Cortocosteriods ineffective for tendonopathies

In an article posted by Lancet today 2762 participants that was analyzed from 41 independently controlled trials.  They found that injections were not very effective in the short-term and longer terms of 26 and 52 weeks they were deemed less effective than no intervention at all.

Commentators say, “There is no compelling evidence that any injection for tendinopathy is a magic bullet,” adding that “evidence for specific exercise therapy is more encouraging than the evidence for corticosteroid injection”

The Lancet, Early Online Publication, 22 October 2010 doi:10.1016/S0140-6736(10)61160-9

That is a powerful statement.  Active exercise and rehab have been proven time and time again to be effective.   So why do steroid injections not work?  When you inject a steriod into the body it causes apoptosis (in english, programed cell death), which makes the tendon and surrounding tissues weaker.  No wonder this in not effective.  That is why in my Fort Collins Chiropractic office, we address the irritation of the tendon with Laser therapy,  breaking up scar tissue, and addressing the biomechanics of the body to find out why the tendon is becoming irritated.

The choice is yours, programed cell death or or address the cause.  Choose wisely!.

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