A comparative study on the efficacy of Intra articular Methylprednisolone with oral Etoricoxib in the pain management of Psoriatic arthritis


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Article type :

Original Article

Author :

Prabhu Thilaak, B. Arun Kumar, G. Kannan, Sudhir Paul

Volume :

3

Issue :

3

Abstract :

Background: Psoriatic arthritis is the major complication of psoriasis and the most common medication used for pain management is NSAID’s, followed by intra-articular steroids. Aim: To compare the efficacy of intra articular Methylprednisolone with oral Etoricoxib in the pain management of Psoriatic arthritis. Materials and Methods: A prospective comparative study was conducted in the pain clinic of department of Anaesthesiology for a period of one year. A total of 120 patients with psoriatic arthritis were included for the study. The patients were divided into 2 groups of 60 in each group. Group A patients received oral etoricoxib 120 mg OD for 6 weeks and the Group B patients received only one dose of intra-articular methyl prednisolone in the dosage of 20 mg (1 ml). All the patients were followed for a period of 6 weeks with 2 follow-up visits. The outcome measures adopted were visual analogue pain scale and psoriatic arthritis quality of life score. Results: The baseline score of both visual analogue pain score and PsAQAL was found to be high and the score decreases during the 1st (1st week) and 2nd (6th week) follow-up (P

Keyword :

Intra-articular methylprednisolone, Etoricoxib, Visual analogue pain scale, Psoriatic arthritis quality of life score