AOSSM Youth to the NFL Sports Medicine Course no CME-Non-biologic Injections: What, When and Why?

Video Transcription

Video Summary

This video discusses various non-biologic injections used for musculoskeletal pain relief in athletes. The speaker begins by thanking a sports medicine colleague for their assistance. They emphasize the importance of evidence-based recommendations. Intraarticular injections include local anesthetics (ropivacaine), corticosteroids (triamcinolone), and high molecular weight visco supplements. These can be used individually or in combination. Extraarticular injections are based on the desired duration of effect. The speaker shares their personal experience with using local anesthetics without epinephrine on game day to avoid an apprehensive response from athletes. They mention using corticosteroids for specific conditions, such as core muscle injuries, high ankle sprains, and occasionally, hamstring strains. The speaker also discusses the use of corticosteroids in soft tissues and the potential risks associated with their use. Additionally, they mention the use of nonsteroidal anti-inflammatory drugs (NSAIDs) and visco supplements. They highlight the placebo effect and its impact on treatment outcomes, as well as the importance of communicating with athletes and considering individual preferences. The speaker concludes by summarizing the recommended injections and when to use them. They also mention that while these injections can provide temporary pain relief, there is no long-term health benefit and potential long-term risks.

Asset Caption

Presented by Leslie J. Bisson MD

Keywords

non-biologic injections

musculoskeletal pain relief

athletes

intraarticular injections

corticosteroids