Introduction to Cortisone Injections

Cortisone injections, also known as corticosteroid injections, are a common medical treatment used to reduce inflammation and relieve pain in joints, tendons, and soft tissues. These injections are often used for conditions such as arthritis, bursitis, and tendonitis.

How Do Cortisone Injections Work?

Cortisone is a synthetic version of cortisol, a hormone produced by the adrenal glands. When injected into an inflamed area, it reduces swelling, decreases pain, and improves mobility. The effects can last from a few weeks to several months, depending on the condition being treated.

Conditions Treated with Cortisone Injections

Cortisone injections are used for a variety of musculoskeletal conditions, including:

• Osteoarthritis (knees, hips, shoulders, spine)
• Rheumatoid arthritis
• Tendonitis and bursitis
• Plantar fasciitis
• Carpal tunnel syndrome
• Frozen shoulder
• Gout-related joint inflammation

The Cortisone Injection Procedure

1. Evaluation – The doctor assesses the patient's condition to determine if a cortisone injection is appropriate.
2. Preparation – The injection site is cleaned and sometimes numbed with a local anesthetic.
3. Injection – The cortisone medication is injected directly into the inflamed area.
4. Post-Injection Care – Patients are advised to rest the treated area and monitor for any side effects.

Benefits of Cortisone Injections

• Quick relief from pain and inflammation
• Minimally invasive and non-surgical
• Can delay the need for surgery in some cases
• Effective for chronic and acute pain management

Possible Side Effects and Risks

Although cortisone injections are generally safe, some potential risks include:

• Temporary pain or swelling at the injection site (cortisone flare)
• Skin thinning or discoloration near the injection area
• Weakened tendons with repeated use
• Increased blood sugar levels (important for diabetics)
• Risk of joint infection (rare but serious)

Who Should Avoid Cortisone Injections?

Cortisone injections may not be suitable for individuals with:

• Uncontrolled diabetes (due to blood sugar spikes)
• Active infections
• Osteoporosis or weakened bones
• Repeated need for injections in the same area

How Often Can You Get Cortisone Injections?

Doctors usually limit cortisone injections to 3-4 times per year per joint to prevent potential side effects such as cartilage damage or weakened tissues.

Conclusion

Cortisone injections provide an effective solution for pain relief and inflammation control. However, they should be used carefully and as part of a comprehensive treatment plan. If you are considering cortisone injections, consult your doctor to determine if they are right for your condition.