In light of last month's posting, Plantar Fasciitis vs. Fasciosis, and the treaments thereof, including injectable steroids w/ local anesthetic or local anesthetic alone (with or without the needling technique), I thought it prudent to post this review article:
Let me first say that many sources in the literature still cite that we do not yet fully and completely understand ALL of the mechanisms by which catabolic, medicinal steroids function in the body when introduced either orally or by injection. We undertand many of the pathways by which they work, but experts still state that some of the chemical processes and interactions are yet to be elucidated. I have searched, scoured, and read over the years; I have queried top clinicians, professors, and pharmacological gurus, but at the end of the day, most still say we are still feeling our way around in the dark with these 'roids things. That boggles me. This may be one of those, as in the other post: I don't need to know all about how it works just as long as I can get reproducible results.
One interesting note: the article discusses treating the pathway of pain and not just of inflammation with steroids; now that I have indeed read about in the literature over the past 12 years in my quest to better understand steroids.
And again, I credit some of my earliest understanding of injectable steroid therapeutics to the good Dr. Markinson with whom I had the good fortune to corrsepond with (via PM-News) when I was a young practitioner out of residency some 11 years ago. Because of his writings (monographs in emails), my views changed on this seemingly shrouded topic, and suddenly I was enlightened. I then became truly inspired to learn everything I could about this important pod med topic. As a result, I improved my practice patterns and helped countless more patients over the years. Why someone hasn't written at least a small paperback dedicated solely to all things foot and ankle injections as of yet is a mystery to me.
Steriod injections have long been the go-to treatment for common musculoskeletal ailments like low back pain and tennis elbow. Here, the conventional wisdom gets a closer look.
Steroid injections for lateral epicondylalgia
The second study examined the use of corticosteroid injections for lateral epicondylalgia, more popularly referred to as “tennis elbow.”
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