![]() ![]() You should only have 3 injections: There is no scientific evidence to support this statement, but it seems to have been set in concrete somewhere along the line. ![]() It is best treated with local ice packs and simple analgesics. This ‘injection flare’ is much less common now as the modern cortisone injections are more water soluble. This generally occurs for no more than 2-3 days and is related to irritation of the tissue injected from the cortisone itself. Around 1:20 patients may have pain that is worse after the injection. At the time of injection it should hurt no more than a common immunization needle. Common Misconceptions & FAQ’sĬortisone injections are painful: The majority of patients expect the injection to be very painful, an most are pleasantly surprised that it isn’t the case. They will generally be used after failure of a 4-6 week trial of relative rest, anti-inflammatory modalities and medications and an exercise based physiotherapy program. These should include an x-ray as mandatory and may also include an ultrasound or an MRI scan, depending on the indications. Acromioclavicular joint disease (osteoarthritis or osteolysis)Ĭortisone injections should only be performed in the setting of an appropriate diagnosis based on taking an accurate history, performing a clinical examination and commonly performing investigations.Adhesive capsulitis (or ‘frozen shoulder’).Rotator cuff disease (degenerative tendonosis, impingement, partial tears and subacromial bursitis).In the shoulder they are particularly useful in the management of: It acts on both acute and chronic phases of inflammation to reduce both tissue swelling and subsequent scar formation.Ĭortisone injections are useful in the treatment of various musculoskeletal conditions, particularly those of acute inflammation (such as acute bursitis), and degenerative joint and tendon conditions. It was only discovered as recently as 1950 (earning a Nobel Prize for medicine for Hench and his co-workers), and has been available in an injectable form since 1951. In combination with an active rehabilitation program they may significantly reduced the need for surgery in shoulder impingement syndrome.Ĭortisone is a potent anti-inflammatory medication. Cortisone injections make up a very important part of the treatment of shoulder injuries. ![]()
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