Testing two injection treatments for shoulder, elbow, wrist, and hand pain

This trial is testing whether ketorolac, an anti-inflammatory medication, works as well as or better than triamcinolone (a steroid) when injected directly into joints and tendons of the upper arm and hand. Both medications are already used in clinical practice to reduce pain and inflammation. The study wants to see which one gives patients better relief and lasting improvement in their ability to use their arms and hands.

Shoulder, elbow, wrist, and hand arthritis and tendon problems cause significant pain and disability, with no cure currently available. While steroid injections are commonly used for larger joints like the knee and hip, there is limited research on which medication works best for the smaller joints and tendons of the upper extremity, and this medication has been shown to help in other joints but needs more study in this area.