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A Study on the Effectiveness of Musculoskeletal Corticosteroid Injections for Reducing Patient Symptom Scores in Primary Care Practice.
Harmer, Abigail; Ribchester, John; Malhi, Inderpal; Robinson, Brad; Eguakun, Nosa.
Afiliación
  • Harmer A; Clinical Services Deparment, Whitstable Medical Practice, Whitstable, UK.
  • Ribchester J; Clinical Services Deparment, Whitstable Medical Practice, Whitstable, UK.
  • Malhi I; Clinical Services Deparment, Whitstable Medical Practice, Whitstable, UK.
  • Robinson B; Clinical Services Deparment, Whitstable Medical Practice, Whitstable, UK.
  • Eguakun N; Clinical Services Deparment, Whitstable Medical Practice, Whitstable, UK.
Musculoskeletal Care ; 22(3): e1933, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39205370
ABSTRACT

OBJECTIVES:

To present data on the effectiveness of corticosteroid injections (CSI) in reducing symptom scores for musculoskeletal conditions in patients treated in an NHS primary care CSI service. The data will also examine whether adding local anaesthetic to the corticosteroid preparation affects the overall patient outcomes in symptom scores.

METHODS:

A Patient-reported outcomes (PRO) questionnaire was used to collect data. Patients were asked to complete the questionnaire post-CSI. Patients were asked to rate their symptoms on a score of 0-6 before and after their injection. Data were calculated using standard deviation and paired t-test to assess the effectiveness of CSI in reducing symptom scores.

RESULTS:

Overall, 172 patients (79.6%) reported an improvement in symptomatology post CSI. Improvements were seen across all injection sites. Of those taking medication for their symptoms, 73 patients (55.7%) reported that they were able to reduce their medication. Data did not suggest that adding local anaesthetic to the injectate resulted in better patient outcomes. Post-injection symptom scores were statistically similar across all clinicians.

CONCLUSION:

83.7% of patients experienced a reduction in symptom scores post injection. Adding lidocaine to the injectate preparation did not result in any statistically significant improvement in patient outcome. Over half of the participants were able to reduce their medication post injection, which demonstrates this is a highly effective primary care service for treatment/management of some MSK conditions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Enfermedades Musculoesqueléticas / Corticoesteroides Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Musculoskeletal Care Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Enfermedades Musculoesqueléticas / Corticoesteroides Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Musculoskeletal Care Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido