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CORTISONE INJECTIONS

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I hope the injections work out for your daughter. Mine had one in her knee

and was totally symptom free for almost a year. Is she going to use EMLA

creme or patch before the injection? That's what we did. Other than that, I

just held her and tried to distract her from what was going on.

Diane (, 2, pauci)

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  • 7 months later...
Guest guest

I was told the same thing with my knee replacement. My knees were so bad at

onset that had to have repeated aspirations necesary shots to keep me from a

wheelchair. Melt

----- Original Message -----

From: " brent "

> FYI: The last time I had my knee operated on, I was told, per the

orthopedic

> surgeon, that a person should only get a maximum of 3 cortisone shots in

a

> knee in their lifetime. Apparently, any more than 3 causes irreversible

> harm.

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  • 6 months later...

Thanks for posting this! It's great to have information from good articles

like this.

(RA 25+ years, AP since Nov. 97)

> ASK THE EXPERTS

>

> From Arthritis News Quarterly- Winter 2002, Vol 20, Number 4, p.19.

>

> DO CORTISONE SHOTS HAVE SIDE EFFECTS?

>

> About two years ago, I started having trouble sleeping because of

> hip pain. My rheumatologist diagnosed bursitis and recommended

> cortisone injections. I've had four injections in each hip, which

> have given me relief and allowed me to sleep better. But do repeat

> injections cause other problems?

>

> THE DOCTOR ANSWERS (Dr. Alice Klinkhoff):

>

> You are receiving excellent treatment. Local steroid injections,

> whether into a joint or bursa, are among the most effective, rapid-

> acting, cost-effective and safe therapies in rheumatology and

> general practice today. The condition you describe is trochanteric

> bursitis. This can be related to local calcium deposits, mechanical

> back conditions or a previous injury. Bursitis can also be

> associated with inflammatory arthritis and is common among

> individuals with ankylosing spondylitis and psoriatic arthritis.

> Often the cause is never identified.

>

> Complications are rare when joints, tendons or bursa are

> occasionally injected. Such rare complications include infection

> caused by lack or sterile techniques or bleeding into the tissues.

> In people with diabetes, temporary worsening or diabetes control may

> be caused by the hormonal effects of steroids.

>

> There is a slim possibility that local injections may trigger

> temporary worsening of inflammation. There would be different risks

> from administration of high doses of steroid on a frequent basis,

> for example monthly, but this is not the situation you describe.

>

> Like you, my patients express anxiety when I suggest steroid

> injection for local inflammatory conditions or for rheumatoid

> arthritis that has caused marked swelling in one or several joints.

> However, injections in these situations are safer on than using anti-

> inflammatory or steroid medications in full dose. As well, they

> restore function more rapidly than any other treatment.

>

> Dr. Alice Klinkhoff is medical director of the Pack Arthritis

> Treatment Program of the Vancouver Hospital and Health Sciences

> Centre in Vancouver, BC, and The Arthritis Society BC and Yukon

> Division.

>

>

> Sharon

>

>

>

>

> To unsubscribe, email: rheumatic-unsubscribeegroups

>

>

>

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Thanks for posting this! It's great to have information from good articles

like this.

(RA 25+ years, AP since Nov. 97)

> ASK THE EXPERTS

>

> From Arthritis News Quarterly- Winter 2002, Vol 20, Number 4, p.19.

>

> DO CORTISONE SHOTS HAVE SIDE EFFECTS?

>

> About two years ago, I started having trouble sleeping because of

> hip pain. My rheumatologist diagnosed bursitis and recommended

> cortisone injections. I've had four injections in each hip, which

> have given me relief and allowed me to sleep better. But do repeat

> injections cause other problems?

>

> THE DOCTOR ANSWERS (Dr. Alice Klinkhoff):

>

> You are receiving excellent treatment. Local steroid injections,

> whether into a joint or bursa, are among the most effective, rapid-

> acting, cost-effective and safe therapies in rheumatology and

> general practice today. The condition you describe is trochanteric

> bursitis. This can be related to local calcium deposits, mechanical

> back conditions or a previous injury. Bursitis can also be

> associated with inflammatory arthritis and is common among

> individuals with ankylosing spondylitis and psoriatic arthritis.

> Often the cause is never identified.

>

> Complications are rare when joints, tendons or bursa are

> occasionally injected. Such rare complications include infection

> caused by lack or sterile techniques or bleeding into the tissues.

> In people with diabetes, temporary worsening or diabetes control may

> be caused by the hormonal effects of steroids.

>

> There is a slim possibility that local injections may trigger

> temporary worsening of inflammation. There would be different risks

> from administration of high doses of steroid on a frequent basis,

> for example monthly, but this is not the situation you describe.

>

> Like you, my patients express anxiety when I suggest steroid

> injection for local inflammatory conditions or for rheumatoid

> arthritis that has caused marked swelling in one or several joints.

> However, injections in these situations are safer on than using anti-

> inflammatory or steroid medications in full dose. As well, they

> restore function more rapidly than any other treatment.

>

> Dr. Alice Klinkhoff is medical director of the Pack Arthritis

> Treatment Program of the Vancouver Hospital and Health Sciences

> Centre in Vancouver, BC, and The Arthritis Society BC and Yukon

> Division.

>

>

> Sharon

>

>

>

>

> To unsubscribe, email: rheumatic-unsubscribeegroups

>

>

>

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Hi Sharon! Geoff here.

You noted Dr. Alice Klinkhoff's comment:

> Complications are rare when joints, tendons or bursa are

> occasionally injected. Such rare complications include infection

> caused by lack or sterile techniques or bleeding into the tissues.

> In people with diabetes, temporary worsening or diabetes control may

> be caused by the hormonal effects of steroids.

>

> There is a slim possibility that local injections may trigger

> temporary worsening of inflammation. There would be different risks

> from administration of high doses of steroid on a frequent basis,

> for example monthly, but this is not the situation you describe.

Dr. Klinkhoff failed to mention the known and NOT uncommon side effects of

steroid injections which occur regardless of frequency: cartilage

destruction, thinning of the synovial tissues increasing susceptibility to

the formation of Baker's cysts and localized bone density decrease. The

benefit of *occasional* injections, i.e., once every couple of years or

less, is that these tissues normally have time to recover. This is a very

real benefit and can make these injections a viable alternative.

Unfortunately, she also failed to mention this extremely common

psychological side effect:

Aggression.

This also has nothing to do with frequency, although frequency and volume

will intensify the phenomenon. These drugs tend to make people aggressive,

or more aggressive, more violence prone, quick to anger and argumentative.

This is also common with steroidal eye drops. It can occur with topically

applied steroids as well, but does not seem to be as common. These

psychological effects are not often recognized by the patient, but by those

close to them, i.e., spouses, children, bosses and co-workers.

That said, even though an injection is " localized " the drug does not remain

" localized " throughout its life span in the host... the drug is placed in a

specific location but it must be " eliminated " by the body, thus it is

assimilated OUT of the area into the tissue cells, through the tissues into

the blood stream, through the blood stream to other parts of the body (quick

quiz: to what part of the body does your blood NOT flow in some form? A:

none) and into the various organs for elimination including the liver and

kidneys.

Injections of corticosteroids are not without their consequences. These

consequences SHOULD always be measured against:

(1) Your remaining anticipated lifespan

(2) Known consequences of the therapy v. anticipated benefit

(3) Financial impact v. other therapies

(4) Severity of the issue

(5) Frequency of the treatment

Unfortunately, Items 1 and 2 are often, if not usually, ignored; 3 & 4 are

only partly considered; 5 seems to be getting common recognition when the

frequency raises to a point of concern for the individual physician but that

POC varies greatly with the individuals; and a new Item (6) enters: Ease of

placating.

There is no free ride, but some are less expensive than others, and some are

definitely more fun.

Geoff

soli Deo gloria

www.HealingYou.org - Your nonprofit source for remedies and aids in fighting

these diseases, information on weaning from drugs, and nutritional kits for

repairing adrenal damage; 100% volunteer staffed.

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  • 4 months later...
Guest guest

I had cortisone injections in both knees--they got a little sore

and " full feeling " from the shot, but the cortisone itself didn't

help at all to bring down inflammation. I then took cortisone orally

(for whoever was asking about that) which didn't help either &

wrecked my stomach for the 10 days I was on it. it would have been

worth it if it had taken down the inflammation, but for whatever

reason my knees didn't respond at all. I didn't have any other side

effects from the shots or pills.

> Hi all,

> As I mentioned a few days ago, I had a cortisone injection in my

> rt. knee. I had a question for those of you who've had this done

> before. My knee is still a little stiff and sore from the

injection,

> I think. Is this what happene to you guys? If so, for how long?

>

>

> For those of you concerned about side effects....My doctor at

the

> Hospital for Special Surgery says that he doesnt think Ive had

damage

> to my cartilage yet. He says he can tell by where and what my

> symptoms are and because NSAID's ive taken for 2 wks (until my

> stomache was about to go!!) have eliminated some of my symptoms.

He

> thinks that I stll have some relentless acute inflamatory phase.

He

> is hoping the cortisone injection will bring it down so that I can

> heal eventually...He's not planning to go long term or even more

than

> 1 yr.

> please help me out,

> Farah

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Guest guest

I've had 2 shots in both knees and I had no side effects. The inflammation

went away for about a week, but I have 4 scars from the shots, maybe not scars,

but there are very dark spots at the injection site. Don't know if that is

normal, but I gave up on the cortisone shots.

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  • 7 months later...

I have had mixed results with the injections. The first couple

relieved the swelling and pain. The most recent have had mixed

results. Like you said the pain actually got much worse before it got

better. In a couple of injection into knuckles, my hand was unuseable

for 12 hours. I just started MTX and hope that I won't need any more

cortisone.

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Hi Bill I know several people including myself who had the

injections. I know two people that had them in the lower back and

they helped for awhile. they both went thru the series of 3 shots but

after a couple months had passed the pain returned and they both

ended up in surgery. I had some in my neck but they were extremely

painful, I had a REALLY BAD dr do them and no they did not help me. I

Still ended up having a fusion and surgery a couple months later. But

I have heard people who they work for. It seems like that is the path

the dr's like too follow, too try the injections BEFORE they do

surgery. BUT at least you have as much a chance they will work as the

surgery. They told me surgery is a 50/50 chance it will help or not.

And as I learned they were right one worked, one didn't and there is

no going back once you have surgery. So think it over very carefully

and do as much research on it as you can BEFORE you decide too do

anything. Just remember its your body and its your decision, not the

dr's because you are the one that will have too live with your

choice. Good luck Sharon

> Just wondering if anyone here has had cortisone injections to

reduce

> nerve swelling in the lower back; and if so, did it help? My

doctor

> is recommending it.

>

> thanks for any advice/help,

>

> Bill

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Hi Bill I know several people including myself who had the

injections. I know two people that had them in the lower back and

they helped for awhile. they both went thru the series of 3 shots but

after a couple months had passed the pain returned and they both

ended up in surgery. I had some in my neck but they were extremely

painful, I had a REALLY BAD dr do them and no they did not help me. I

Still ended up having a fusion and surgery a couple months later. But

I have heard people who they work for. It seems like that is the path

the dr's like too follow, too try the injections BEFORE they do

surgery. BUT at least you have as much a chance they will work as the

surgery. They told me surgery is a 50/50 chance it will help or not.

And as I learned they were right one worked, one didn't and there is

no going back once you have surgery. So think it over very carefully

and do as much research on it as you can BEFORE you decide too do

anything. Just remember its your body and its your decision, not the

dr's because you are the one that will have too live with your

choice. Good luck Sharon

> Just wondering if anyone here has had cortisone injections to

reduce

> nerve swelling in the lower back; and if so, did it help? My

doctor

> is recommending it.

>

> thanks for any advice/help,

>

> Bill

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Hi Bill I know several people including myself who had the

injections. I know two people that had them in the lower back and

they helped for awhile. they both went thru the series of 3 shots but

after a couple months had passed the pain returned and they both

ended up in surgery. I had some in my neck but they were extremely

painful, I had a REALLY BAD dr do them and no they did not help me. I

Still ended up having a fusion and surgery a couple months later. But

I have heard people who they work for. It seems like that is the path

the dr's like too follow, too try the injections BEFORE they do

surgery. BUT at least you have as much a chance they will work as the

surgery. They told me surgery is a 50/50 chance it will help or not.

And as I learned they were right one worked, one didn't and there is

no going back once you have surgery. So think it over very carefully

and do as much research on it as you can BEFORE you decide too do

anything. Just remember its your body and its your decision, not the

dr's because you are the one that will have too live with your

choice. Good luck Sharon

> Just wondering if anyone here has had cortisone injections to

reduce

> nerve swelling in the lower back; and if so, did it help? My

doctor

> is recommending it.

>

> thanks for any advice/help,

>

> Bill

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  • 2 years later...
Guest guest

I understand systemic Prednisone is the worst type of cortisone there is. I

would never take it for more than a week, then only if absolutely necessary.

That being said, it can be a miracle drug, with all the scary side effects along

with. I took it for a week, then had both knees injected with cortisone. I

couldn't sleep for a week, I was wound tighter than a drum . My face went

totally numb, and I couldn't taste food. My knees felt better than they had in

years.....for a few days.

Mike

MT

Re: Re: Anesthesia for arthscopy (Surgery

Frustration) Any Advice?

I also found it to be good strategy to revisit the GP if the OS visits just

are not going well. I could never get more than 3-4 days relief with cortisone

shots in the knee. I hope you have better luck. I would think it would border on

malpractice if you have never had an x-ray. That has always been the first and

cheapest diagnosis test I have been through. Careful with the narcotics.

Mike

MT

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Guest guest

Yeah, I'm not saying Prednisone or cortisone injections don't have their place,

and are even necessary for some illnesses, and I used to think it was a

wonderful drug -- when I took it for a week in 1993, it was the best week of my

life -- I was more intelligent, energetic, clear-headed, goal-oriented, able to

carry out 7 projects simultaneously, and could actually remember why I went into

a room and then had the presence of mind to ask myself what else I might need to

get out of that room instead of making 12 separate trips -- I felt " normal " .

(Interestingly, it didn't do anything like that when I took it for 3 months, not

even for the 1st week.) I didn't have trouble sleeping because I was taking

Ambien because I'd had long-term insomnia (like 20 years). And when I took it

for 3 months I didn't know beforehand (duh --- this IS the Google Age) how

devastating it could be in such a short time. In fact, one source said that

most of the damage is done in the first 3 months.

And then there was my first-hand experience of skin thinning (early 2000's) at

the injection site in one of my fingers. The odd thing about that was it was OK

for maybe 3 months (after one injection), and then it started bleeding, just at

the supposedly now sealed hole. How scary is that?

Now I would only take it if I had some devastating disease that it had been

proven to help, or needed it to save my life.

If any others of you have had cortisone injected into your knee cavity, I'd like

to know whether it was effective in reducing or getting rid of the pain and for

how long.

Thanks.

Ann

Re: Cortisone injections

I understand systemic Prednisone is the worst type of cortisone there is. I

would never take it for more than a week, then only if absolutely necessary.

That being said, it can be a miracle drug, with all the scary side effects along

with. I took it for a week, then had both knees injected with cortisone. I

couldn't sleep for a week, I was wound tighter than a drum . My face went

totally numb, and I couldn't taste food. My knees felt better than they had in

years.....for a few days.

Mike

MT

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  • 5 months later...

Wow, I dont know if this will help or not, but last month I went in for a

cortisone injection in my foot as the PA in my feet was making it impossible

to walk even with a walker. I was lying down on the table and even took my

time sitting up etc. but my blood pressure went thru the roof and I almost

passed out. I could probably say mine was partial pain and reaction to the

shot and partial panic attack. It hurt sooo badly. I have been poked and

prodded and stuck so much its like taking a drink of water to me, I dont

cry, I've gotten used to it. But there was something about this that had me

screaming and crying like a baby. I refused anymore because the effects

only lasted about 3 days and the doc said it wasn't worth my sanity to go

through it for 3 days relief. That is my experience =)

[Editor's Note: I get cortisone injections a few times a year and have never had

an increase in blood pressure. The only time I've had the needle in my feet is

when I've suffered a bout of plantar fasciitis and to me the injection directly

into the heel hurt quite a bit more than one in other places but for me the pain

was " sumbitch " rather than screamingly intolerable. That's my tale. Kathy F.]

On 12/15/06, cornth1313 <cornth1313@...> wrote:

>

> Cortisone injections

>

> Has this happened to anyone? What is it?

>

>

>

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You're not alone. My son never tried them. He has MTX, Enbrel,

Mobic, solu-medrol infusions, etc.

[Editor's Note: As with all our medications, cortisone injections work great

for some and not for others. They help me when the inflammation is acute. Kathy

F.]

>

> Hi guys

>

> Am I the only person who hasn't got on with cortisone injections?

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before they replaced my knee, i had cortisone in the

joint about every 3 months so i could continue

teaching my classes- for two years- only really hurt

when they hit the bone with the needle- but the relief

was worth it- now with the tka it is blessed relief

happy holidays and an excellent pain free season to

all

greg

--- Mel <celticangyl@...> wrote:

> Wow, I dont know if this will help or not, but last

> month I went in for a

> cortisone injection in my foot as the PA in my feet

> was making it impossible

> to walk even with a walker. I was lying down on the

> table and even took my

> time sitting up etc. but my blood pressure went thru

> the roof and I almost

> passed out. I could probably say mine was partial

> pain and reaction to the

> shot and partial panic attack. It hurt sooo badly.

> I have been poked and

> prodded and stuck so much its like taking a drink of

> water to me, I dont

> cry, I've gotten used to it. But there was

> something about this that had me

> screaming and crying like a baby. I refused anymore

> because the effects

> only lasted about 3 days and the doc said it wasn't

> worth my sanity to go

> through it for 3 days relief. That is my experience

> =)

>

>

> [Editor's Note: I get cortisone injections a few

> times a year and have never had an increase in blood

> pressure. The only time I've had the needle in my

> feet is when I've suffered a bout of plantar

> fasciitis and to me the injection directly into the

> heel hurt quite a bit more than one in other places

> but for me the pain was " sumbitch " rather than

> screamingly intolerable. That's my tale. Kathy F.]

>

>

> On 12/15/06, cornth1313 <cornth1313@...> wrote:

> >

> > Cortisone injections

> >

> > Has this happened to anyone? What is it?

> >

> >

> >

>

>

> [Non-text portions of this message have been

> removed]

>

>

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i have a needle phobia, and they usually check my blood pressure. we joke about

it now. but what a crock that i now have a disease that i have to get poked all

the time.... LOL. casey

cornth1313 <cornth1313@...> wrote:

I went in for a cortisone injection yesterday. Normally this is a non-

event and doesn't bother me at all except for the pain of the needle.

But yesterday my blood pressure soared from 105/60 to 165/105 in a

matter of minutes. I could tell something was wrong as I could feel my

heart beating in my chest and I got sweaty and clammy at the same time.

I got dizzy and couldn't think straight when the nurse was asking me

questions about my reschedule while I was hooked up to the blood

pressure machine.

I'm pretty sure it wasn't a panic attack because the procedure has

never bothered me before. And in hind sight, I must not be the only

one this has happened to which is why they hook you up to a machine to

monitor your blood pressure while it's being done and then after in the

recovery. LOL. I didn't stop to ask the nurse anything about this

because I was light headed and confused.

Has this happened to anyone? What is it?

__________________________________________________

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Tell me about it... I joke to the Dr. I need a hep-lock so everyone can

take blood whenever they want it without continually poking me! :)

-Marietta

> i have a needle phobia, and they usually check my blood pressure. we

joke about it now. but what a crock that i now have a disease that i

have to get poked all the time.... LOL. casey

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I think the lidocaine or whatever the numbing agent in there is,

somehow acts like adrenaline... when I go to the dentist and need a

lot of novacaine shots, I end up with rapid heartbeat, dizzy, cold,

etc. I know in advance & ask for a warm blanket & plenty of time to

let me feel settled down before they start work. It's not an

allergy, but a well known reaction to some of the stuff in there.

For me it's temporary.

-Marietta

> I went in for a cortisone injection yesterday. Normally

this is a non-

> event and doesn't bother me at all except for the pain of the

needle.

> But yesterday my blood pressure soared from 105/60 to 165/105 in a

> matter of minutes. I could tell something was wrong as I could feel

my

> heart beating in my chest and I got sweaty and clammy at the same

time.

> I got dizzy and couldn't think straight when the nurse was asking

me

> questions about my reschedule while I was hooked up to the blood

> pressure machine.

>

> I'm pretty sure it wasn't a panic attack because the procedure has

> never bothered me before. And in hind sight, I must not be the only

> one this has happened to which is why they hook you up to a machine

to

> monitor your blood pressure while it's being done and then after in

the

> recovery. LOL. I didn't stop to ask the nurse anything about this

> because I was light headed and confused.

>

> Has this happened to anyone? What is it?

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I believe they did mix it with lidocaine... Thanks everyone for all

your thoughtful answers on the subject of cortisone. I've had many

shots and this is the first time I've had anything adverse. It's

comforting to be able to discuss it with folks who have been there.

>

> If they mixed lidocaine with the cortisone as they usually do, then

most likely some lidocaine entered a small blood vessel and the

lidocaine caused it.

> Rae

>

>

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Rae....could this reaction be delayed by an hour? My last cort. in

jection was 4 yrs ago and it was no big deal until I passed out before

I got home and ened up in ER. They thought it might be a reaction to

the lidocaine and I have never been sure of course. When you say a

small amount may have entered the bloodstream, I suppose that makes

sense. I never thought I was sensitive to lidocaine so it confused me.

I know you can develop sensitivites at any time but I was not feeling

that this was an allergic reaction. My first cort. injection (and only

other one) was in 1981 in the hip. They warned me that it was going to

be quite painful. My hip was so numb that it did not hurt so much but

the gal I had with me for emotional support passed out. lol. " Big

Needle " she said. Maybe they did not use lidocaine then??? All of this

stuff is so tricky to figure out...was it a reaction? or was it like

you said some lidocaine to the vein? Thanks for the input. Are you a

nurse or health care provider (or do you just play one on TV?). Or have

you just had this happen to you? Regardless...thanks! -Betz >

> >

> > If they mixed lidocaine with the cortisone as they usually do, then

> most likely some lidocaine entered a small blood vessel and the

> lidocaine caused it.

> > Rae

> >

> >

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  • 2 months later...
Guest guest

Hi Lance,

Many years ago I had several cortisone injections in my wrist. They

were very helpful. I continued using the wrist braces at night for

several years and finally my wrist was fine, no problem since, and that

was about 23 years ago.

Bill

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  • 2 years later...

In a message dated 1/13/2010 12:00:04 P.M. Central Standard Time,

ali3787@... writes:

Hi, haven't posted in awhile, life is busy with a 3 and 4 year old :)

Anyone out there ever had cortisone injections? I had me first one today in my

shoulder and was so relieved by the lidocaine before hand I forgot to ask

what reasonable expectations should be regarding stiffness/pain/Hi, haven't

posted in awhile, life is busy with a 3 and 4 year old :) Anyone out there

ever had cortisone injections? I had me first one today in my shoulder and

was so relieved by the lidocaine before hand I forgot to ask what

reasonable expectations should be regarding stiffnes>

I've had several injections in my knees and shoulders. One shoulder

injection didn't really work. After my PT had tried everything, she decided the

injection had not been put in exactly the right spot. The next one worked

perfectly. They usually last about six months for me. My last knee one was in

September and the pain is not back yet.

dd

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Hi, haven't posted in awhile, life is busy with a 3 and 4 year old :) Anyone

out there ever had cortisone injections? I had me first one today in my

shoulder and was so relieved by the lidocaine before hand I forgot to ask what

reasonable expectations should be regarding stiffness/pain/etc. Must have

gotten ahead of myself in excitement as the pain vanished with the anesthetic

but now feeling quite a bit of pain again in the joint. Is this normal, does it

take a couple of days to reach full effect, how frequently are other people

going or is it only as needed?

Thanks in advance,

Ali

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