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As its title indicates, our article aimed exclusively to raise awareness of risks that have really been known for a long time. In individual cases, these are repeatedly overlooked, although they sometimes result in severe damage to the patient’s health, as well as imposing financial burdens on doctors found guilty of medical malpractice.

We were able merely to hint at the necessary assessment by the treating physician as to whether less complication-prone, “alternative,” treatment methods may be an option. Going into any detail whatsoever would have exceeded the remit of our article.

Low-dose analgesic radiotherapy, such as Mücke et al mention in the letter to the editor, is one of many possible alternatives in certain disorders—obviously not in every single one for which cortisone injections are indicated.

DOI: 10.3238/arztebl.2013.0010b

Prof. Dr. med. Christian Holland
Ärztekammer Nordrhein, Düsseldorf
gak@aekno.de

Conflict of interest statement

Ulrich Smentkowski has received travel expenses and honoraria for speaking from Bayer. Professor Holland, Lothar Jaeger, Dr Weber und Dr Otto declare that no conflict of interest exists.

1.
Holland C, Jaeger L, Smentkowski U, Weber B, Otto C: Septic and aseptic complications of corticosteroid injections: an assessment of 278 cases reviewed by expert commissions and mediation boards from 2005 to 2009. Dtsch Arztebl Int 2012; 109(24): 425–30. VOLLTEXT
1. Holland C, Jaeger L, Smentkowski U, Weber B, Otto C: Septic and aseptic complications of corticosteroid injections: an assessment of 278 cases reviewed by expert commissions and mediation boards from 2005 to 2009. Dtsch Arztebl Int 2012; 109(24): 425–30. VOLLTEXT

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