Cortisone shots are a common treatment option for individuals suffering from joint pain, inflammation, or certain injuries. However, some patients experience increased discomfort shortly after the procedure. In his latest “Ask the Doctor” video, Dr. David Guyer, a triple board-certified orthopedic surgeon and Sports Medicine specialist, addresses a viewer’s question about post-injection pain. Although cortisone injections are designed to alleviate inflammation, they may not always provide the relief expected, especially in cases involving structural tears or pre-existing conditions. Let’s delve deeper into why this happens and explore alternative solutions for managing joint discomfort.
Understanding Cortisone Shots
Cortisone injections are intended to reduce inflammation and pain in the affected joint by delivering steroids directly into the area. Typically, these injections are combined with numbing agents like lidocaine or maraine to provide immediate pain relief. However, the primary purpose of cortisone is to act as an anti-inflammatory, not to heal structural damage such as labral or meniscal tears.
Why Increased Pain May Occur
While cortisone shots generally alleviate discomfort, there are instances where patients report increased pain afterwards. In the case of hip injections, for example, there isn’t much space within the joint capsule. When fluid is injected, it can distend the capsule, leading to temporary discomfort. Lack of adequate numbing agents during the procedure might also contribute to post-injection pain.
Potential Risks and Limitations
Dr. Guyer emphasizes that cortisone injections, while effective in reducing inflammation, do not repair underlying structural issues. Moreover, repeated use of cortisone injections has been linked to accelerating cartilage breakdown and increasing the risk of developing arthritis. There are also concerns about weakening tendons and ligaments, making them more prone to rupture.
Exploring Alternative Treatments
Given the limitations and potential risks associated with cortisone shots, Dr. Guyer suggests considering alternative regenerative treatments. Although some of these options are experimental and not covered by insurance, they may offer more effective relief for joint injuries without the downsides of traditional cortisone therapy.
Final Thoughts
If you’re experiencing orthopedic issues and want to explore non-surgical and cortisone-free options, Dr. Guyer encourages reaching out for a consultation to discuss personalized treatment plans. While leaving comments and questions on his videos is welcomed, remember that medical advice cannot be provided in those forums. However, your queries might be featured in future “Ask the Doctor” videos.
