How many corticosteroid injections are needed to treat joint and soft tissue injuries?

Updated: Mar 01, 2019
  • Author: Jess D Salinas, Jr, MD; Chief Editor: Elizabeth A Moberg-Wolff, MD  more...
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Answer

Answer

Frequently, multiple injections are required for comprehensive treatment of the patient. Typically, patients have multiple trigger points, and 3 sets of injections are required; however, it has been this author's observation that administration of up to 10 rounds of trigger point injections may be necessary. Each week, the patient may return with a new "worst spot." This phenomenon tends to be more common in patients with a chronic muscle disorder, such as fibromyalgia or a chronic pain syndrome. Tendon and joint injections generally are limited to no more than 3 in 1 joint per calendar year because of the potential for mechanical disruption of the joint space and structures.


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