A 56-year-old man noted a sudden decrease of vision in his right eye 4 hours after intramuscular triamcinolone acetonide (TA) injection. A diagnosis of unilateral nonarteritic anterior ischemic optic neuropathy (NAION) was made, and the patient was counseled to discontinue using TA. Examination for possible risk factors revealed controlled hypertension. Final visual acuity was finger counting a...

Question: What is the effect of physiotherapy compared with a wait and see approach or corticosteroid injections for tennis elbow? Design: Randomised controlled trial with concealed allocation, assessor blinding, and intention-totreat analysis. Setting: Community setting in Australia. Participants: 198 respondents to advertisements of the trial, aged 18 to 65 years, with a clinical diagnosis of...

BACKGROUND Regional pain in the hip in adults is a common cause of a general practitioner visit. A considerable part of patients suffer from (greater) trochanteric pain syndrome or trochanteric bursitis. Local corticosteroid injections is one of the treatment options. Although clear evidence is lacking, small observational studies suggest that this treatment is effective in the short-term follo...

BACKGROUND To estimate the occurrence and type of adverse effects after application of an extra-articular (soft tissue) corticosteroid injection. METHODS A systematic review of the literature was made based on a PubMed and Embase search covering the period 1956 to January 2010. Case reports were included, as were prospective and retrospective studies that reported adverse events of corticoste...

BACKGROUND Role substitution is a strategy employed to assist health services manage the growing demand for musculoskeletal care. Corticosteroid injection is a common treatment in this population but the efficacy of its prescription and delivery by physiotherapists has not been established against orthopaedic standards. This paper investigates whether corticosteroid injection given by a physiot...