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Int J Occup Med Environ Health ; 34(1): 111-120, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33300502

RESUMO

OBJECTIVES: Evaluating treatment outcomes of local corticosteroid injections for work-related lower back pain (LBP) as the current evidence for the American College of Occupational and Environmental Medicine guidelines is considered insufficient to recommend this practice. MATERIAL AND METHODS: The authors conducted a retrospective study involving the patients who were treated with peri-articular and lower lumbar corticosteroid injections for work-related LBP at their occupational medicine clinic. RESULTS: Sixty-four patients met the inclusion criteria. The average pain level was reduced from M±SD 5.1±2.0 to M±SD 3.1±2.3 after the corticosteroid injection (p < 0.0001). Thirty-five patients (55%) were discharged to regular duty; 23 (36%) were transferred to orthopedics due to persistent pain; and 6 (9%) were lost to follow-up. CONCLUSIONS: Corticosteroid injections for work-related LBP are effective in reducing pain and enhancing discharge to regular duty. Nonetheless, larger prospective trials are needed to validate these findings. Int J Occup Med Environ Health. 2021;34(1):111-20.


Assuntos
Corticosteroides/uso terapêutico , Dor Lombar/tratamento farmacológico , Entorses e Distensões/tratamento farmacológico , Corticosteroides/administração & dosagem , Adulto , Idoso , California , Feminino , Humanos , Injeções Intra-Articulares , Região Lombossacral/lesões , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/tratamento farmacológico , Estudos Retrospectivos , Retorno ao Trabalho/estatística & dados numéricos , Articulação Sacroilíaca , Resultado do Tratamento
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