A Comparison of Hyaluronate and Triamcinolone

  • Registration Closed

Review the journal article and evidentiary table that analyzes the methodology and findings of a study that compared intraarticular triamcinolone injections to hyaluronate injections for treatment of lumbar zygapophyseal pain. The authors present a statistically significant improvement yet external calculations fail to support that conclusion. The paper, Intraarticular Triamcinolone versus Hyaluronate Injections for Low Back Pain with Symptoms Suggestive of Lumbar Zygapophyseal Joint Arthropathy: A Pragmatic, Double Blind Randomized Controlled Trial by Annaswamy et al., was critically reviewed by SIS Research Division members Drs. Byron Schneider and Anthony Schwarzer.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act.

Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

Educational Objectives
Upon completion of this activity, participants should be able to:

  • Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
  • Discuss the application of evidence-based medicine principles to recent research findings
  • Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information
Byron J. Schneider, MD
Nothing to disclose

Anthony Schwarzer, MD, PhD
Nothing to disclose

Byron J. Schneider, MD
Consultant: Professional Disabilities Associates
Advisory committee: Tennessee Advisory Group - Spine Episodes of Care
Position in physician society/association: NASS
Travel Expenses: NASS, SIS

Anthony Schwarzer, MD, PhD
Stock ownership: Ramsay Healthcare, Resmed, CSL

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement

SIS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support
No commercial support was received for this activity.

Date of Activity Release: 
Date of Activity Expiration: 6/4/2022

Components visible upon registration.