Comparative Effectiveness of Particulate Versus Nonparticulate Steroid Injections for Musculoskeletal Conditions

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