Cortisone Injections available as An Advanced Treatment Option

 

Administering cortisone injections is an advanced skill. It requires extensive post-graduate training. As a result, very few private physiotherapy clinics in the UK are able to offer this service.

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What Are Cortisone Injections?

Steroid is a very powerful anti-inflammatory injection. It helps to settle pain, swelling, and inflammation. It does not have the same side effects as anabolic steroids and does not help to build muscles.
 
Anabolic steroids however are synthetic substances related to testosterone. They have a muscle-building effect. They have quite marked side effects with repeated use.

What Can Cortisone Injections Be Used To Treat?

  • Frozen shoulder
  • Arthritic Knees
  • Arthritic thumbs
  • Wrist pain
  • Shoulder tendonitis and bursitis
  • Acromioclavicular AC joint (shoulder) pain
  • Tennis Elbow
  • Golfer’s elbow
  • Trigger finger
  • De Quervain’s Tenosynovitis
  • ITB friction syndrome / iliotibial band bursitis
  • Plantar Fasciitis
  • Ankle arthritis
  • Bunion pain/arthritis
  • Mortons neuroma
  • Pain associated with torn / degenerative knee cartilage
  • Trochanteric bursitis/hip bursitis
  • Inflamed knee fat pad

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How Long Will The Injection Take To Work?

The cortisone will also use local anaesthetic (LA). This is so the patient experiences immediate relief of symptoms due to the effect of the LA.
 
The LA wears off in a couple of hours. As a result the patient often experiences a return of the pain. Or even a slight worsening, known as ‘post-injection flare-up’.
 
An increase in pain can last for a few days and is best treated with icing of the area. The pain relief of the injection can take from a couple of days to a couple of weeks.

Will I Need More Than One Injection?

This is also dependent on the condition. It is common to need repeat injections for chronic conditions such as knee arthritis.
 
For many, one injection will be enough to resolve the problem or reduce the pain to a manageable level. This is so that the patient is able to perform exercises to further reduce pain and disability.
 

How Many Joint Injections Can I Have?

There is no hard and fast rule that says how many.
 
Most doctors/physiotherapists use the rule of no more than 3 injections in one area within one year.
 
It is common to try a second injection, even if the first provided only partial or short-term relief.

How Often Can I Have An Injection?

There is no universal agreement about the smallest period between injections. but 4 – 6 weeks as a general rule of thumb.

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Are There Any Potential Side Effects of Cortisone Injections?

Injections used in the treatment of joint inflammation and soft tissue conditions. They are very safe to perform.
 
Side effects of cortisone tend to be very rare or very minor. Our physiotherapists and specialists will discuss all the potential side effects. This will be before administering the injection.
 
There are certain conditions that would increase the risk of side effects. Our physiotherapists will discuss your medical history in detail before performing an injection.

If it is not appropriate to offer you a cortisone injection. Other treatment options are available.

Our physiotherapists are happy to discuss cortisone injections as an option for treatment at your appointment. GP or NHS referrals not required.

To schedule an injection assessment please call our bookings team.  On 0800 054 6430.  Or alternatively, book your appointment online at www.core-physio.org

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