There is evidence that having too many steroid injections into the same area can cause damage to the tissue inside the body. You may be advised to have less than that depending on your symptoms. There is a small risk that if you exercise a joint too much immediately after a steroid injection you could damage the tendon.
Tendons are strong cords that attach muscles to bones. Start off gently and gradually increase the amount you do. Most people have steroid injections without any side effects. They can be a little uncomfortable at the time of injection, but many people feel that this is not as bad as they feared.
Occasionally people notice a flare-up in their joint pain within the first 24 hours after an injection. This usually settles by itself within a couple of days, but taking simple painkillers like paracetamol will help. The risk of side effects is greatest with the stronger mixtures — methylprednisolone and triamcinolone. Injections can occasionally cause some thinning or changes in the colour of the skin at the injection site, particularly with the stronger ones. Very rarely you may get an infection in the joint at the time of an injection.
If your joint becomes more painful and hot you should see your doctor immediately, especially if you feel unwell. People are often concerned about the possibility of other steroid-related side effects such as weight gain. One of the advantages of steroid injections compared to tablets is that often the dose can be kept low. This means that these other side effects are very rare unless injections are given frequently, more than a few times per year.
This may be more likely if you have a history of mood disturbance. If you've had a steroid injection into a joint or muscle, your healthcare professional may give you a steroid card for you to carry around. This will have details of the treatment you've had. Steroid injections can stop the body producing natural hormones, which can be dangerous if you get ill, have an accident or need an operation.
There is evidence that this can be a risk for up to one month after just one steroid injection. If you've had three steroid injections over the course of 12 months, this risk could last for a further 12 months. Keeping the card with you will help any other doctor who treats you to manage your care correctly.
If you have any questions or concerns about this, talk to the healthcare professional who prescribed your steroids. You can take other medicines with steroid injections. This is because of the risk of bleeding into the joint.
Because cortisone works locally, an injected placed near a tendon can still reduce its inflammation. In fact, the Achilles and patella tendons are particularly prone to injury post-injection, even if an injection is directed near, rather than in, the tendon. For this reason, doctors avoid cortisone injections for Achilles and patella tendinopathies.
Injections for Knee Osteoarthritis Video. Injections for Hip Osteoarthritis Video. Therapeutic Injections for Knee Arthritis. You are here Treatment Injections. By Emmanuel Konstantakos, MD. Peer Reviewed. What Is Cortisone? N Engl J Med. J Am Acad Orthop Surg. In general, we suggest you avoid alcohol at least for a few days after a cortisone shot. As a general rule, we do not recommend you have a cortisone injection after a knee replacement.
Injecting an artificial joint increases the risk of infection. A recent study suggested that f requent cortisone injections damage knee cartila ge. However, the people in this study had 8 injections over 2 years. Generally, we think that injections of cortisone is safe and an effective way of reducing pain and swelling in knee arthritis. But repeated injections into one joint can increase the risk of damage. Recent studies suggest that other injections can be helpful for arthritis and tendonitis with potentially fewer side effects.
Hyaluronic acid is a naturally-occurring substance found in normal joints and tendons. There is evidence that hyaluronic acid injections provide longer pain relief in arthritis compared to cortisone. Also, we use hyaluronic acid for injections in plantaris-associated Achilles tendonitis.
Platelet-rich plasma is obtained by spinning whole blood from a patient. The plasma, which contains a high concentration of platelets and growth factors, is injected into tendons and joints. There is good evidence that PRP provides long-term pain relief for knee arthritis and some tendons.
You can read more about the positive effects of PRP on arthritis and tendonitis. We have also written a blog on PRP injections for knee arthritis. Finally, recent evidence suggests that combining the two — hyaluronic acid and PRP — might be better for knee arthritis.
Overall, we think that a cortisone shot is a safe and effective procedure for many MSK conditions. However, cortisone injections can be harmful in the wrong hands.
As such, you should see a medical doctor with experience in ultrasound-guided injections and avoid non-medical practitioners. All the best. Very interesting. Lots of good information. Do you have any information about a series of gel shots given in 5 days? Wondering how long this relieves the pain? Thanks for the comment. Gel shots usually last from months. Nowadays, I tend to use the concentrated form so you only need one shot.
Thank you for your comment. It can be normal to have pain from a cortisone shot that extends a little from the injection site — so for the knee — pain can extend to the lower part of the thigh. However, this pain should settle after days. Cortisone shot is such a helpful injection to get relaxed from the pain. The information shared here is so useful to learn so much about cortisone shots. Thank you for sharing the information. Hi, I got a cortisone shot in my shoulder 5 days ago.
The shot was very painful. After the initial pain I was pain free the entire day. I called the doctors office and they said to rest it and ice it. Before the shot I could raise my arm straight up, then I would feel pain. One I had years ago, and the other maybe a year ago. I have never felt this pain and discomfort before. The pain is not as bad as it was 4 days ago, but my should is worse off.
Could the PA have botched to shot? I spoke to her today and she said that she injected into a small space, and give it some time. Does it sound like my shoulder will ever get back to at least how it was, or is my should severely limited now? Unfortunately, despite previous successful injections, you can sometimes experience an adverse reaction to a cortisone injection. Generally, these reactions are short-lived and do not last for greater than weeks. I had steroid injection 4 days ago for gluteal retinopathy and bursitis.
I still have pain especially putting weight on my leg. Is this usual, should I rest it and what should I expect? Your advice would be welcome. Hi Ann, yes cortisone flare can last up to a week. Save my name, email, and website in this browser for the next time I comment. View Larger Image. Why do we use cortisone? Will a cortisone shot hurt? You need to tell your doctor about your medical history Overall, cortisone shots are very safe. How long does it take for a cortisone shot to work?
How long does cortisone injection last? How long does cortisone stay in your system? What are the side effects of a cortisone shot? Generally, cortisone shots are very safe if used for the right reasons. This side effect can be reduced by using ultrasound. Bleeding into joints temporary increase in blood sugar in diabetics. This increase lasts for 2 weeks.
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