Steroid Cortisone Injection

I've had one of these before now for suspected arthritus and havent had any further side affects and it was nearly 2 years ago I had it, both my parents have had them on different places, my mums being in her shoulder and no ill effects either.

Wishing your wife some pain free sleep 🙂

I've had one of these before now for suspected arthritus and havent had any further side affects and it was nearly 2 years ago I had it, both my parents have had them on different places, my mums being in her shoulder and no ill effects either.

Wishing your wife some pain free sleep 🙂

Great, thanks for your response Angel. Just want to gauge the general feeling about this and better sometimes to hear at first hand.

I personally have had 2 in my shoulder and found them very painful and to be honest not very effective, I would try other forms of treatment first as were suggested in your other posts about this problem. speaking from experience of having over 25 years of problems since being injured in the forces I have endured most treatments and found the injections possibly the least effective, I have had most relief from a combination of massage, manipulation and myofascial release.
regards
BGFL

Hi,

As BGFL says, its well worth considering other forms of treatment first, particularly massage.
That would be my first choice of treatment.

Electrotherapy, using Ultrasound, Pulsed shortwave or Laser is not particularly effective for someone who is active (early 40's), and these are the types of treatment you are likely to be offered through a Physio via the NHS.

Cortisone dampens down localised inflammation.
For it to work effectively the inflammed area must be localised (ie small) and the cortisone must hit it spot-on.
Ideally a cortisone injection will be guided to the target site by ultrasound imaging.

If the inflammed area is diffuse and the injection misses the epicentre it will not work.

David:)

Hi,

As BGFL says, its well worth considering other forms of treatment first, particularly massage.
That would be my first choice of treatment.

Electrotherapy, using Ultrasound, Pulsed shortwave or Laser is not particularly effective for someone who is active (early 40's), and these are the types of treatment you are likely to be offered through a Physio via the NHS.

Cortisone dampens down localised inflammation.
For it to work effectively the inflammed area must be localised (ie small) and the cortisone must hit it spot-on.
Ideally a cortisone injection will be guided to the target site by ultrasound imaging.

If the inflammed area is diffuse and the injection misses the epicentre it will not work.

David:)

Thanks for your responses BGFL and David.
Again, this is really getting her down and if this can provide a safe quick solution then will take this route.
I don't know any more than that with the injection so whether the doctor has some form of imaging and can direct the shot where it needs to go otherwise it sounds useless. Will mention this to the wife on how he intends to locate accurately to the problem area.
Thanks

I am afraid it is not usual for GPs to have imaging, it is more usual that hospitals have this equipment. also please dont think that this is going to be a quick fix. the law of averages says it will work for some but not all. My first hand experience is that it is inneffective. Another thing to consider that the GP is not necessarily a joint or shoulder specialist and without being disrespectful will be a trial and error attempt.
I ended up with specialist intervention and in my case it was a joint replacement .
I am pretty sure this is the exception rather than the norm.
could you let us know what treatment your wife has had? have you taken the advice given in the previous thread on this subject.
best regards
BGFL

I am afraid it is not usual for GPs to have imaging, it is more usual that hospitals have this equipment. also please dont think that this is going to be a quick fix. the law of averages says it will work for some but not all. My first hand experience is that it is inneffective. Another thing to consider that the GP is not necessarily a joint or shoulder specialist and without being disrespectful will be a trial and error attempt.
I ended up with specialist intervention and in my case it was a joint replacement .
I am pretty sure this is the exception rather than the norm.
could you let us know what treatment your wife has had? have you taken the advice given in the previous thread on this subject.
best regards
BGFL

Thanks BGFL.
I have had conversations with several people all having this treatment and they cannot endorse it enough.
I accept that there may be some cases where this treatment does not work, but I have heard more who say this does work so have to give it a go.

Personally I am finding that many GPs immediately say it's probably arthritis, when in reality it's more a soft-tissue problem (or caused by it). Injections in the joint won't do anything for the soft-tissue.

Also if they get it wrong, which is not uncommon if you have it done by the gp, it can make things a lLOT worse.

If you do choose to have an injection, I would go to a hospital, don't let the gp do it themselves.

However, like others have said, I would try some soft-tissue work like massage first.

I hope she gets better soon!

:hug: I too have had the injections in my shoulder, the gp wouldnt give them in the begining because id had a decompression operation which hasnt really worked
arthritis soon settled in,
i wouldnt stop having the injection ,in case of prolems later on. the pain can be severe
tramadol werent strong enough for me,
but you could look at alternative medicines or therepies.

take care