Short report

To Inject or Not to Inject? Corticosteroid Injections in the Face of the COVID-19 Pandemic

DOI https://doi.org/10.70302/jpsim.v2i1.2118
Received: 12 Nov 2020 Accepted: 09 Jan 2021 Published Online: 13 Mar 2021

Abstract

Corticosteroid injections (CSI), a recognized modality of treatment in patients with musculoskeletal conditions, is under controversy post WHO advice against the therapeutic use of systemic corticosteroids for COVID- 19 patients. In our opinion unless CSI is proven harmful, withholding such treatment is not justified. An online survey amongst a significant number of rheumatologists in Pakistan was conducted to assess local practices and outcomes. 55 responses were recorded with 73.6% (n39) being from the province of Punjab. More than two thirds 69.8% (n37) of participants had administered a CSI during the pandemic, and only one patient developed COVID-19. It appears that most rheumatologists in Pakistan have not changed their practice with regards to the use of CSI. Following the recent recommendation of the use of dexamethasone for the treatment of COVID-19 we suggest the guidelines for CSI be revisited.

Keywords
Corticosteroid Injection COVID-19 Inflammatory Arthritis Musculoskeletal Conditions

How to Cite This Article

Khan SEA, Ahmad NM, Farman S, Saeed MA, Amjad SMD, Tahir H. To Inject or Not to Inject? Corticosteroid Injections in the Face of the COVID-19 Pandemic. J Pak Soc Intern Med. 2021;2(1):65–67. doi:10.70302/jpsim.v2i1.2118

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

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CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2021 Journal of Pakistan Society of Internal Medicine.