When are medications useful in occupational injuries?
NSAIDs can be effective in reducing initial pain and swelling in acute injuries. More prolonged use is recommended for chronic overuse conditions; however, patients should be monitored closely for side effects. Corticosteroid injections for chronic conditions are not definitive treatment but can be used to facilitate rehabilitation. Injections should be performed by experienced clinicians who are familiar with their side effects. Corticosteroids can increase the rate of collagen degradation, decrease new collagen formation, lower tendon tensile strength, and lead to tendon rupture if the procedure is performed incorrectly or too often.