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To prevent damage in injected joints, it has been our policy to rest them for 48 hours. To test this assertion we randomized 30 rheumatoid arthritis (RA) patients (rest, no-rest). Results in 28 patients (63 joints: 27 rest and 36 no-rest) are presented. Joint evaluation was performed at baseline and at 48 hours (pain/tenderness, swelling and range of motion). Two analyses were conducted, the first included all joints, and the second only joint pairs. In both cases measurements at 48 hours were comparable for the rest and no rest group for both upper and lower extremity joints (pain/tenderness/swelling and range of motion). At a later follow up (average 10 months) there were no differences in any of the parameters examined. Our study suggests that rest is not essential for intraarticular corticosteroids to be beneficial, at least in an inpatient setting. The applicability of our data to an outpatient population remains to be determined.
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
June 1990,
Arthritis care and research : the official journal of the Arthritis Health Professions Association,
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
June 2013,
Rheumatology (Oxford, England),
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
May 1993,
The Journal of rheumatology,
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
August 1977,
Rheumatology and rehabilitation,
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
June 2008,
The Journal of rheumatology,
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
April 1990,
The Journal of rheumatology,
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
July 2014,
World journal of orthopedics,
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
December 2018,
Skeletal radiology,
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
June 1978,
Sygeplejersken,
W Chatham, and
G Williams, and
L Moreland, and
J W Parker, and
C Ross, and
S G Alarcón, and
G S Alarcón
July 2002,
Acta radiologica (Stockholm, Sweden : 1987),
