Comparative Effectiveness of Particulate Versus Nonparticulate Steroid Injections for Musculoskeletal Conditions

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Trial ID: NCT04278833

Age - 18 Years-N/A Gender - All Accepting Healthy Volunteers - No

Purpose

This aims of this study are: 1. To determine if particulate or non-particulate corticosteroid injections are more effective at treating pain from musculoskeletal pathologies of the hip, glenohumeral joint, biceps tendon, or subacromial/subdeltoid bursa at 2 weeks, 3 months, or 6 months. 2. To determine if there is a significantly different side effect profile between particulate and non-particulate corticosteroids when used for hip, glenohumeral joint, biceps tendon, or subacromial/subdeltoid bursa injections.

Official Title

Comparative Effectiveness of Particulate Versus Nonparticulate Corticosteroid Injections for the Treatment of Musculoskeletal Conditions

Stanford Investigator(s)

Eugene Y. Roh, MD

Eligibility


Inclusion Criteria:

   - Age greater than or equal to 18

   - Ability to provide informed consent

   - Capable of complying with the outcome instruments used

   - Capable of attending all planned follow up visits

   - Patient is deemed appropriate for intra-articular hip, glenohumeral, peri-tendinous
   biceps, or subdeltoid bursa corticosteroid injection by their treating physician for
   the treatment of painful musculoskeletal condition

   - Average pain of greater than or equal to 4/10 over the last 7 days

Exclusion Criteria:

   - Unclear diagnosis

   - Pregnancy

   - Incarcerated patients

   - Prior corticosteroid injection into the same anatomical site within the last 3 months

   - Prior prosthetic surgery on the joint

   - Any condition that increases injection risk such as bleeding tendencies, uncontrolled
   diabetes, current active infection, or infection requiring antibiotics within the last
   7 days

   - Chronic opioid use to control pain

   - Workers compensation and litigation

   - BMI > 40

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Intervention(s):

drug: Triamcinolone or Betamethasone

drug: Dexamethasone

Recruiting

I'm Interested

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Agnes Martinez Ith
650-721-7600

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