Objectives: This study was done to assess the effect of intra-articular injection corticosteroid in persistent synovitis rheumatoid arthritis (RA) patients.
 Methods: Thirty RA patients with one joint were subjected corticosteroid. All examined for disease activity by score 28 (DAS28), functional assessment using Modified Health Assessment Questionnaire (MHAQ), and laboratory investigation...

Diastolic phase of cardiac function is associated with lower arterial flow and hence higher concentration of intra arterially injected drug is achieved at the site of injection. It is herein postulated that drugs show higher efficacy when injected during the diastolic phase of cardiac function. It is also postulated that this benefit cannot be achieved when the drug is injected with higher rate...