Cortisone Injection (cont.)
Catherine Burt Driver, MD
Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Corticosteroid (cortisone) injection of joints and soft tissue facts
- What are corticosteroids?
- Is a cortisone injection merely a pain reliever or temporary remedy?
- For what conditions are cortisone injections used?
- What are the advantages of cortisone injections?
- What are the disadvantages and side effects of cortisone injections?
- Are there special side effects that can occur with cortisone joint injections?
- Are there special advantages in using cortisone injections for joint inflammation (arthritis)?
- How are cortisone injections of soft tissues given?
- How are cortisone injections of a joint given?
- Are cortisone injections painful?
For what conditions are cortisone injections used?
Cortisone injections can be used to treat the inflammation of small areas of the body (local injections), or they can be used to treat inflammation that is widespread throughout the body (systemic injections). Examples of conditions for which local cortisone injections are used include inflammation of a bursa (bursitis of the hip, knee, elbow, or shoulder), a tendon (tendinitis such as tennis elbow), and a joint (arthritis). Knee osteoarthritis, hip bursitis, painful foot conditions such as plantar fasciitis, rotator cuff tendinitis, and many other conditions may be treated with cortisone injections. Injections of cortisone and an anesthetic such as lidocaine are sometimes used to confirm a diagnosis. For example, if pain in the buttock and groin improves after a cortisone injection in the hip, the pain is caused by hip arthritis rather than arthritis in the low back. Epidural injections in the lumbar spine (lumbar epidural) are cortisone injections inserted into a specific location in the spinal canal of the low back by a specialist under X-ray guidance (fluoroscopy). These injections may help relieve neck pain, back pain, or sciatica. Systemic corticosteroid injections are used for more widespread conditions affecting many joints or the skin, such as allergic reactions, asthma, and rheumatoid arthritis.
What are the advantages of cortisone injections?
When a joint is swollen, joint fluid may be removed before cortisone is injected. If fluid is removed, it can be analyzed with laboratory testing to determine what caused the joint to swell. This is a big advantage as it is a powerful and accurate diagnostic test.
A distinct benefit of a corticosteroid injection is that the relief of localized inflammation in a particular body area is more rapid and powerful than with traditional anti-inflammatory medications given by mouth, such as aspirin. A single injection also can avoid certain side effects that can accompany many oral anti-inflammatory medications, notably irritation of the stomach. Cortisone injections can be administered easily in the doctor's office. Other advantages include the rapid onset of the medication's action, dependability, and minimal side effects.
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