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Cortisone injections...

wesley90

New member
Anyone here get them? I had to get one on my shoulder today...I am wondering if it will have the effects of cortisol on my body...
Thanks.
 
wesley90 said:
Anyone here get them? I had to get one on my shoulder today...I am wondering if it will have the effects of cortisol on my body...
Thanks.

I've had a few over the years. I occasionaly get laryngitis and lose my voice for days. Cortisone seems to be the only quick fix for that problem. I also had a doc give me a few several years ago as part of my therapy for chronic back pain. The shots would make me feel like a million bucks and I would think my back was healed when in fact it was only covering up my symptoms for a little while. One of the big dangers with cortisone and sports injuries is that it gives people the false impression that they are healed before they actually are, which can prolong an injury or make it worse.
 
Well I already had surgery and an MRI to confirm everything was ok...After your injection, did you get an insane amount of pain near the injection site? Like muscle pain...it is kinda hard for me to move my arm...
Thanks.
 
Cortisone is rarely a good option, interrupting your body's natural inflammatory process is not the way to go, the inflammatory process is essential for the healing of the injury. Unless the inflammation threathens on permanently damaging nerves (which is very rare) or the pain become incredibly unbearable, avoid anti-i but especially cortisone shots if you can. The right way is not to get rid of the inflammation through the use of meds but treat the source of the problem that caused the injury, in many cases of shoulder injuries, weak rotator cuffs are the reason. Prolotherapy (sometimes done along with spot hGH injections), as well as chiro rehab work, supplementation, stretching and other rehab work is the right longterm solution. Cortisone may be the answer for the immediate pain, but trust me, in the majority of cases, the pain will come back sometime later as the injury and it's cause were never treated. Usually getting more painful each time, take a look at tennis players who religously take cortisone shots as they cannot afford to loose tournaments. See what happens to them later on.. hint: recent absence of a great tennis player from the championship. happens all the time and is more pronounced as years going by.

Take care,
 
It will enter your system but in small quantity.
That is the idea behind giving it directly in shoulder joint instead of an IM injection.
It would be very concentrated in the joint but small amount in circulation.
That much probably would not significantly effect your gains.
 
I agree that it is better to exhaust all traditonal treatments first but when that does not work cortisone is the way to go. My pain was real bad for about 5 months and and I couldn't train properly. Got the cortisone and am now pain free and can train perfectly well. I would not hesitate to do it again if necessary. I got some big meets coming up and I would never have made it without the cortisone.
 
Yeah, well I have done pretty much everything...plus the MRI showed inflamation...tried Bextra, worked ok...so I wonder if this doesnt work if anything else will?
 
wesley90 said:
Yeah, well I have done pretty much everything...plus the MRI showed inflamation...tried Bextra, worked ok...so I wonder if this doesnt work if anything else will?
Bextra vs. cortisone right into the area of inflamation is like comparing creatine to good Test. I took Bextra before it came off market and it helped but nothing like the shots.
 
wesley90 said:
Anyone here get them? I had to get one on my shoulder today...I am wondering if it will have the effects of cortisol on my body...
Thanks.

Cortisol has a catabolic effect on the tissues directly surrounding the joint. The Cortisol has an inhibiting effect on the body's natural inflammatory response mirroring what Testosterone does to the HPTA. Over the longterm, cortisol will degrade the stability of the joint and cause more problems than it alleviates.

It's a short term fix, but a longterm nightmare.




DIV

:chomp:
 
Cortisone is about the worst thing you can do. Sure it helps the pain but it leaves you injury in an unhealed state and more prone to futher injury.
 
Zyglamail said:
Cortisone is about the worst thing you can do. Sure it helps the pain but it leaves you injury in an unhealed state and more prone to futher injury.

The best analogy would be to compare Cortisone to Narcotics. They'll alleviate the pain, but they will create more problems than they solve.

Cortisone will destroy the joint capsule and weaken the surrounding muscle tissues, thus leaving the joint more susceptible to injury.



DIV

:chomp:
 
Zyglamail said:
Cortisone is about the worst thing you can do. Sure it helps the pain but it leaves you injury in an unhealed state and more prone to futher injury.

AMEN

BTW: Glad to see ya here Zyg.
 
Zyglamail said:
Cortisone is about the worst thing you can do. Sure it helps the pain but it leaves you injury in an unhealed state and more prone to futher injury.
That is exactly why it is of the utmost importance to use cortisone properly because if you are stupid about it you will get hurt. Just like anything, if you don't know what you are doing stay away from it.
 
This was done by a doctor...I have already had surgery and done rehab...its inflamation that is causing the pain now according to him...
 
wesley90 said:
This was done by a doctor...I have already had surgery and done rehab...its inflamation that is causing the pain now according to him...
I hope your doctor is one of the brilliant ones because if he is just a run of the mill sawbones you have to watch out for yourself. There is an excellent surgery done to the distal clavicle which is very effective. Short-term use of cortisone is safe and highly effective with the emphasis here on short-term.
 
donsj said:
That is exactly why it is of the utmost importance to use cortisone properly because if you are stupid about it you will get hurt. Just like anything, if you don't know what you are doing stay away from it.
It has absolutely nothing to do with using it properly. There is no proper way to use it. Like most medical treatments, its a bandaid whose only goal is to treat the sympton which is PAIN. It does nothing to help the root cause.

What people fair to realize is that the inflamatory response by the body is ESSENTIAL to proper healing. I will keep this simple, but The tissue that makes up tendons/ligaments has a natural turn over rate of 300-500 days. An injury to this tissue can not only be painfull but take a very long time to heal. The inflamation is part of what triggers the healing response and if you load up on anti-inflamatory medications, weather they be over the counter like ibuprofin or injected corticosterodis you are suppressing this crucial element and in the case of cortisone you are in essence totally preventing healing from taking place for many months.
 
Well...I did some behind the neck presses today and it was SCREAMING in pain...so I dont know what else can be done...eck...Oxandrolone has its place, I highly suggest you all read on how it stimulates increased collagen synthesis, although my doctor wouldnt prescribe it.


Zyglamail said:
It has absolutely nothing to do with using it properly. There is no proper way to use it. Like most medical treatments, its a bandaid whose only goal is to treat the sympton which is PAIN. It does nothing to help the root cause.

What people fair to realize is that the inflamatory response by the body is ESSENTIAL to proper healing. I will keep this simple, but The tissue that makes up tendons/ligaments has a natural turn over rate of 300-500 days. An injury to this tissue can not only be painfull but take a very long time to heal. The inflamation is part of what triggers the healing response and if you load up on anti-inflamatory medications, weather they be over the counter like ibuprofin or injected corticosterodis you are suppressing this crucial element and in the case of cortisone you are in essence totally preventing healing from taking place for many months.
 
wesley90 said:
Well...I did some behind the neck presses today and it was SCREAMING in pain...so I dont know what else can be done...eck...Oxandrolone has its place, I highly suggest you all read on how it stimulates increased collagen synthesis, although my doctor wouldnt prescribe it.
Im not trying to offend here, but if your screaming in pain, STOP! Its not rocket science and continued use of an injured joint is how people fuck themselves up.

Often times, a joint will not trigger intense pain until it has suffered a substantial injury. Usually this happens after many more minor injuries that are "worked through" with the help of anti-inflamatories. You continue to train and since the anti-inflamatories dont hinder muscle growth like they doe tendon/ligament injury repaire the additional strain of stonger muscles further taxes already injured tendons/ligaments and you are in a downward sprial.

First off you need to stop taking anti-inflamatories and ease up on the weights so the joibt can heal. Avoid icing it as well. Ice restrict capilaries etc and slows healing, how the hell do people expect to heal if they REDUCE blood flow?

The best treatment I have found for tendon/ligament injuries is prolotherapy. You can find more at prolonews.com if your interested.
 
I am not taking any anti-inflamatories...Other than the cortisone injection, which helped a little bit, but there is still a lot of pain. Also, on the ice, I agree and asked my PT why they use ice and she said because its often an overshoot and the excess blood wont help at all.



Zyglamail said:
Im not trying to offend here, but if your screaming in pain, STOP! Its not rocket science and continued use of an injured joint is how people fuck themselves up.

Often times, a joint will not trigger intense pain until it has suffered a substantial injury. Usually this happens after many more minor injuries that are "worked through" with the help of anti-inflamatories. You continue to train and since the anti-inflamatories dont hinder muscle growth like they doe tendon/ligament injury repaire the additional strain of stonger muscles further taxes already injured tendons/ligaments and you are in a downward sprial.

First off you need to stop taking anti-inflamatories and ease up on the weights so the joibt can heal. Avoid icing it as well. Ice restrict capilaries etc and slows healing, how the hell do people expect to heal if they REDUCE blood flow?

The best treatment I have found for tendon/ligament injuries is prolotherapy. You can find more at prolonews.com if your interested.
 
wesley90 said:
I am not taking any anti-inflamatories...Other than the cortisone injection, which helped a little bit, but there is still a lot of pain. Also, on the ice, I agree and asked my PT why they use ice and she said because its often an overshoot and the excess blood wont help at all.
You already had cortisone and your PT and doc know everything, nothing more for me to do here, good luck!
 
wesley90 said:
You took it wrong lol, I am agreeing with you :)
Unfortunatly the damage has been done. The cortisone, regardless of what your doc says, will inhibit any real healing for months to come and if you dont seriously cut back on your training you risk very serious injury.
 
wesley90 said:
Now, if it is still torn, no amount of rehab will help...I will need surgery again correct?
Depends. If its a total seperation you need surgery, if its just partially torn prolotherapy can greatly increase the rate at which it will heal and actually build up weakened tendons/ligaments.
 
I see prolotherapy works via stimulating irritation to the area of which is of concern. Although it does seem to require certain injections, not movements...so I am going to need to find someone certified to get this therapy?
 
wesley90 said:
I see prolotherapy works via stimulating irritation to the area of which is of concern. Although it does seem to require certain injections, not movements...so I am going to need to find someone certified to get this therapy?
Correct. the injections are simple and contain an irritant with lidocain for localized pain reduction without sacrificing healing. I have had it don on both elbows, ankle, back and shoulder over the last couple years and it works very well. Its not a quick fix, but it is a fix. Prolonews.com has a doc listing, maybe there is one in your area.
 
DIVISION said:
The best analogy would be to compare Cortisone to Narcotics. They'll alleviate the pain, but they will create more problems than they solve.

Cortisone will destroy the joint capsule and weaken the surrounding muscle tissues, thus leaving the joint more susceptible to injury.

DIV

:chomp:

Absolutely correct!!!

What kind of surgery did you have? Rotator, impingement, loose capsule, torn labrum. . .

No offense, but if you just finished rehab and you still have pain, your rehab must have been cut short because of insurance or something becuase that makes absolutely ZERO sense. Go back and insist on some ultrasound treatments.

Now, that I've said that - You need to back the f*ck off and give it time to heal. You have a painful post-operative shoulder, so you decided to do pressing movement in an externally-rotated position. No offense, but that's just plain stupid - use your head.

My .02
(1) Continue strengthening the rotator cuff and lay off of exercises that cause pain. Working through a shoulder injury does not work and will only lead to more pain and more scar tissue.
(2) Get some deep tissue massages and use alternating hot/cold therapy.
(3) Find an ART practitioner in your area and get your ass in to see him pronto: www.activerelease.com
(4) GH injections may help
(5) I've read numerous articles about prolotherapy and it looks promising, but I have no experience with it.
(5) Once again, back the f*ck off and give your body time to heal.

B-EF
 
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