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What is a Cortisone Injection, and Why am I Getting One?
What is a Cortisone Injection, and Why am I Getting One?
What is a Cortisone Injection, and Why am I Getting One? 01

Understanding Cortisone Injections

No one likes shots but sometimes it is worth a little pain for a lot of relief. Cortisone is a steroid used to treat inflammation. This is not an injection for pain relief; however by reducing inflammation and swelling, pain may subside.

Some people report that the cortisone takes effect almost immediately but more frequently relief comes within a few days. Some patients will see improvement over the next several weeks.

The cortisone is a powerful anti-inflammatory that is injected directly into the joint creating a localized effect. Oral anti-inflammatory medications such as Aleve or Advil go throughout your entire system.

Possible Side Effects of Cortisone

Diabetics

Increased blood glucose levels- If you are diabetic cortisone may temporary raise your blood sugar levels. Be sure to monitor your sugars and adjust insulin accordingly. Cortisone can stay in your system for up to one month.

Flare Reaction

A flare reaction is when the cortisone causes an opposite effect. This usually occurs between the first 24- 48 hours after receiving the cortisone. The injected area may turn red and slightly swell. These symptoms will slowly disperse over time but should be treated with ice and elevation to expedite the process.

Skin Discoloration

The cortisone can cause the skin around the injection site to slightly lighten. This is not harmful and the coloration will return slowly.

Tendon Rupture

There are studies that show extended, frequent cortisone injections can increase the chance of tendon rupture. It is suggested there is a time span of at least six weeks between injections and no more than three to four in a year’s time.

The Cortisone Injection Procedure

Your provider will determine if an injection is appropriate for you. The area is cleansed with an antiseptic such as an iodine preparation, alcohol, or other skin disinfectant. If you have an allergy to any of these preparations, be sure to remind your provider. The injection itself takes only a few seconds to perform. If you have extra fluid in your joint it may be aspirated before the medication is injected.

What is a Cortisone Injection, and Why am I Getting One? 02

The injection will often contain 2 medications, the steroid and a local anesthetic. The local anesthetic will take effect almost immediately and may last for 2 to 6 hours before wearing off. The steroid will start to take effect after a few days. You may use ice on you joint when you get home. Any serious reactions such as fever, redness or swelling are rare but should be reported to your provider.

You may drive yourself home and resume normal activities. Most providers will ask that you take it easy for a few days after the injection to allow the steroid to work to its full potential.

For more information and source: assh.org