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AMSSM Sports Medcasts

Top Sports Medicine Articles Podcast – NSAIDs vs. Steroid Injections for Shoulder Impingement Syndrome

Dec 11, 2024
Dr. Jason Deck, an Associate Professor and director of the Primary Care Sports Medicine Fellowship at the University of Oklahoma, dives into the effectiveness of NSAIDs versus corticosteroid injections for shoulder impingement syndrome. He reviews a significant meta-analysis highlighting treatment outcomes and cost implications. The conversation explores the nuances of the research, the challenges of comparing treatments, and how patient-specific factors like diabetes influence choices. It's a critical discussion for anyone involved in sports medicine!
15:51
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Episode guests

Jason Deck

Podcast summary created with Snipd AI

Quick takeaways

  • Both nonsteroidal anti-inflammatory injections and corticosteroid injections provide comparable pain relief and functional improvement for shoulder impingement syndrome.
  • Cost-effectiveness analysis reveals that injectable NSAIDs are significantly cheaper than corticosteroids, influencing clinical decisions regarding patient treatment options.

Deep dives

Comparison of Treatment Options for Shoulder Impingement

The podcast discusses a systematic review and meta-analysis examining non-steroidal anti-inflammatory injections versus corticosteroid injections for treating shoulder impingement syndrome. The findings highlight that both treatment options offer similar results in terms of pain relief and functional improvement, making NSAIDs a viable alternative in situations where steroids may pose additional risks. This consideration is particularly important for patients with contraindications to steroids, as NSAIDs exhibit a potentially lower side effect profile. The systematic review analyzed 10 randomized control trials involving a total of 694 patients, underscoring the relevance of these findings for a broad age range of individuals with shoulder issues.

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