2022
DOI: 10.1186/s13018-022-03175-5
|View full text |Cite
|
Sign up to set email alerts
|

The effect of corticosteroid injection in the treatment of greater trochanter pain syndrome: a systematic review and meta-analysis of randomized controlled trials

Abstract: Background corticosteroid injection (CSI) has been used to treat greater trochanter pain syndrome (GTPS) for many years. However, so far, the efficacy of CSI in the treatment of GTPS is still controversial. Therefore, the aim of this review is to evaluate the effectiveness of CSI in comparison with sham intervention, nature history, usual care, platelet-rich plasma (PRP), physiotherapy/exercise therapy, dry needling, or other nonsurgical treatment for improvements in pain and function in GTPS. … Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2
1

Citation Types

2
7
0

Year Published

2023
2023
2024
2024

Publication Types

Select...
6
1

Relationship

0
7

Authors

Journals

citations
Cited by 12 publications
(9 citation statements)
references
References 37 publications
2
7
0
Order By: Relevance
“…CSIs remain a common and controversial treatment modality based on the assumption that pain is the primary result of inflamed trochanteric bursa. In general, steroid injections produce short-term pain relief but are inferior to exercise therapy for improving pain or function in the short or long term (30). A concern for use of CSI is the possibility for weakening the tendon structure in the long term.…”
Section: Greater Trochanteric Pain Syndromementioning
confidence: 99%
See 1 more Smart Citation
“…CSIs remain a common and controversial treatment modality based on the assumption that pain is the primary result of inflamed trochanteric bursa. In general, steroid injections produce short-term pain relief but are inferior to exercise therapy for improving pain or function in the short or long term (30). A concern for use of CSI is the possibility for weakening the tendon structure in the long term.…”
Section: Greater Trochanteric Pain Syndromementioning
confidence: 99%
“…A concern for use of CSI is the possibility for weakening the tendon structure in the long term. Both extracorporeal shockwave therapy and PRP injections improve function better than CSI at 6 to 12 months (30,31). Our approach is to load the gluteal tendons with a combination of isometric, eccentric, and heavy slow resistance exercises for at least 12 wk and limit iliotibial (IT) band stretching to prevent compressive tendinopathy.…”
Section: Greater Trochanteric Pain Syndromementioning
confidence: 99%
“…However, PRP injections and ESWT may provide short-term pain relief, and structured exercise could produce short-term improvement in functional outcomes [ 101 ]. Wang et al [ 102 ] found that the existing evidence on the effectiveness of CS injections in GTPS is equivocal. A RCT that was not included in our systematic review as the participants did not perform exercise as part of their treatments found no benefits of CS injections compared to placebo injections [ 103 ].…”
Section: Discussionmentioning
confidence: 99%
“…The primary pathology for GT is now understood to be a non-inflammatory insertional tendinopathy of the gluteus medius and/or gluteus minimus [ 7 , 10 , 11 ]. Despite this, many clinicians continue to target inflammation and deliver passive, ‘quick-fix’, low-value interventions [ 12 ].…”
Section: Introductionmentioning
confidence: 99%