New guidance on corticosteroid injections published

11 June 2020 (Last updated: 13 Jul 2020 15:21)

An editorial written by Christopher Little, Margaret Birks, Maxim Horwitz, Chye Yew Ng, and David Warwick has been published online today (11 June 2020), providing much needed guidance to hand surgeons and the public regarding the safe resumption of steroid injections to treat painful hand conditions in certain individuals during the present Covid-19 pandemic.  

The authors write: "where a patient has significant disease activity and there are no effective alternatives, CSI should be considered following a shared risk assessment with the patient as part of ‘Montgomery guided’ consent process.  With careful shared decision-making, recognizing the potential but, in all probability, very low risks of CSI in the setting of COVID-19, and after appropriate patient selection and counselling, we feel continued use of CSI in low doses remains an appropriate treatment option for many patients."

Read the full editorial here.

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