DangerousGrounds said:
The cortisone shot rids you of the inflammation, and allows the healing process to occur as it is supposed to.
Additionally, the pressure in the joint resulting from the inflammation can make tissues pinches even more which can lead to friction type breakdown.
Im not speaking or catabolism or cortisone at all, what I am talking about is that inflamation is a
key factor in healing and by killing it with cortisone your inhibiting healing, NOT the other way around.
Now, im offering some advice if you chose not to heed it thats fine by me, frankly I am tired about argueing the subject and hearing the "my doc said". You think inflamation is bad and to be avoided, well here is a quick course in the healing process and what cortisone does.
Crticosteroids have a well documented anti-inflamatory response, this I am not argueing. They do this by by inhibiting the availability of leukocytess to areas of inflamation and interfere with a variety of their functions including phagocytosis, intracellular killing and secretion. This in turn prevents leukocytes(including macrophages) to NOT secrete their inflamatory modulating factors. While that sounds good on paper and does releive pain associated with inflamation, it is these factors that that stimulate new blood vessel growth in injured tissue so they can heal injuries. So once again as I said it terminates not only the pain but the healing, leaving your shoulder pain free but in a weakened state and more suceptable to injury.
On the note of your west coast doc who works with athletes thats fine and dandy but what you arent told is that after these so called sports professionals get pain releife they often suffer a more severe injury and then go under the knife, which of course still isnt a fix for the underlying problem and sooner or later, if they are smart end up in the office of a good prolo doc. Most prolo docs started as therapists ect, specializing in sports injuries and chronic pain and when they realized the "standard" methods just were not helping their clients they sought an actual fix instead of a bandaid.
Good luck with your problem hope you get it
fixed but remember pain free does not mean injury free.