magtimbang ng mga salik na ito kasama ka. Ang paulit-ulit na mga suntok ay ligtas para sa carpal tunnel syndrome at hindi nagpapahina sa hinaharap na operasyon. Ang stiffness pagkatapos ng operasyon ay maaaring gamutin din ng isang suntok, na maaaring mas ligtas kaysa sa karagdagang operasyon para sa mga high-risk na pasyente. Talakayin ang iyong partikular na kondisyon at mga layunin sa iyong doktor upang desisyunin kung ang shared path na ito ang pinakamainam na pagpipilian para sa iyo.

Ang pangunahing aral

Ang mga suntok ng cortisone ay madalas na nagbibigay ng epektibong pagpapagaan ng sakit, lalo na para sa mga heel spur at kondisyon sa kamay kung saan ang mas mataas na dosis ay maaaring tumagal nang mas matagal. Karaniwang ligtas ang mga ito at hindi nagpapataas ng panganib ng impeksyon bago ang operasyon o nagdudulot ng pinsala sa paulit-ulit na paggamit sa pulso. Gayunpaman, dapat mong maging mapagbantay sa mga bihirang ngunit seryosong panganib tulad ng pinsala sa buto ng balakang. Ang iyong doktor ang tumutulong sa iyo upang magdesisyon kung ang paggamit na ito ay angkop sa iyong partikular na pangangailangan at inaasahan.

Evidence & references

Overview

Response to intra-articular corticosteroid injection was not associated with differences in 10-year patient-reported outcomes, achievement of clinically significant outcomes, or reoperation rates for patients undergoing hip arthroscopy for femoroacetabular impingement syndrome [1].
The combination of corticosteroid and hyaluronic acid injection is more effective than corticosteroid alone in relieving pain in ankle osteoarthritis [2].
Preoperative corticosteroid injection at all studied timepoints was not associated with an increased risk of postoperative deep infection after carpal tunnel release [3].
There is a statistically significant difference in pain during and shortly after injection when using a steroid with lidocaine versus steroid alone for trigger finger, but that difference may not be clinically relevant [4].
Intraoperative corticosteroid pillar injection is not an effective option for preventing pillar pain symptoms after carpal tunnel release surgery [5].
High-dose triamcinolone injections outperformed low-dose injections across most metrics including estimated time of relief, rate of repeat injection, and rate of surgery for soft tissue pathology of the hand [6].
Timing of a single preoperative corticosteroid injection within 1 year of rotator cuff repair did not significantly affect failure rates, patient-reported outcomes, range of motion, or strength [7].
Both surgical procedures are indicated for painful thumb carpometacarpal osteoarthritis after steroid injections [8].
Repeated corticosteroid injections were found to be safe in the treatment of carpal tunnel syndrome and did not affect the morbidity of subsequent release [9].

How It Works

Response to intra-articular corticosteroid injection is not associated with differences in 10-year patient-reported outcomes, achievement of clinically significant outcomes, or reoperation rates in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome [1].
Combination of corticosteroid and hyaluronic acid injection is more effective than corticosteroid alone in relieving pain in ankle osteoarthritis [2].
Preoperative corticosteroid injection at all studied timepoints is not associated with an increased risk of postoperative deep infection after carpal tunnel release [3].
There is a statistically significant difference in pain during and shortly after injection when using a steroid with lidocaine versus steroid alone, but that difference may not be clinically relevant [4].
Intraoperative corticosteroid pillar injection is not an effective option for preventing pillar pain symptoms after carpal tunnel release surgery [5].
High-dose triamcinolone injections outperformed low-dose injections across most metrics including estimated time of relief, rate of repeat injection, and rate of surgery for soft tissue pathology of the hand [6].
Timing of a single preoperative corticosteroid injection within 1 year of rotator cuff repair did not significantly affect failure rates, patient-reported outcomes, range of motion, or strength [7].
Both surgical procedures are indicated for painful thumb carpometacarpal osteoarthritis after steroid injections [8].
Repeated corticosteroid injections are safe in the treatment of carpal tunnel syndrome and do not affect the morbidity of subsequent release [9].
Risks of intra-articular hip corticosteroid injections include rapidly progressive osteoarthritis, osteonecrosis, femoral head collapse, insufficiency fracture, and worsening osteoarthritis [11].
Both corticosteroid injections and conservative treatments are effective in treating heel spurs, with corticosteroid injections recommended as the preferred option due to higher patient satisfaction [12].
Patients who experienced temporary improvement after local corticosteroid injection had better clinical outcomes following endoscopic plantar fascia release [15].
Posterior approach, women, and history of preoperative corticosteroid injection are identified as the strongest risk factors for postoperative greater trochanter bursitis injection or postoperative soft tissue injection in total hip arthroplasty [18].
A dose-dependent relationship exists between pre-operative corticosteroid injections and post-operative complications following total shoulder arthroplasty, with increasing numbers of injections correlated with higher risks of prosthetic loosening, stiffness, revision surgery, and new rotator cuff disease [19].

What the Evidence Shows

Preoperative Injections and Surgical Outcomes

Response to preoperative intra-articular corticosteroid injection for hip arthroscopy in femoroacetabular impingement syndrome was not associated with differences in 10-year patient-reported outcomes, achievement of clinically significant outcomes, or reoperation rates [1].
Preoperative corticosteroid injection at all studied timepoints was not associated with an increased risk of postoperative deep infection after carpal tunnel release [3].
Timing of a single preoperative corticosteroid injection within 1 year prior to rotator cuff repair was not associated with increased risk of repair failure, nor did it significantly affect patient-reported outcomes, range of motion, or strength [7].
Both surgical procedures are indicated for painful thumb carpometacarpal osteoarthritis after steroid injections [8].
Patients who experienced temporary improvement after local corticosteroid injection had better clinical outcomes following endoscopic plantar fascia release for chronic plantar fasciopathy [15].

Comparative Efficacy and Treatment Alternatives

The combination of corticosteroid and hyaluronic acid injection is more effective than corticosteroid alone in relieving pain in ankle osteoarthritis [2].
High-dose triamcinolone injections outperformed low-dose injections across most metrics, including estimated time of relief, rate of repeat injection, and rate of surgery, for soft tissue pathology of the hand [6].
Platelet-rich plasma (PRP) has superior midterm efficacy compared to corticosteroids for improving pain and functional impairment in tendinopathy [20].
In patients with adhesive capsulitis, suprascapular nerve blocks provide greater pain relief at 3-4, 6-7, and 12 weeks, greater improvements in shoulder function at 12 weeks, and greater active abduction at 12 weeks compared to intra-articular corticosteroid injections [21].
Corticosteroid injections are recommended as the preferred option over conservative treatments for heel spurs due to higher patient satisfaction, although both are effective [12].

Injection Technique and Safety

There is a statistically significant difference in pain during and shortly after injection when using a steroid with lidocaine versus steroid alone for trigger finger, but that difference may not be clinically relevant [4].
Intraoperative corticosteroid pillar injection is not an effective option for preventing pillar pain symptoms after carpal tunnel release surgery [5].
Repeated corticosteroid injections for carpal tunnel syndrome are safe and do not affect the morbidity of subsequent release [9].
Postoperative corticosteroid injection is a viable treatment for postoperative stiffness after rotator cuff repair and may serve as a safer alternative to arthroscopic capsular release, particularly in high-risk patients such as those with osteoporosis or at risk of axillary nerve injury [16].

Risks and Adverse Events

Risks of intra-articular hip corticosteroid injections include rapidly progressive osteoarthritis, osteonecrosis, femoral head collapse, insufficiency fracture, and worsening osteoarthritis, although the incidence rates of these outcomes vary notably [11].

Health Disparities

Minority demographics have lower odds of receiving corticosteroid injections for the treatment of hand osteoarthritis [13].
Minority demographics were less likely to receive a corticosteroid injection or undergo surgical repair for rotator cuff disease despite matching on medical comorbidities and smoking status [14].

Methodological Notes

Methodological concerns regarding a trial comparing platelet-rich plasma to corticosteroid injections include the lack of ultrasound examination to assess inflammation and degeneration, the absence of Kellgren-Lawrence grade distribution data, and the potential confounding effect of lidocaine in corticosteroid preparations [10].

Practical Considerations

Response to preoperative intra-articular corticosteroid injection is not associated with differences in 10-year patient-reported outcomes, achievement of clinically significant outcomes, or reoperation rates in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome [1].
Dual intra-articular injections of corticosteroid and hyaluronic acid are more effective than single corticosteroid injection alone in relieving pain in ankle osteoarthritis [2].
Preoperative corticosteroid injection at all studied timepoints is not associated with an increased risk of postoperative deep infection after carpal tunnel release [3].
There is a statistically significant difference in pain during and shortly after injection when using a steroid with lidocaine versus steroid alone for trigger finger, but that difference may not be clinically relevant [4].
Intraoperative corticosteroid pillar injection is not an effective option for preventing pillar pain symptoms after carpal tunnel release surgery [5].
High-dose triamcinolone injections outperform low-dose injections across most metrics, including estimated time of relief, rate of repeat injection, and rate of surgery, for soft tissue pathology of the hand [6].
Timing of a single preoperative corticosteroid injection within 1 year of rotator cuff repair does not significantly affect failure rates, patient-reported outcomes, range of motion, or strength [7].
Both surgical procedures are indicated for painful thumb carpometacarpal osteoarthritis after steroid injections [8].
Repeated corticosteroid injections are safe in the treatment of carpal tunnel syndrome and do not affect the morbidity of subsequent release [9].
Methodological concerns regarding a trial comparing platelet-rich plasma to corticosteroid injections include the lack of ultrasound examination to assess inflammation and degeneration, the absence of Kellgren-Lawrence grade distribution data, and the potential confounding effect of lidocaine in corticosteroid preparations [10].
Risks of intra-articular hip corticosteroid injections include rapidly progressive osteoarthritis, osteonecrosis, femoral head collapse, insufficiency fracture, and worsening osteoarthritis, although the incidence rates of these outcomes vary notably [11].
Both corticosteroid injections and conservative treatments are effective in treating heel spurs, but corticosteroid injections are recommended as the preferred option due to higher patient satisfaction [12].
Minority demographics have lower odds of receiving corticosteroid injections for the treatment of hand osteoarthritis [13].
Minority demographics are less likely to receive a corticosteroid injection or undergo surgical repair for rotator cuff disease despite matching on medical comorbidities and smoking status [14].
Postoperative corticosteroid injection is a viable treatment for postoperative stiffness after rotator cuff repair and may serve as a safer alternative to arthroscopic capsular release, particularly in high-risk patients such as those with osteoporosis or at risk of axillary nerve injury [16].
Platelet-rich plasma injections are inferior to corticosteroid injections for short-term pain relief, suggesting that expectations regarding the clinical utility of PRP should be tempered [17].

Key Evidence

[L2] Response to intra-articular corticosteroid injection was not associated with differences in 10-year patient-reported outcomes, achievement of clinically significant outcomes, or reoperation rates. [1] (10.1016/j.arthro.2025.07.013)
[L1] The combination of corticosteroid and HA injection is more effective than corticosteroid alone in relieving pain in ankle OA. [2] (10.1186/s12891-025-08488-0)
[L3] Preoperative corticosteroid injection at all studied timepoints was not associated with an increased risk of postoperative deep infection, a divergence from existing literature. [3] (10.5435/jaaos-d-25-00317)
[L2] There is a statistically significant difference in pain during and shortly after injection when using a steroid with lidocaine versus steroid alone, but that difference may not be clinically relevant. [4] (10.1016/j.jhsa.2024.05.016)
[L1] Intraoperative corticosteroid pillar injection is not an effective option for preventing pillar pain symptoms. [5] (10.1186/s12891-025-09393-2)
[L4] High-dose triamcinolone injections outperformed low-dose injections across most metrics including estimated time of relief, rate of repeat injection, and rate of surgery. [6] (10.1016/j.jhsa.2025.09.014)
[L2] Timing of a single preoperative corticosteroid injection within 1 year of rotator cuff repair did not significantly affect failure rates, patient-reported outcomes, range of motion, or strength, suggesting that one injection before repair does not strongly influence outcomes. [7] (10.1016/j.jseint.2026.101632)
[L4] Both procedures are indicated for painful thumb carpometacarpal osteoarthritis after steroid injections. [8] (10.1016/j.jhsa.2026.01.024)
[L3] Repeated injections were found to be safe in the treatment of carpal tunnel syndrome and did not affect the morbidity of subsequent release. [9] (10.1177/17531934251396629)
[L5] The letter highlights methodological concerns regarding the original trial, specifically the lack of ultrasound examination to assess inflammation and degeneration, the absence of Kellgren-Lawrence grade distribution data, and the potential confounding effect of lidocaine in corticosteroid preparations. [10] (10.1016/j.arth.2025.05.006)
[L5] Risks of intra-articular hip corticosteroid injections include rapidly progressive osteoarthritis, osteonecrosis, femoral head collapse, insufficiency fracture, and worsening osteoarthritis, although the incidence rates of these outcomes vary notably. [11] (10.1016/j.asmr.2025.101169)
[L3] Both corticosteroid injections and conservative treatments were effective in treating heel spurs; however, corticosteroid injections are recommended as the preferred option due to higher patient satisfaction. [12] (10.1186/s12891-025-08648-2)
[L3] Minority demographics have lower odds of receiving corticosteroid injections for the treatment of hand osteoarthritis. [13] (10.1016/j.jhsg.2025.100837)
[L3] Minority demographics were less likely to receive a corticosteroid injection or undergo surgical repair for rotator cuff disease despite matching on medical comorbidities and smoking status. [14] (10.1016/j.jse.2026.01.015)
[L3] Patients who experienced temporary improvement after local corticosteroid injection had better clinical outcomes following endoscopic plantar fascia release. [15] (10.1186/s12891-025-08816-4)
[L5] Current findings suggest that corticosteroid injections may serve as a safer alternative to arthroscopic capsular release, particularly in high-risk patients such as those with osteoporosis or at risk of axillary nerve injury. [16] (10.1016/j.arthro.2025.04.021)
[L1] Based on these findings, expectations regarding the clinical utility of PRP should be tempered. [17] (10.1016/j.arth.2025.03.013)
[L3] Posterior approach, women, and history of preoperative corticosteroid injection were identified as the strongest risk factors for postoperative greater trochanter bursitis injection or postoperative soft tissue injection. [18] (10.1016/j.arth.2025.03.045)
[L2] A dose-dependent relationship exists between pre-operative corticosteroid injections and post-operative complications following total shoulder arthroplasty, with increasing numbers of injections correlated with higher risks of prosthetic loosening, stiffness, revision surgery, and new rotator cuff disease. [19] (10.1016/j.jse.2026.01.024)
[L1] PRP can effectively improve pain and functional impairment in patients with tendinopathy, and its midterm efficacy is superior to that of corticosteroids. [20] (10.1186/s12891-025-08566-3)
[L1] In patients with adhesive capsulitis, suprascapular nerve blocks provide greater pain relief at 3-4, 6-7, and 12 weeks, greater improvements in shoulder function at 12 weeks, and greater active abduction at 12 weeks, compared to intra-articular corticosteroid injections. [21] (10.1016/j.jse.2025.05.037)

References

[1] No Difference in Responders and Nonresponders to Preoperative Intra-articular Corticosteroid Injection Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome at 10 Years: A Matched Analysis. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2025. DOI: 10.1016/j.arthro.2025.07.013 [2] Dual intra-articular injections of corticosteroid and hyaluronic acid versus single corticosteroid injection for ankle osteoarthritis: a randomized comparative trial. BMC Musculoskeletal Disorders. 2025. DOI: 10.1186/s12891-025-08488-0 [3] Ipsilateral Preoperative Corticosteroid Injection and Timing Not Associated With Postoperative Deep Infection After Carpal Tunnel Release. Journal of the American Academy of Orthopaedic Surgeons. 2025. DOI: 10.5435/jaaos-d-25-00317 [4] Corticosteroid Injection With and Without Local Anesthetic for the Treatment of Trigger Finger: A Randomized Clinical Trial. The Journal of Hand Surgery. 2025. DOI: 10.1016/j.jhsa.2024.05.016 [5] “Intraoperative pillar corticosteroid injection”: does it improve clinical outcomes after carpal tunnel release surgery? A double-blind, randomized controlled study. BMC Musculoskeletal Disorders. 2025. DOI: 10.1186/s12891-025-09393-2 [6] Efficacy of Low-Dose Versus High-Dose Corticosteroid Injections for Soft Tissue Pathology of the Hand. The Journal of Hand Surgery. 2025. DOI: 10.1016/j.jhsa.2025.09.014 [7] Timing of corticosteroid injection within 1 year prior to rotator cuff repair was not associated with increased risk of repair failure. JSES International. 2026. DOI: 10.1016/j.jseint.2026.101632 [8] Do Preoperative Intra-Articular Steroid Injections Affect the Choice of Surgical Procedures for Thumb Carpometacarpal Osteoarthritis?. The Journal of Hand Surgery. 2026. DOI: 10.1016/j.jhsa.2026.01.024 [9] The safety and cost of repeated corticosteroid injections for carpal tunnel syndrome. Journal of Hand Surgery (European Volume). 2025. DOI: 10.1177/17531934251396629 [10] Letter Regarding "Platelet-Rich Plasma Injections Are Inferior to Corticosteroid Injections for Short-Term Pain Relief: A Prospective, Double-Blinded, Randomized Controlled Trial". The Journal of Arthroplasty. 2025. DOI: 10.1016/j.arth.2025.05.006 [11] Risks of Intra‐articular Hip Corticosteroid Injections Include Rapidly Progressive Osteoarthritis and Femoral Head Collapse in Patients With and Without Pre‐existing Osteoarthritis: A Systematic Review. Arthroscopy, Sports Medicine, and Rehabilitation. 2025. DOI: 10.1016/j.asmr.2025.101169 [12] Comparison of corticosteroid injections and conservative treatments for heel spurs. BMC Musculoskeletal Disorders. 2025. DOI: 10.1186/s12891-025-08648-2 [13] Underutilization of Hand Corticosteroid Injections and Arthroplasty for Minority Demographics. Journal of Hand Surgery Global Online. 2025. DOI: 10.1016/j.jhsg.2025.100837 [14] Minority groups are less likely to undergo surgical fixation or receive a corticosteroid injection for rotator cuff disease: a large database study. Journal of Shoulder and Elbow Surgery. 2026. DOI: 10.1016/j.jse.2026.01.015 [15] Does local steroid injection have a prognostic value for endoscopic plantar fascia release in chronic plantar fasciopathy?. BMC Musculoskeletal Disorders. 2025. DOI: 10.1186/s12891-025-08816-4 [16] Editorial Commentary: Postoperative Corticosteroid Injection Is a Viable Treatment for Postoperative Stiffness After Rotator Cuff Repair. Arthroscopy. 2025. DOI: 10.1016/j.arthro.2025.04.021 [17] Platelet-Rich Plasma Injections Are Inferior to Corticosteroid Injections for Short-Term Pain Relief: A Prospective, Double-Blinded, Randomized Controlled Trial. The Journal of Arthroplasty. 2025. DOI: 10.1016/j.arth.2025.03.013 [18] Does Surgical Approach in Total Hip Arthroplasty Affect Postoperative Corticosteroid Injection Requirements?. The Journal of Arthroplasty. 2025. DOI: 10.1016/j.arth.2025.03.045 [19] Pre-operative corticosteroid injections are associated with a dose-dependent risk for complications following anatomic and reverse total shoulderarthroplasty. Journal of Shoulder and Elbow Surgery. 2026. DOI: 10.1016/j.jse.2026.01.024 [20] Platelet-rich plasma and corticosteroid injection for tendinopathy: a systematic review and meta-analysis. BMC Musculoskeletal Disorders. 2025. DOI: 10.1186/s12891-025-08566-3 [21] Intra-articular corticosteroid injection vs. suprascapular nerve block for adhesive capsulitis: a systematic review and meta-analysis of level I randomized controlled trials. Journal of Shoulder and Elbow Surgery. 2026. DOI: 10.1016/j.jse.2025.05.037