Guidelines from the American College of Rheumatology conditionally recommend the use of intra-articular corticosteroid injections for treatment of knee osteoarthritis. 51 The duration of pain relief is one to two weeks in most trials, with a few showing improvements lasting three to four weeks. 60 – 63 Research uniformly supports the safety of intra-articular corticosteroid injections for treatment of knee osteoarthritis; however, these studies are limited by lack of histologic data and poor long-term follow-up. 64 A Cochrane review found weak evidence for the use of corticosteroid injections for the treatment of knee rheumatoid arthritis. 52
I have supraspinatus tendonosis and am told biceps tendon and bursa implicated as well. For years I have slept on my stomach hugging one pillow in each arm and angling my head down. Now, with this injury I try to sleep on my back but can’t. I assume that it is bad to sleep on my stomach with my arms up, but honestly, its more comfortable than on my “good” side which hurts my ‘bad’ shoulder – guess I need a pillow under that arm. And oddly, snuggling up on my ‘bad’ side, with shoulder against the underneath-pillow, isn’t bad at all.