Cortisone Injections: What You Should Know

Cortisone injections are often recommended when inflammation doesn’t improve with other treatments. They deliver a dose of corticosteroid directly into a joint, tendon, or soft tissue. Patients with arthritis, bursitis, or tendinitis are typical candidates. The medication works by decreasing immune activity and relieving pressure caused by swelling. Effects are usually felt within a few days, but not immediately. Relief may last weeks or months, depending on the condition and severity.

The effects may last weeks or months, depending on the condition and severity

Each body responds differently to cortisone, and the underlying condition matters. Some individuals feel relief for a few months, while others might benefit for nearly a year. Repeated use, however, can weaken tissues and lead to complications. That’s why doctors limit the number of injections in a year. Overusing cortisone may cause cartilage damage or tendon rupture. It’s essential to space injections and consider alternatives when necessary.

Overusing cortisone may cause cartilage damage or tendon rupture

Too frequent injections into the same area can deteriorate joint surfaces. Cartilage becomes thinner, and soft tissues may weaken over time. This is especially important in weight-bearing joints like knees and hips. Patients must discuss long-term plans with their provider. Alternatives like physical therapy, oral medications, or surgical options may be better suited for chronic cases. Personal health history always influences recommendations.

This is especially important in weight-bearing joints like knees and hips

Knees, hips, and ankles handle constant pressure. Repeated cortisone use here can have structural consequences. While one injection might help acute swelling, recurrent shots may impair mobility. Some patients report relief but later struggle with joint function. Cortisone doesn’t reverse joint damage, it just reduces inflammation temporarily. Structural issues remain and might worsen if underlying problems aren’t addressed.

Cortisone doesn’t reverse joint damage, it just reduces inflammation temporarily

Patients often expect more than what cortisone can offer. These injections aren’t a cure. They’re useful when combined with lifestyle adjustments. Weight loss, muscle strengthening, and reduced repetitive motion can amplify benefits. Without these efforts, symptoms may return. That’s why doctors usually recommend complementary therapies alongside cortisone.

Weight loss, muscle strengthening, and reduced repetitive motion can amplify benefits

Physical therapy and strength training improve joint support. Losing weight decreases strain on weight-bearing areas. Avoiding repetitive strain helps reduce flare-ups. A targeted plan creates better results than injections alone. Cortisone buys time, but habits maintain health. Sustained changes matter more than temporary fixes.

Cortisone buys time, but habits maintain health

In some patients, cortisone helps delay surgery. This is valuable when trying to postpone invasive treatments. But delaying should not mean ignoring. Regular assessments are needed to monitor progress or decline. If mobility worsens or pain persists, reevaluation is necessary. Doctors might order imaging to check joint integrity.

Regular assessments are needed to monitor progress or decline

X-rays or MRIs reveal changes not felt yet. Silent deterioration might go unnoticed until function declines. Monitoring helps identify early warning signs. Adjustments in therapy can prevent long-term harm. Health management requires vigilance, not just reactive care.

Health management requires vigilance, not just reactive care

Side effects from cortisone include skin thinning, temporary blood sugar spikes, and facial flushing. These effects vary. Diabetics need close monitoring post-injection. Skin changes may occur near the injection site. Rarely, infections develop if sterile technique fails. Discuss risks fully before proceeding.

Side effects from cortisone include skin thinning, temporary blood sugar spikes, and facial flushing

Not everyone is a candidate. People with uncontrolled diabetes, infections, or certain allergies might face higher risk. A full medical history helps avoid problems. Providers weigh benefit against potential harm. If the balance isn’t favorable, alternatives should be explored.

Providers weigh benefit against potential harm

Decision-making around cortisone should be shared. Ask questions. Understand the expected relief, duration, and potential drawbacks. Make sure it aligns with your goals. Informed consent matters more than passive approval. Take part in planning your care.

Take part in planning your care