Intra-articular (IA) corticosteroids are widely used treatment for pain from symptomatic knee OA. Systematic reviews show that the treatment effect is modest and lasts for 2-4 weeks on average compared with placebo (intra-articular saline). Potentially as a consequence of limited therapeutic duration, repeated injections are often given up to 4 injections annually. In this context of repeat injections, recent evidence has emerged that intra-articular corticosteroids might be associated with more cartilage loss than saline injections. Guidelines vary in the recommendation for use of IA corticosteroids. Given the frequency with which they are used, the size and scale of the population with osteoarthritis, it is critical to fully understand the benefits and merits of intra-articular corticosteroids. We have recently received commentaries from differing perspectives on this topic - join the debate, we are eager to hear your perspective.