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Hip Pain And Corticosteroids & Chronic Pain After Spinal Surgery
Manage episode 381813351 series 2291021
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
- Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.
- Then go Like our Chiropractic Forward Facebook page,
- Join our private Chiropractic Forward Facebook group, and then
- Review our podcast on whatever platform you’re listening to
- Last thing real quick, we also have an evidence-based brochure and poster store at chiropracticforward.com
- This study was conducted in 2 parts. First, to assess for a potential association between hip corticosteroid injection and RDHD, a case-control analysis was performed.
- Patients who developed RDHD between 2013 and 2016 served as cases, whereas those who underwent total hip arthroplasty for diagnoses other than RDHD during the same period served as controls, and the exposure of interest was prior intra-articular hip corticosteroid injection.
- Second, in a retrospective cohort analysis, we analyzed all patients who received a fluoroscopically guided intra-articular hip corticosteroid injection at our institution from 2013 to 2016.
- The rate of post-injection RDHD was determined, and logistic regression was used to identify risk factors for occurrence.
- In the case-control analysis, hip corticosteroid injection was associated with the development of RDHD.
- There was evidence of a dose-response curve, with the risk of RDHD increasing with injection dosage as well as with the number of injections received.
- In the retrospective cohort analysis, the rate of post-injection RDHD was 5.4%.
- Cases of post-injection RDHD were diagnosed at an average of 5.1 months following injection and were characterized by rapidly progressive joint-space narrowing, osteolysis, and collapse of the femoral head.
- This study documents an association between hip corticosteroid injection and RDHD.
- While the risk of RDHD following a single low-dose (≤40 mg) is low, the risk is higher following high-dose (≥80 mg) injection and multiple injections.
- These findings provide information that can be used to counsel patients about the risks associated with this common procedure.
- In addition, caution should be taken with intra-articular hip injections utilizing ≥80 mg of corticosteroid and multiple injections.
- They searched all of the common libraries of research to retrieve articles describing the frequency of persistent back pain, reoccurring disc herniation, and undergoing another operation following primary lumbar discectomy.
- They excluded articles that did not disclose the proportion of patients who experienced ongoing back or leg pain for over six months after the operation.
- They included 16 studies evaluating 85,643 patients.
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
HomeSocial Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger
The post Hip Pain And Corticosteroids & Chronic Pain After Spinal Surgery appeared first on Chiropractic Forward.
301 ตอน
Hip Pain And Corticosteroids & Chronic Pain After Spinal Surgery
The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy
Manage episode 381813351 series 2291021
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
- Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.
- Then go Like our Chiropractic Forward Facebook page,
- Join our private Chiropractic Forward Facebook group, and then
- Review our podcast on whatever platform you’re listening to
- Last thing real quick, we also have an evidence-based brochure and poster store at chiropracticforward.com
- This study was conducted in 2 parts. First, to assess for a potential association between hip corticosteroid injection and RDHD, a case-control analysis was performed.
- Patients who developed RDHD between 2013 and 2016 served as cases, whereas those who underwent total hip arthroplasty for diagnoses other than RDHD during the same period served as controls, and the exposure of interest was prior intra-articular hip corticosteroid injection.
- Second, in a retrospective cohort analysis, we analyzed all patients who received a fluoroscopically guided intra-articular hip corticosteroid injection at our institution from 2013 to 2016.
- The rate of post-injection RDHD was determined, and logistic regression was used to identify risk factors for occurrence.
- In the case-control analysis, hip corticosteroid injection was associated with the development of RDHD.
- There was evidence of a dose-response curve, with the risk of RDHD increasing with injection dosage as well as with the number of injections received.
- In the retrospective cohort analysis, the rate of post-injection RDHD was 5.4%.
- Cases of post-injection RDHD were diagnosed at an average of 5.1 months following injection and were characterized by rapidly progressive joint-space narrowing, osteolysis, and collapse of the femoral head.
- This study documents an association between hip corticosteroid injection and RDHD.
- While the risk of RDHD following a single low-dose (≤40 mg) is low, the risk is higher following high-dose (≥80 mg) injection and multiple injections.
- These findings provide information that can be used to counsel patients about the risks associated with this common procedure.
- In addition, caution should be taken with intra-articular hip injections utilizing ≥80 mg of corticosteroid and multiple injections.
- They searched all of the common libraries of research to retrieve articles describing the frequency of persistent back pain, reoccurring disc herniation, and undergoing another operation following primary lumbar discectomy.
- They excluded articles that did not disclose the proportion of patients who experienced ongoing back or leg pain for over six months after the operation.
- They included 16 studies evaluating 85,643 patients.
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
HomeSocial Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger
The post Hip Pain And Corticosteroids & Chronic Pain After Spinal Surgery appeared first on Chiropractic Forward.
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