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A Novel Cell Injection Method with Minimum Invasion
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Soft tissue injections in the athlete.

Jeffrey J Nepple1, Matthew J Matava

  • 1Washington University School of Medicine, Chesterfield, Missouri.

Sports Health
|September 28, 2012
PubMed
Summary

Soft tissue injections like corticosteroids, local anesthetics, and ketorolac tromethamine (Toradol) are common in sports medicine for pain relief. While effective for some conditions, these injections carry risks, including tendon rupture and bleeding, requiring careful consideration.

Keywords:
athletesinjectionsoft tissue

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Area of Science:

  • Sports Medicine
  • Musculoskeletal Injections
  • Pharmacology

Background:

  • Soft tissue injections are frequently used in sports medicine to alleviate pain and expedite return to play.
  • Common injection sites include muscle, tendon, bursa, and fascia.

Purpose of the Study:

  • To review the efficacy and risks of commonly injected agents in athletes.
  • To highlight potential side effects of injectable agents used for pain control and anti-inflammatory effects.

Main Methods:

  • This study is a clinical review of existing literature and practices.

Main Results:

  • Corticosteroids, local anesthetics, and ketorolac tromethamine (Toradol) are the primary injectable agents used in athletes.
  • The efficacy of these agents varies by condition, with some benefits remaining uncertain.
  • Potential serious side effects exist for all soft tissue injections, particularly in pregame scenarios.

Conclusions:

  • Direct corticosteroid and local anesthetic injections into tendons increase the risk of tendon rupture.
  • Intramuscular ketorolac tromethamine (Toradol) offers significant pain relief and anti-inflammatory benefits by inhibiting the cyclooxygenase pathway.
  • The bleeding risk associated with Toradol is acknowledged but not precisely quantified.