Cortisone? Should I give it a shot?

Jun 19, 2018

This is a question we often hear in the clinic. It is a treatment that can be recommended frequently by your doctor or surgeon. So what does a cortisone injection actually do?

Cortisone is a steroid shot that decreases the inflammation in an injured area. This can help decrease pain and optimize the environment for healing. The injection is used to get high amounts of the medication in the inflamed area with minimal side effects to the rest of your body.

cortisone.jpg


The pain is usually decreased after a few days and most patients feel pretty good; this is the time that rehabilitation needs to take place. Although the pain dissipates, the causes such as poor posture, repetitive loading, and poor body mechanics, are still taking place.

Physiotherapy will help you train your body during this optimal time to get to the source of the problem. The Physiotherapists at each of our clinic locations are able to set up a specific exercise program suited for your needs to ensure that you are able to return to function safely before and after you receive your injection.

 

There are some side effects of the cortisone shot as well, which include softening of cartilage and weakening of tendons at the injection site. This usually occurs in patients who receive several steroid injections. With the proper rehabilitation and strengthening the first time around, a second injection can be avoided.

A study (Coombes et al, 2013) in Australia looked at the effectiveness of cortisone alone vs cortisone with physiotherapy. Cortisone shots alone had positive effects from weeks 8-12, while those who had physio along with the shot had positive effects lasting for 3 years and made a full recovery from their chronic tennis elbow.

Another study (Sarifakioglu, 2016) compared cortisone alone vs physio alone in patients with knee pain. Those who only had cortisone reported positive and better outcomes in the first 3 months, but had to return for more shots which decreased the strength of the cartilage in the knee joint. Those who had physical therapy alone had better long-term effects and reported increased function.

Come visit one of the physiotherapists before and after a cortisone shot to get the best results and to get back into action. To book an appointment, call 780-458-8505 or email clinic@activephysioworks.com

 

Coombes BK, Bisset L, Brooks P, Khan A, Vicenzino B. Effect of Corticosteroid Injection, Physiotherapy, or Both on Clinical Outcomes in Patients With Unilateral Lateral EpicondylalgiaA Randomized Controlled Trial. JAMA. 2013;309(5):461–469. doi:10.1001/jama.2013.129

Sarifakioglu B, Afsar SI, Yalbuzdag SA, Ustaömer K, Bayramoğlu M. Comparison of the efficacy of physical therapy and corticosteroid injection in the treatment of pes anserine tendino-bursitis. Journal of Physical Therapy Science. 2016;28(7):1993-1997. doi:10.1589/jpts.28.1993.

 



Tags: cortisone

Posted By


Tag Cloud

dave proctortraining on vacationankle sprains in athletessoccer injuriestreatment for headachesfort saskatchewantraining nutritionThoracic Outlet Syndromehiking in the mountainsmedical mission to Ecuadortrail runningTMJpreventing sports injuries5kmlost souls ultrakidsP-90Xbest of T8Nprivacyyegfitheadachehip painAADL fundingWTS EdmontonGLA:D® St. Albertboxingcupping therapyregistered massage therapistsmall business nomineerunning shoesprotect10 miler training planinfluence of painrunning gaitdizzinessconcussionrace seasonconcussions in sportmyofascial cupping therapyextended health carepole walkingSt. Alberthealthy recipesworld triathlon championshipspricetext neckBikefun in the fortMedial Epicondylitistrade showolympian distance challengemotor vehicle accidentfestival#eddiedontbendphysical therapystaying fit while pregnantlifestyle expostrengtheningjaw paintraining planfree fort bbqfasciaoutdoor runningIntramuscular Stimulationglobal edmontonwarm handstour de palm springsclavicle fracturestretchingoutcome measureskeep fit, have funtrail runadolescent knee painmud runvolleyball injuriesRuntaperwounded warriorsexercise challengeback painoutdoor running seasonair relaxcanadian trailsexercisems bike tourbellerose bike-a-thonexercise programfitnesscanada day paradeedmontonbasketball injuriesdodgeballIT band syndromedirect billingcanevictoria dayvelocity stage raceshoulder imagingsouth edmonton5klife movesturkey on the trailsmechanical stresspre-natal fitnesswarm heartcharityhockeyrecoverydeath racebaseline testinghamstringtechniqueMRIcommunityfort saskatchewan chamber of commercepain centresbikinggolfer's elbowparadediagnostic imagingst. albert road raceaquathonwhat to expectultra runningoffice workwhy active physio worksyegphysiotriathlonheel painpine to palmadaptive cyclingdry needlingyardworknew york marathonhalf marathondown and dirty obstacle coursecompression stockingsvolleyball10kmitudynamic stretchingSwimtendor tearexercise planfoam rollerathlete injuryexplore albertaachilles repair surgeryelbow paingait analysiscustom fit compression stockingsITU World Grand Final Triathlon Edmontoninjurymagrathenergy barssinister 7orthopedic surgeonssoccerbowen therapyultraRaceTOSyogabaseballms bike tour leduc to camroseroad racesafe exercises during pregnancyplantar faciitiscommunity involvementironmancarpal tunnelcyclingITU World Triathlon Grand Final Edmontonyegfitnessroastsecondary submittinghalf ironmanhigh intensity interval traininglentil with tumeric soupGLA:D® Edmontonorthoticsagingtennis elbowbikes on broadwaygolf injuriesPFPSSt. Albert Triathlonflexibilitytriathletenational championshipsreturn to sportregistered dietitiancity chase national championshipsinjury preventionknee injuryORIF surgeryhockey injurysleeptraining receipecuppingobstacle coursejointsgrand openingboxers fractureoperation esperanzasnowboardingst. albert chamber of commercemassage therapycarpal tunnel surgerytournamentst albert triathlonshin splintsadjunct to PhysiotherapyBPPVWinter Injury Preventionwrist pain1km kids fun runheadachesknuckle poppingholiday hoursbarefoot runningrental car motor vehicle accidentcommunity eventworkout plancity chasecupping in st albertbackpack safetycomplete concussion management inc.running techniquerunning footwearfoot painneck painvertigoultramarathonscapulaspiral fracturescrutchessports concussiondr shepslateral epicondylitisplantar fasciitisvestibular rehabilitationknucklesfort saskatchewan trade showcustom fit orthoticshamstring injurieseastercross trainingspin classracingACL injuriesiron legswinter runningacupuncturesigvaris stockingstaperingget movingMS Bikeneedlingheart diseasegood fridayfast trax ultrax-rayfamilySigvaris compression stockingsyegbikecity chase canadafirst appointmentremembrance daypelvic floorinflammation injury10 mileshoulder injuriesultrarunningthrowing athletesHawrelak Parkjames deanCBC interviewBest Physiotherapistpatellar tendonitisfitness journeyfernie ultraHIITlumbar spineknee pain5km obstacle coursecold weather runningGunn theory of IMSregistered massage therapyWestern Statessports injuryst albert road racecity chase world championshippush up programconcussion in sporttrainingtrapstrapezius strengtheninggreat white north triathlonIMSironman canadaphysical activitydraw prizesWPTDadventure racingrecipeshoulder painactive physio works 5kmoutcome surveynational triathlon championshipsSAPECfotoknee replacementout run rareworld grand final edmontonroad rage hockey tournamentcompressionnutritionyou can ride 2SCAT 3cat-scanbiomechanics#activephysioworksarthritisankle injuriespelvic healthconcussion testingfirst trislip and fallstrength trainingmodified return to activitycupping therapy in st alberthip replacement10milerdefining painresteating cleanimPACT testingkids of steel triathlonmarathon trainingfootballpainshoulder dislocationprehab before rehabcanada dayultrasoundregistered dieitiancouch to 5knerve glidesvolunteermarathon runningglute strengtheningcity chase national championshipp90xcycling racebowen techniquelumbar spine imagingworld championshipsdraw prizegait aidsarthritis of the spinesynchronized skatingservus placeclinic closure100 mileclinic privacyrunners kneeskatingniagara fallseaster mondaymarathonmuscle tightnessphysiotherapyglute strengthhikingdeath race training planschoollow back painseptember 30running injuriesedmonton oilersswimmingkids fun runconcussion managementjumpers kneeTeam RehabPostureITU World Triathlon Grand Final Cozumelcore strengtheningyou can ride twoactive physio worksGLA:D®rehabilitation10 milerMS Bike Leduc to Camrosecornlegacy park family festivalicefundraiserst albert 10 milerHealth Information Actalberta health servicesPIPAshoulderstrength#teamrehabcommunity runslip and fallsbanff triathloncortisonepelvic health physiotherapyfitness programworld physical therapy daybellerose bike a thonrunning formankle sprainrunningdr chanultrarunnertreating sports injuries


Archive

What to Expect

We understand that you may have a few questions before visiting our clinics for your initial appointment.

Book an Appointment

Book in for an appointment with one of our qualified Active Physio Works Physiotherapists &
Registered Massage Therapists.

Treatments

We understand each person is different so we offer a variety of techniques that are best suited to your individual needs.