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Fourth line skater
Picture of goose5
posted
I've spoken with two people who have reported a few days after the shot all pain disappeared. I had one in my left knee. The NP told me give it two weeks. Before the injection, it was hell making it through work on 800mg of ibuprofen. After it helped with the pain, I still had to take the ibuprofen and still had moderate pain, but I could get through the day fine. I'm not exactly pain-free after the two weeks. I still have to walk slowly making sure I don't stride out to far. Any side-to-side movement or twisting pisses it right off.

What has your experience been with a cortisone injection? Am I expecting too much?


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Posts: 7662 | Location: Pueblo, CO | Registered: July 03, 2005Reply With QuoteReport This Post
quarter MOA visionary
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I have had two injections over about a year apart for a trigger finger issue with my little finger (no I don't shoot with that finger- it is a medical term) and it has worked wonders.
Fantastic results.
Mine took about a week for full results but some took effect immediately.
 
Posts: 23312 | Location: Houston, TX | Registered: June 11, 2006Reply With QuoteReport This Post
Member
Picture of dsiets
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I took my mom in for her arthritis in her shoulder. It took maybe 2 weeks for results and it lasted 10 mo. Worked great.
So when we went in for a second shot, it didn't do much. We tried a third shot and it lasted maybe 2 mo.

Others I've spoken to have similar results where the first one works well but less so for any follow ups.
 
Posts: 7513 | Location: MI | Registered: May 22, 2007Reply With QuoteReport This Post
For real?
Picture of Chowser
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I used to get cortisone injections in my spine every 3 months. Effect was immediate.



Not minority enough!
 
Posts: 8208 | Location: Cleveland, OH | Registered: August 09, 2007Reply With QuoteReport This Post
Fighting the good fight
Picture of RogueJSK
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We've had a few threads about this lately, within the past few weeks. For example:
https://sigforum.com/eve/forum...935/m/9740082015/p/1
https://sigforum.com/eve/forum...0601935/m/3620049905

I get injections every 12-18 months in my knee. Mine usually takes about a day post-injection to get full effect, and results in eliminating all pain for ~6-9 months, and then gradually increasing minor pain for another 6-9 months. Once it hits moderate pain in a year or so, it's time for another shot.

My last shot was a year ago. I'll need another one sometime this winter.

But everyone is different. So your joint may be so torn up that the best you could manage with shots is just taking the edge off. This would likely mean that it's time for surgery.

quote:
Originally posted by dsiets:
Others I've spoken to have similar results where the first one works well but less so for any follow ups.


Yes, they gradually become less effective as the damage in the joint progresses. The injection reduces swelling and associated pain, but doesn't do anything to fix/reverse any damage within. You reach the point where the injections have minimal effect and it's time to move onto a more drastic treatment like surgery. Sounds like the OP might already be at that point.

According to my ortho doc, once my injections start providing less than 3 months worth of relief, I'd be a candidate for surgery.
 
Posts: 33269 | Location: Northwest Arkansas | Registered: January 06, 2008Reply With QuoteReport This Post
McNoob
Picture of xantom
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It's worth a try before any surgery IMO. Hip injection worked for about a week. Knee was of zero benefit. Both of those joints have been replaced now.




"We've done four already, but now we're steady..."
 
Posts: 1839 | Location: MN | Registered: November 20, 2013Reply With QuoteReport This Post
Legalize the Constitution
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I just had a second injection into my R shoulder a week or so ago. I got a torn rotator cuff (supraspinatus) and am trying to avoid surgery. I got relief for quite a few months, and the second was 8 months after the first, but I’ll admit it had been hurting for a few weeks. I’ve been working hard to rehab the shoulder and strengthen the other three muscles that make up the rotator cuff.

Is the pain gone? No, but it’s much better, and if I’m careful about what I do when working out, it doesn’t hurt at all (trying to do military press set me back).

Two questions for you, goose. Do you have an accurate diagnosis of the issue with your knee?

Did you discuss whether or not PT might be beneficial with the physician who gave you the injection?


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Posts: 13684 | Location: Wyoming | Registered: January 10, 2008Reply With QuoteReport This Post
Bookers Bourbon
and a good cigar
Picture of Johnny 3eagles
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Had the injections in both hips. RESULT. Right hip was total replacement on August 26. Left hip about January 2025. Also had spine ablation done. FAIL





If you're goin' through hell, keep on going.
Don't slow down. If you're scared don't show it.
You might get out before the devil even knows you're there.


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Posts: 7336 | Location: Arkansas  | Registered: November 06, 2010Reply With QuoteReport This Post
Fourth line skater
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quote:
Originally posted by TMats:


Two questions for you, goose. Do you have an accurate diagnosis of the issue with your knee?

Did you discuss whether or not PT might be beneficial with the physician who gave you the injection?


Diagnosis is from 4 xrays taken in the ER. This all started in the middle of July. Walking across the kitchen floor when a bolt out of the blue, stop you in your tracks, holler out loud pain hit. Couldn't put any weight on it. That level of pain so fast I had to have torn something. I was on crutches for 2 days. In the shower I was trying to figure out how to get out without putting any weight on it. I swung my bad leg out first. I reached down and tried to support my weight with my hands on the tub. That didn't work but I discovered with my knee bent it didn't hurt when I put weight on it. I was able to hobble around without crutches after that, but altering my walk started other muscles hurting from being used in a different way. Yes, the NP did mention PT, but he didn't think I'd have time to do that and work a full day. What they told me was arthritis and joint degeneration. Voltaren doesn't touch it. He said if the pain persists an MRI is the next step. If things remain at the level they are now I can work. I have good days and bad, but I can get by. The last three days I was able to make it through the day without ibuprofen or my knee brace. I told him just keep me in the game for another 2 years. At that time if I'm a candidate for surgery or replacement we'll cross that bridge.

This message has been edited. Last edited by: goose5,


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Posts: 7662 | Location: Pueblo, CO | Registered: July 03, 2005Reply With QuoteReport This Post
Sigforum K9 handler
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I’ve had knee surgery’s about every 5 years since I was 20. High mileage running tool its toll. Now, I’ve got tendon issues that can’t be surgically repaired. I cycle on and off Mobic 30 on and 30 off. I no longer run more that 1.5 miles at a time.

About every six months the pain isn’t fixed by normal rest/ice/anti inflammatory. So I get a shot. Within a day or two, the shot plus rest works wonders.

Yes, it works for me.




www.opspectraining.com

"It's a bold strategy, Cotton. Let's see if it works out for them"



 
Posts: 37252 | Location: Logical | Registered: September 12, 2004Reply With QuoteReport This Post
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quote:
Originally posted by goose5:
quote:
Originally posted by TMats:


Two questions for you, goose. Do you have an accurate diagnosis of the issue with your knee?

Did you discuss whether or not PT might be beneficial with the physician who gave you the injection?


Diagnosis is from 4 xrays taken in the ER. This all started in the middle of July. Walking across the kitchen floor when a bolt out of the blue, stop you in your tracks, holler out loud pain hit. Couldn't put any weight on it. That level of pain so fast I had to have torn something. I was on crutches for 2 days. In the shower I was trying to figure out how to get out without putting any weight on it. I swung my bad leg out first. I reached down and tried to support my weight with my hands on the tub. That didn't work but I discovered with my knee bent it didn't hurt when I put weight on it. I was able to hobble around without crutches after that, but altering my walk started other muscles hurting from being used in a different way. Yes, the NP did mention PT, but he didn't think I'd have time to do that and work a full day. What they told me was arthritis and joint degeneration. Voltaren doesn't touch it. He said if the pain persists an MRI is the next step. If things remain at the level they are now I can work. I have good days and bad, but I can get by. The last three days I was able to make it through the day without ibuprofen or my knee brace. I told him just keep me in the game for another 2 years. At that time if I'm a candidate for surgery or replacement we'll cross that bridge.


If there is significant degenerative arthritis on a plain Xray, mri won’t do you any good.
Bottom line, the reason to get an mri is to identify any lesion that may be amenable to limited surgery such as arthroscopy. What we do know and research supports, is if someone chases after something like a torn meniscus with a scope surgery in a patient with significant arthritis on plain imaging, that patient only gets temporary relief and is usually back to injections or considering a total joint.
I have lots of patients I see like clockwork every 6 months for injections, or as frequently as every 4 months. As long as adequate decreases in pain and increases in function can be obtained with periodic injections, you can ride that train as long as possible in some cases I have patients that have been getting routine injections for a decade or more
 
Posts: 3414 | Location: Finally free in AZ! | Registered: February 14, 2003Reply With QuoteReport This Post
Was that you
or the dog?
Picture of SHOOTIN BLANKS
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It bought me some time prior to knee replacement. If you have the beetus you should know it will really bump your glucose level.


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Posts: 1667 | Location: PA | Registered: February 11, 2004Reply With QuoteReport This Post
His Royal Hiney
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Here’s what I know from my experience. The shot is only to minimize the pain and, perhaps, the inflammation. But the real fix is to allow the inflammation to go down completely by minimizing the things you’re doing that would inflame it.



"It did not really matter what we expected from life, but rather what life expected from us. We needed to stop asking about the meaning of life, and instead to think of ourselves as those who were being questioned by life – daily and hourly. Our answer must consist not in talk and meditation, but in right action and in right conduct. Life ultimately means taking the responsibility to find the right answer to its problems and to fulfill the tasks which it constantly sets for each individual." Viktor Frankl, Man's Search for Meaning, 1946.
 
Posts: 20180 | Location: The Free State of Arizona - Ditat Deus | Registered: March 24, 2011Reply With QuoteReport This Post
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Timely thread, I just had my left knee done Thursday and the swelling was gone on Friday. Not sure what to expect as this is my first time. Still a considerable amount of pain so we shall see how it progresses. Knee replacement is in my future, this is just something to hopefully get me by until it’s absolutely necessary.
 
Posts: 512 | Location: Marblehead ohio | Registered: January 05, 2020Reply With QuoteReport This Post
Learn it, know it, live it
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quote:
Originally posted by Johnny 3eagles:
Had the injections in both hips. RESULT. Right hip was total replacement on August 26. Left hip about January 2025. Also had spine ablation done. FAIL


I had a spline ablation done for back pain.
First, they did 2 block injections to make sure it would work.
The block injections helped, but the nerve abltaion was a fail for me as well.
Ended up getting surgery that fixed the issue.

I will say the ablation screwed up my sense of urgency to urinate.
I have to remember to go every few hours, I no longer have the sensation of a full bladder.
 
Posts: 4429 | Location: Great State of TEXAS | Registered: July 05, 2008Reply With QuoteReport This Post
Learn it, know it, live it
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I've been getting cortisone injections in both my shoulders and both knees for several years.
Now getting them every 3 months (the most the insurance pays for).

They still help the knees but not the shoulders.
My shoulder doc has been telling me for years the shots won't last forever.

I have my left shoulder replacement scheduled for mid-October and the right one for whenever the left one heals enough.

As well I tried the gel injections for my knees, but they didn't help me at all.
 
Posts: 4429 | Location: Great State of TEXAS | Registered: July 05, 2008Reply With QuoteReport This Post
Optimistic Cynic
Picture of architect
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Had several of these for gout (big toe, knee, ankle) back in the day. Worked like magic, but doesn't last. Worse, docs said repeated injections can lead to bone loss. I would not hesitate to have another should I get a gout flare up, although it has been over 30 years since my last.
 
Posts: 6875 | Location: NoVA | Registered: July 22, 2009Reply With QuoteReport This Post
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Look into umbilical cord injections, they help repair the damage that's causing the pain. Google Amniox.
It's not Cheap!


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Posts: 8850 | Location: 18 miles long, 6 Miles at Sea | Registered: January 22, 2012Reply With QuoteReport This Post
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I had 2 injections into my right ankle.
They hurt like hell, with minimal effect.

A month ago, my ortho wanted to give me an injection into my ring finger(trigger). He told me that I would not like him. I passed. I’ll deal with it.
 
Posts: 2087 | Location: Florida | Registered: July 26, 2010Reply With QuoteReport This Post
paradox in a box
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My wife had plantar fasciitis and the shot made the pain go away completely. That was a year ago. Recently after some more than usual walking and exercise it came back a little bit is gone again. It was a miracle for her after years of pain.




These go to eleven.
 
Posts: 12605 | Location: Westminster, MA | Registered: November 14, 2006Reply With QuoteReport This Post
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