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Cortisone injections....any experience?

help4john

help4john

New member
Just had my first two injections in the shoulders today. WOW....nearly immediate relief! This is even better than Deca.

For those of you that have had Cortisone shots before, how long did you wait until you hit the gym again? My Doc told me to wait 2-3 weeks but as we all know......Doc's can be rather conservative.

Thanks in advance!
 
oh man.... i am guessing you were in really bad pain to resort.. to that....
corisone is bad news.... you are feeling better because it brakes down tissue...
like nervouse tissue... that is why it feels better....
............has anyone done Prolotheropy???..........
good luck on that shoulder man..
 
Yeah....it was to the point where military presses were out of the question. Couldn't even do lateral raises this past week. Age and wear does have disadvantages. No Prolotherapy....joints are wearing away and causing my bones to slightly disintegrate. Everybody has something.....this is mine. Oh well, pain is much less now....will need to work with the tissue breakdown come April 1. Probably not true....but I'm hoping that Test and Deca will help to build the tissue back.

Thanks for your response!
 
Cortisone is a hormone that is produced by the adrenal gland. It is used to suppress inflammation for short term and long term. Cortisone can dissolve scar tissue, strengthen the body's natural defense systems against inflammation, and it does speed the healing process. It doesn't however, break down any tissue, including nervous tissue. The way it relieves pain is by relieving the inflammation, just like taking advil or aleve would, but it is much stronger. However, if a cortisone shot is taken into a joint, it can weaken the tendons and even soften the cartilage. You should have no problems with the cortisone shot, and the good thing about it is, you can have as many as you want.
 
Champ24 said:
Cortisone is a hormone that is produced by the adrenal gland. It is used to suppress inflammation for short term and long term. Cortisone can dissolve scar tissue, strengthen the body's natural defense systems against inflammation, and it does speed the healing process. It doesn't however, break down any tissue, including nervous tissue. The way it relieves pain is by relieving the inflammation, just like taking advil or aleve would, but it is much stronger. However, if a cortisone shot is taken into a joint, it can weaken the tendons and even soften the cartilage. You should have no problems with the cortisone shot, and the good thing about it is, you can have as many as you want.
Click to expand...
...
you can have as many as you want... and it can make the area weaker and weaker.... i would not get one if i could avoid it.. i would..
 
Mr Max,whereby in champ24's post does it say that cortisone will make the area weaker and weaker(except for the bit where he says if you have it in a joint,which he clearly isn't saying to have it in a joint)??
 
Champ24 said:
You should have no problems with the cortisone shot, and the good thing about it is, you can have as many as you want.
Click to expand...

That is NO TRUE. Cortisone is a CATABOLIC agent and will break down tissue (hence it is ONLY given a certain amount of times before your doctor will NO LONGER give them to you...)

It is a temporary solution to a long term problem imo :o
 
The cortisone shot will mask the symptoms approximately 6 weeks. The trick is to use at *least* half of those weeks to get healthy, instead of consuming them by resuming your workout schedule.

Cortosone shots are definately not something you want to rely on long-term. Think of them as a "reset" button you press when you piss a joint off so badly that it simply won't settle down with reasonable rest and care. Sooo... when you do piss it off, get the shot and massively rest the area as well to double-up on the reduction in inflammation.
 
The Terminator said:
That is NO TRUE. Cortisone is a CATABOLIC agent and will break down tissue (hence it is ONLY given a certain amount of times before your doctor will NO LONGER give them to you...)

It is a temporary solution to a long term problem imo :o
Click to expand...
Thanks Termie! I did have a choice....surgery or the injections. The surgery will be the long term solution...just not ready for it at this point. Damnnnn, I hate recovery time! :worried:
 
mrplunkey said:
The cortisone shot will mask the symptoms approximately 6 weeks. The trick is to use at *least* half of those weeks to get healthy, instead of consuming them by resuming your workout schedule.

Cortosone shots are definately not something you want to rely on long-term. Think of them as a "reset" button you press when you piss a joint off so badly that it simply won't settle down with reasonable rest and care. Sooo... when you do piss it off, get the shot and massively rest the area as well to double-up on the reduction in inflammation.
Click to expand...
Good info Mr. Plunkey! Thanks for your help! Hopefully after a few weeks....I will be back in action! I do realize that these shorts are solely for the short term....kind of like taking the thorn out of the lions paw! :p
 
help4john said:
Good info Mr. Plunkey! Thanks for your help! Hopefully after a few weeks....I will be back in action! I do realize that these shorts are solely for the short term....kind of like taking the thorn out of the lions paw! :p
Click to expand...

No offense here, but that's a poor analogy. It's more like giving the lion a shot of novicane and leaving the thorn in.

If you're competing I understand getting the shot. But if you're simpy procrastinating surgery based on emotion (and I'm by no means saying you necessarily are), I say you're using your aces before you have to. Just trying to help, m'kay...
 
athlete.03 said:
No offense here, but that's a poor analogy. It's more like giving the lion a shot of novicane and leaving the thorn in.

If you're competing I understand getting the shot. But if you're simpy procrastinating surgery based on emotion (and I'm by no means saying you necessarily are), I say you're using your aces before you have to. Just trying to help, m'kay...
Click to expand...
Actually, it depends... Using cortisone to delay something significant, like rotator cuff surgery or knee surgery is a horrible, horrible mistake. In that case, it truly is giving the lion novicane and leaving the thorn in.

Here's the ideal case for cortisone. In a lot of cases (especially knees, sometimes with shoulders and elbows) a person can inflame an area so badly that it becomes self-perpetuating. Even little things, like walking down stairs, picking things up, or catching yourself when you are off balance can worsen the inflammation. You end up in a positive feedback loop where the pain and inflammation causes more pain and inflammation. If you find yourself in this loop, cortison is ideal for you. Take the shot, lay *totally* low for 3 weeks (4-5 is even better), then resume activities while closely monitoring the area.
 
mrplunkey said:
Actually, it depends... Using cortisone to delay something significant, like rotator cuff surgery or knee surgery is a horrible, horrible mistake. In that case, it truly is giving the lion novicane and leaving the thorn in.

Here's the ideal case for cortisone. In a lot of cases (especially knees, sometimes with shoulders and elbows) a person can inflame an area so badly that it becomes self-perpetuating. Even little things, like walking down stairs, picking things up, or catching yourself when you are off balance can worsen the inflammation. You end up in a positive feedback loop where the pain and inflammation causes more pain and inflammation. If you find yourself in this loop, cortison is ideal for you. Take the shot, lay *totally* low for 3 weeks (4-5 is even better), then resume activities while closely monitoring the area.
Click to expand...

I understand your reasoning and agree. But based on his quotes such as, "military press was completely out of the question..." I think the context he's considering is the former.

But I certainly appreciate the fact that you provided some valuable information. Stuff I didn't know. Do you have some medical training?
 
Term is right about the cortizone. I had a couple of treatments in my ankle back in '94 and '95. . The doc told me that it was a case by case basis on how well it would work and how long it would last. He said some people get results for 6 months or more but others will only fell it for a fe days.

I walked in the Doc office with a cain on my first inject and walked out with only a slight limp. I felt great, but it lony lasted 3 day with me.
 
help4john said:
Just had my first two injections in the shoulders today. WOW....nearly immediate relief! This is even better than Deca.

For those of you that have had Cortisone shots before, how long did you wait until you hit the gym again? My Doc told me to wait 2-3 weeks but as we all know......Doc's can be rather conservative.

Thanks in advance!
Click to expand...
It does weaken connective tissue after repeated injections. You need to find the root of the pain. Maybe weak rotators, improper form on a certain exercise. Think hard you will figure it out and if it hurts do not do it.

Quadsweep
 
help4john said:
Just had my first two injections in the shoulders today. WOW....nearly immediate relief! This is even better than Deca.

For those of you that have had Cortisone shots before, how long did you wait until you hit the gym again? My Doc told me to wait 2-3 weeks but as we all know......Doc's can be rather conservative.

Thanks in advance!
Click to expand...

Careful, bro. I had several cortisone shots for chronic back pain and it is true that there is quick relief. Just remember that cortisone will make you think you are healed long before you are and you can really mess yourself up worse by training too soon. Give it time to heal or you will regret it later.
 
athlete.03 said:
I understand your reasoning and agree. But based on his quotes such as, "military press was completely out of the question..." I think the context he's considering is the former.

But I certainly appreciate the fact that you provided some valuable information. Stuff I didn't know. Do you have some medical training?
Click to expand...
I couldn't (and still can't) tell if his pain is from something blown or from some type of chronic inflammation. A good orthopedics doc could sort that out with a pretty simple examination.

As far as medical training... just grew-up in healthcare. Did a BE in Biomedical Engineering and a Ph.D. in Neuroscience. I'm not an M.D.-oriented guy by any stretch though -- I made my money Operating Room information systems. Sold business... now I'm a full-time bum / gym rat. :)
 
Thanks for all your input fellas! It is really appreciated!

The problem is the CV joint. I have arthritis in both shoulders, one significantly worse than the other. So, Mr. Plunkey it would be chronic inflammation. The tissues and area surrounding are extremely inflammed (or were inflammed). This (along with the continuous strains) has started causing the deterioration of the bone. The Doc indicated that I had two options....surgery or try Cortisone first. Obviously, I went with the less invasive of the two.

I do not compete....well at least any longer. Since I have not been lifting 100% and have only done light weights for a number of weeks (probably months by now).....my freakin' BF has gone up to slightly over 20% (actually 20.6-20.7%). Normally, this would be in the upper teens. I'm afraid that for at least a month I will be stuck with cardio....leg related exercises. I hate bloody running and biking...always been a boxing, aerobic, jump rope kind of cardio fella. Haven't been able to throw a punch in quite a while either.

Quad.....fortunately my rotator cuffs are fine. Had about a dozen X-rays taken....so I am lucky in that regard. The form on my exercises is textbook.....well until the pain increased drastically lately so I guess I have been doing some compromise in the form aspect! I attribut the real problem to years of abuse and age (not heeding my body's warning signals). Live and learn......so little time, so much to learn!
 
When I was recovering from left shoulder reconstruction, I found that if I brought my grip in on bench, lighted-up a lot on incline, and put more emphasis on decline bench that I could work around shoulder limitations somewhat.
 
You also do realize that cortisone is made in the body everyday. If it was going to harm you, then your body wouldn't produce it. It has nothing but good effects on the body.
 
Champ24 said:
You also do realize that cortisone is made in the body everyday. If it was going to harm you, then your body wouldn't produce it. It has nothing but good effects on the body.
Click to expand...
Yeah! You sure about that. Ask a person with Cushing's syndrom if they feel that way. It is the oppisite of anabolics and helps maintain homeostasis plus keep Joints from getting inflamed as well as organs. Look up Cytadren. If cortisol is all good why would you need a cortisol bloking drug.....the mind wanders.

Quad
 
Didn't the Feds pass a new requirement for pharmacists? My recollection is that it is a six year course of study with the candidates receiving a doctorate degree in pharmacy upon completion. 6 years=PhD....not bad!
 
I've had 2 cortisone shots in each shoulder, and da-amn did they hurt! Shot from behind with a speargun all the way into the joint which was bad enough but once he pushed the cortisone in.....wow....very unpleasant.
 
Cortisol & Cortisone are two totally different things. Too much cortisol cause Cushing's Syndrome. Cortisone is converted to Cortisol, but it is done by an enzyme in the body. Thus, if you increase cortisone and leave the normal level of this enzyme the same even increasing the amount of cortisone will not lead to more cortisol. I think you are thinking of prednisone as the drug that can cause Cushing's Syndrome. Prednisone is a lot stronger steroid than cortisone is and the occurrence of Cushing's Syndrome.

"The most common cause of Cushing's syndrome is taking cortisone-like medicines orally (by mouth) every day for weeks to months"

He isn't going to increase his levels of cortisol at all by taking an injection every so often.

http://search.yahoo.com/search?p=to...+syndrome&ei=UTF-8&fr=FP-tab-web-t&fl=0&x=wrt
 
Champ24 said:
I'm in my 6th year of pharmacy school, I think I know that cortisone is in no way catabolic.
Click to expand...

so you are saying it is not a Corticosteroid

Corticosteroids inhibit the synthesis of proteins, collagen, and proteoglycans, particularly cartilage, by inhibiting chondrocyte production which are the cells that comprise the articular cartilage. The net catabolic effect (weakening) of corticosteroids is inhibition of fibroblast production of collagen, ground substance, and angiogenesis (new blood vessel formation). The result is weakened synovial joints, supporting structures, articular cartilage ligaments, and tendons. This weakness increases the pain and the increased pain leads to more steroid injections. Cortisone injections should play almost no role in sports injury care or pain management.
 
Champ24 said:
Cortisol & Cortisone are two totally different things. Too much cortisol cause Cushing's Syndrome. Cortisone is converted to Cortisol, but it is done by an enzyme in the body. Thus, if you increase cortisone and leave the normal level of this enzyme the same even increasing the amount of cortisone will not lead to more cortisol. I think you are thinking of prednisone as the drug that can cause Cushing's Syndrome. Prednisone is a lot stronger steroid than cortisone is and the occurrence of Cushing's Syndrome.

"The most common cause of Cushing's syndrome is taking cortisone-like medicines orally (by mouth) every day for weeks to months"

He isn't going to increase his levels of cortisol at all by taking an injection every so often.

http://search.yahoo.com/search?p=to...+syndrome&ei=UTF-8&fr=FP-tab-web-t&fl=0&x=wrt
Click to expand...

hummm
 
hvywghtchamp said:
I've had 2 cortisone shots in each shoulder, and da-amn did they hurt! Shot from behind with a speargun all the way into the joint which was bad enough but once he pushed the cortisone in.....wow....very unpleasant.
Click to expand...
I had the exact same procedure! I was in so much pain from the first injection that the Doc layed me down for the other shoulder. How embarassing and freakin painful!!! Don't think it would hurt as much if I slipped once and hit the sciatic!
 
Yeah, I have had cortisone shots before because I have Reiter's Syndrome, which is a type of arthritis that only affects the sacro-iliac joint, and it basically feels like the arthritis is in your hip and i had a few in the joint and wow! did they hurt, but it helps sooooo much. Temporarily of course.
 
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