Use of oral corticosteroids in sports medicine: A survey of current practice

Nicol, A. and Brukner, P. (2004). Use of oral corticosteroids in sports medicine: A survey of current practice. In: Journal of Science and Medicine in Sport; Proceedings 2004 Australian Conference of Science and Medicine in Sport: Hot topics from the Red Centre. 2004 Australian Conference of Science and Medicine in Sport: Hot topics from the Red Centre, Alice Springs, NT, Australia, (6-6). 6-9 October, 2004. doi:10.1016/S1440-2440(04)80068-9


Author Nicol, A.
Brukner, P.
Title of paper Use of oral corticosteroids in sports medicine: A survey of current practice
Conference name 2004 Australian Conference of Science and Medicine in Sport: Hot topics from the Red Centre
Conference location Alice Springs, NT, Australia
Conference dates 6-9 October, 2004
Proceedings title Journal of Science and Medicine in Sport; Proceedings 2004 Australian Conference of Science and Medicine in Sport: Hot topics from the Red Centre   Check publisher's open access policy
Place of Publication Amsterdam, The Netherlands
Publisher Elsevier
Publication Year 2004
DOI 10.1016/S1440-2440(04)80068-9
ISSN 1440-2440
Volume 7
Issue 4: Supp.
Start page 6
End page 6
Total pages 1
Language eng
Formatted Abstract/Summary
Introduction. Oral corticosteroids are potent anti-inflammatory drugs, with a wide use in many medical conditions. The aim of this survey was to explore the current attitudes and practice in ACSP Fellows.

Methodology. We surveyed all 110 Fellows of the Australian College of Sports Physicians, asking if they used oral corticosteroids in managing musculoskeletal injuries, and if they did, how often, in what dose, for how long, what conditions they would treat with oral steroids, and what they advised their patients about side effects.

Results. 55 (50%) replied to the survey. 14 (25.5%) said they never used oral corticosteroids in treating musculoskeletal conditions, with both lack of scientific evidence and concern over side effects cited as their reason for not using them. 35 (63.6%) used steroids rarely (about once per month), and 6 (10.9%) used them occasionally (about once per week). Dose used ranged from 10- 80 mg per day, and the length of course ranged from 3 - 14 days. 29 (70.7%) would taper tl~e dose, 12 (29.3%) would use the 'same dose throughout. 23 (56.1%) would use it in both acute and chronic conditions, 9 (21.9%) in only acute and 9 (21.9%) in only chronic. The commonest conditions declared were discogenic back pain, osteitis pubis, adhesive capsulitis, and chronic tendinopathies. Commonest side effects mentioned to their patients were sleep disturbance, flushing, weight gain, osteoporosis, and risk of avascular necrosis of the femoral neck.

Conclusion. There is no consensus on the use of oral corticosteroids in sports medicine today.
Subjects 110604 Sports Medicine
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status Unknown

 
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Created: Tue, 07 Apr 2009, 09:56:58 EST by Ms Karen Naughton on behalf of School of Human Movement and Nutrition Sciences