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

dry needlingworld triathlon championshipshockey injuryholiday hoursIMSheel painrunning injuriesmechanical stressair relaxITU World Grand Final Triathlon Edmontontrail runboxingfun in the fortHIIToffice workstretchingdodgeballst albert triathlonankle injuriesclinic closure10kmrunning shoesrunning formultra runningfotoGunn theory of IMSGLA:D®scapulafirst triPFPSshoulder dislocationmyofascial cupping therapySAPECexerciseregistered dieitianbellerose bike-a-thonlateral epicondylitisdynamic stretchingdown and dirty obstacle coursetennis elbowAADL fundingmuscle tightnessschoolcupping therapyclavicle fracturegrand openingmud runcity chase canadainjuryworld physical therapy daylifestyle expoHealth Information ActSCAT 3active physio works 5kmst. albert chamber of commercebest of T8Nbowen therapyflexibilityremembrance daydizzinesscanada dayBest Physiotherapistarthritis of the spinecommunity eventitudave proctornutritionyou can ride 2communityplantar faciitisworkout planhamstring injuriesspin classcycling raceWestern Statessoccer injurieskeep fit, have funcrutchesclinic privacyPIPAdeath racerecoveryhigh intensity interval trainingmedical mission to Ecuadorswimmersouth edmontonultrafamilyThoracic Outlet Syndromemagrathkids fun runheadacheneck painsports injuryrental car motor vehicle accidentfernie ultracity chaseGLA:D™ back programhikingiron legsmodified return to activityprotectelbow paintrapezius strengtheningthrowing athletesfirst appointmenttaperexercise programsports concussionorthoticslumbar spine imagingagingfitnessbowen techniquesmall business nomineeyegphysioITU World Triathlon Grand Final Cozumelhip replacementedmonton oilerscompressionshoulder injuriescarpal tunnelcomplete concussion management inc.physical activityregistered massage therapisttriathlonvertigopricefort saskatchewan chamber of commercectv morning livecross trainingIntramuscular Stimulationknee injuryHawrelak Parkmarathon trainingjointssinister 7baseline testingracingfree fort bbqadaptive cyclingparadeeasterGLA:D® Edmontoneating cleangait analysisactive physio worksRunnerve glidesroastaquathonconcussion testingroad rage hockey tournamentcore strengtheningBikeout run rareadventure racingGLA:D™p90xalberta health servicesyegbikebarefoot running#activephysioworksoutcome measuresx-rayyogafast trax ultratour de palm springspatellar tendonitiscanedefining painORIF surgerywarm heartgolf injuriesnew york marathonRaceMedial Epicondylitiswarm handsvelocity stage racehockeylentil with tumeric soupst. albert road raceheadachesconcussiontriathleteSigvaris compression stockingscommunity runwounded warriorsbanff triathlonplantar fasciitisSwiminflammation injurytraps#teamrehabbasketball injuriestraining nutritioncity chase world championshiparthritisms bike tourrestnational championshipsgait aidstournamentobstacle courseshoulder paindraw prizesMS Bikeglute strengthTMJglobal edmontonroad racefitness programITU World Triathlon Grand Final Edmontonslip and fallsbackpack safetyacupunctureswimmingknee painpelvic health physiotherapyMS Bike Leduc to Camrosecustom fit compression stockingsavoiding injurycity chase national championshipultrarunningcity chase national championships10 mileshoulderknee replacementwrist painironmansoccerbiomechanicspush up programneedlingpole walkingadolescent knee painironman canadasnowboardingextended health careregistered massage therapytendor tearglute strengtheningcupping in st albertprivacyBPPVtreating sports injuriesdiagnostic imagingbellerose bike a thonyegfitnesspainfort saskatchewanworld championshipstrainingpain centresrunning footwearphysical therapyadjunct to Physiotherapyconcussions in sport100 milejumpers kneelumbar spineIT band syndromedr chanlife moves1km kids fun runrecipeback painSt. Albert Triathlonhalf ironmanlegacy park family festivalkidsWinter Injury Preventiontraining on vacationtraining planSt. Alberticeorthopedic surgeonsfundraisertext neckboxers fractureworld grand final edmontoncharityMRI5km obstacle courserace seasoninfluence of painrunners kneecouch to 5kfestivalfoot painoutdoor running seasonhiking in the mountainsniagara fallssleepservus placebaseballmotor vehicle accidentcortisoneenergy barscommunity involvementathlete injurysynchronized skatingstrengthturkey on the trails5kTOSst albert 10 milerms bike tour leduc to camroseimPACT testingconcussion managementpreventing sports injuriesrunning techniquepelvic floorstrength training5kmOsteoarthritisknucklescornPosturerunningTeam Rehabhamstringedmontondr shepstrail runningoutcome survey10 milerwinter runningrehabilitationcustom fit orthoticsWTS Edmonton10milerfootballCBC interview10 miler training planspiral fracturesultrarunnerexercise planwhat to expectdraw prizeshoulder imagingreturn to sportcupping therapy in st albertyou can ride twostrengtheningwhy active physio worksGLA:D® St. Albertfoam rollertreatment plansafe exercises during pregnancyoutdoor runningpine to palmshin splintsvolleyball injuriesvolleyballgreat white north triathlontechniquelost souls ultrasecondary submittingfasciavestibular rehabilitationthoracic spineseptember 30hip painachilles repair surgerylow back painmarathonexercise challengecold weather runninghalf marathoncarpal tunnel surgeryphysiotherapyst albert road racestaying fit while pregnanttraining receipetrade showfort saskatchewan trade showcanadian trailspelvic health#eddiedontbendcyclingGLA:D™ knee programtaperingconcussion in sporteaster mondaypre-natal fitnessctv edmontoncat-scanultramarathonmarathon runningsigvaris stockingscuppingoperation esperanzadirect billingrunning gaitthoracic spine mobilityvolunteerP-90Xskatingultrasoundvictoria dayinjury preventionexplore albertaregistered dietitianget movingjaw paincanada day paradeolympian distance challengeankle sprains in athletesbikes on broadwayhealthy recipesjames deanWPTDgood fridaymassage therapykids of steel triathlonheart diseasenational triathlon championshipsdeath race training planACL injuriescompression stockingsknuckle poppingyegfitbikinggolfer's elbowprehab before rehabankle spraintreatment for headachesyardworkfitness journey


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.