- There is no evidence that intra-articular corticosteroid injections provide any long-term benefits for treatment of knee osteoarthritis.
BACKGROUND & OBJECTIVE
Intra-articular corticosteroid injections (IACIs) are a common treatment for knee osteoarthritis, but there is evidence that their benefits are limited to the short term, and that they cause harm in the long term.
This paper was a commentary reviewing some of the relevant evidence and arguing that medical care providers should discontinue use of IACIs as a treatment for knee osteoarthritis.
Intra-articular corticosteroid injections might cause long term harm through cartilage degeneration, and/or increasing the probability of surgery and its associated risks, such as infection.
This paper reviewed some systematic reviews, RCTs and meta-analyses concerning the medium and long-term effects of IACI treatment compared to placebo and alternative treatments. It also rebuts arguments from experts who recommend the continued use of IACIs for treatment of