The Story of Steroid Knee Injections and Healthcare in America

As a physical therapist, I’m often asked by patients about steroid injections for knee arthritis pain. I’ve worked with many who’ve received them, only to find mixed results. For some individuals they’ve been a lifesaver, the pain-relieving effects lasted for months. Others may have noticed improvement for several days, only to have the same pain return within a week. And for others, they noticed absolutely no difference. So what gives? Why such mixed results?

Research on steroid injections for chronic pain due to arthritis reveals less than stellar results. One study even found the use of injections accelerated the breakdown of healthy cartilage in the knee and had no impact on reported pain levels in those who received the injections.

Interpreting the Results

Understanding what’s happening here requires us to take a step back and look at the big picture of the human body. And the way our medical system views the body and the healing...

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For Better Health, Focus on Habits Rather Than Goals

“Losers have goals, winners have systems” -Scott Adams

Be honest with yourself... do you have a health goal-setting system that is actually working for you? 

Most of us fall into the trap of setting goals based on outcomes rather than focusing on the habits that help us achieve outcomes, particularly when it comes to our health.

We focus on the results rather than the processes.

An important component of my interactions with people as a physical therapist is to discuss and agree upon goals for the course of care. By goals, I mean what they are hoping to be able to do with the help of physical therapy. When I ask people what they want as an end result, most will tell me to be able to participate in hobbies like travel, dancing, or fishing without pain or having the energy to keep up with their grandchildren. These focus on quality of life rather than health metrics, such as pounds lost, blood sugar levels, or blood pressure readings.

However, when most people write...

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