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- Title
Musculoskeletal steroid injections in pregnancy: a review.
- Authors
Filippini, Claire; Saran, Sonal; Chari, Basavaraj
- Abstract
Pregnant women experience a wide range of musculoskeletal pain disorders, which include general ailments occurring during pregnancy, exacerbation of pre-existing conditions, or pregnancy-specific pain/inflammatory conditions. There are significant concerns and knowledge gaps surrounding the safety, dosage, and potential long-term effects of several drugs used during pregnancy. Our article reviews the use of focal steroid injections during pregnancy. A mixture of case studies, meta-analyses, and randomised controlled trials have shown at least there is no adverse side effect to the mother or baby from maternal use of non-systemic injection during pregnancy and a significant improvement in symptoms of pain or paraesthesia can be achieved in patients that do not respond to more conservative measures. As with all patients, the use of steroid injection should be judged on a case-by-case basis to ensure that it is the most appropriate treatment choice. However, being pregnant should not be considered a contraindication to a single dose of non-systemic steroid administration, as these women can achieve significant symptomatic relief that reduces reliance on systemic medication and can significantly improve their quality of life.
- Subjects
PREGNANCY; PREGNANT women; INJECTIONS; MUSCULOSKELETAL pain; CARPAL tunnel syndrome
- Publication
Skeletal Radiology, 2023, Vol 52, Issue 8, p1465
- ISSN
0364-2348
- Publication type
Article
- DOI
10.1007/s00256-023-04320-9