Long acting steroid injections are safe and effective if given correctly

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6987.1139a (Published 29 April 1995) Cite this as: BMJ 1995;310:1139
  1. Malcolm DeSilva
  1. Consultant physician Department of Rheumatology, Prince Charles Hospital, Merthyr Tydfil, Mid Glamorgan CF47 9DT

    EDITOR,—The article on pain in the neck, shoulder, and arm advises on the choice of steroid preparations for intra-articular and soft tissue use in the conditions mentioned.1 I disagree with the authors that the use of long acting depot preparations should be avoided. Several studies have shown that hydrocortisone acetate is the weakest and triamcinolone hexacetonide and triamcinolone acetonide are the most potent of the steroids …

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