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Have you had a cortisone injection?
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kylerboys
Posted 2008-03-19 6:18 PM (#1281686)
Subject: Have you had a cortisone injection?


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I've been dealing with hip bursitis for several months and finally had a cortisone shot this morning in my right hip.  It hurt SO BAD!!  That was several hours ago and my hip is still KILLING me!  It hurts to bear weight on my right side or bend it slightly.  I had an injection in my SI joint a few weeks ago (yes, I'm very broken right now   ) and it was a peice of cake!  I expected the hip injection to be even easier since it was done in the dr office and not in a surgery center like my SI joint. 

I put a call into my dr office to see if this was normal and if I can take anything to help with the pain, but its late and I don't think I'll get a call back today. 

Has anyone else had a lot of pain after a cortisone injection?  Please tell me this is normal and will go away!  I feel 10 times worse than I did before the shot. 

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simply2fab
Posted 2008-03-19 6:31 PM (#1281699 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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I have to say that was my experience with cortisone in the hip, as well. I had one shot in January......it did nothing but make it worse for 3 to 4 days.

Is you hip pain related to back pain? I had a couple of different treatments done since the cortisone and my hip finally is starting to feel better. But, I haven't run in two months. I am slotted to start running again in April, so I am crossing my fingers.

Suffice to say, I definitely "feel your pain."
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devalyn
Posted 2008-03-19 6:34 PM (#1281704 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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I had one in my knee after a dislocation and it did nothing but hurt like a mofo!
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Reno8
Posted 2008-03-19 6:34 PM (#1281705 - in reply to #1281699)
Subject: RE: Have you had a cortisone injection?


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x2 (in my knees)

x1 (in shoulder)

x1 (in hip)

Why yes....I am a slow learner.....thanks for asking.

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MikeTheBear
Posted 2008-03-19 6:50 PM (#1281726 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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Had two in my lower back. They both hurt like h*ll. I nearly puked at the first one. Then I wised up and took the sedation when they offered it. The next day I felt great. Yes, you should feel better.
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pitt83
Posted 2008-03-19 6:54 PM (#1281729 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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I had one in the shoulder, NP. Easy-peasy. Didn't help: The doc didn't X-ray and it wound up a splayed collar bone and not an AC joint separation. After he found that and did the surgery, all better.

I had one in the MCP joint (large knuckle) on my index finger. Poltergeist light of death pain, white out type stuff. Didn't help there eiterh, problem eventually revealed as a neuroma and nothing to do with the collateral ligament he thought was the issue.

Sorry you're hurting; Ice usually helps me, but you probably knew that
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kylerboys
Posted 2008-03-19 7:16 PM (#1281766 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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Phew!  I'm glad this is all normal.  I was starting to worry that I had some weird permenant nerve damage or something.  My dr did call back and called in an Rx for me. 

 Simply2fab, yep my back problems and hip problems are all related.  I had baby #6 last december and just did way too much too soon last and I didn't have the core strength or stability to do it.  I've been stting PTs, dr, and chiros since last August.  I haven't ran since early Feb, but I'm hoping to ease back into working out again in April.  I'll be starting from scratch, but as long as I'm moving forward and not backwards anymore, I'll be ok!  ugh, being broken sure does suck though.    So what other treatments did you have?



Edited by kylerboys 2008-03-19 7:18 PM
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tritwinmom
Posted 2008-03-19 7:49 PM (#1281814 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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What are the disadvantages and side effects of cortisone injections?

 

Disadvantages of cortisone injections are the necessity of piercing the skin with a needle as well as potential short and long term side effects. It should be emphasized that each of these side effects is possible, they usually do not occur.

Short term side effects are uncommon, but include shrinkage (atrophy) and lightening of the color (depigmentation) of the skin at the injection site, introduction of bacterial infection into the body, local bleeding from broken blood vessels in the skin or muscle, soreness at the injection site, and aggravation of inflammation in the area injected because of reactions to the corticosteroid medication (postinjection flare). Tendons can be weakened by corticosteroid injections in or near tendons. Tendon ruptures as a result have been reported.

In persons who have diabetes, cortisone injections can elevate the blood sugar. In patients with underlying infections, cortisone injections can suppress somewhat the body's ability to fight the infection and possibly worsen the infection or may mask the infection by suppressing the symptoms and signs of inflammation. Generally, cortisone injections are used with caution in persons with diabetes and avoided in persons with active infections. Cortisone injections are used cautiously in persons with blood clotting disorders.

Long-term side effects of corticosteroid injections depend on the dose and frequency of the injections. With higher doses and frequent administration, potential side effects include thinning of the skin, easy bruising, weight gain, puffiness of the face, elevation of blood pressure, cataract formation, thinning of the bones (osteoporosis), and a rare but serious damage to the bones of the large joints (avascular necrosis).

I found this on medicinet.com  They say the side effects are rare and I will post this in case anyone is deciding whether to get the shot or not.  Please research it before your doctor talks you into it! They say the side effect is rare that it can weaken the joint tendons but it happen to me and my trainer!  Major set back for me, just plain old rest and physical therapy would have been the better route!!!

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getsome
Posted 2008-03-19 7:54 PM (#1281818 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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had one in my knee a while back. hurt like hell. made my knee hurt worse for about 3 days, and once THAT pain subsided, my knee was just as bad as before!  that was first and LAST shot of that junk i'll probably ever get.

-B

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RedCorvette
Posted 2008-03-19 7:56 PM (#1281823 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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Had one about ten years ago for my tennis elbow.  Hurt like h*** for the first day or two, but then it felt much, much better.

Mark

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zenkimm
Posted 2008-03-19 8:13 PM (#1281852 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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Since the hip injection was not done under fluoro, without an arthrogram you can not know 100% the medicine was actually placed into the joint. Assuming that it was, what you have to realize is that the joint space is small and it is being pressurized by the placement of the fluid (steroid usually mixed with lidocaine), and that pressure is what is causing the increase in pain. As your body absorbs the fluid, the pain will go down as will the steroid go to work easing the inflammation.

I work in Oncology now, but spent over four years working for a physiatrist (physical medicince and rehab). I am pretty sure I can remember the speil for ya:

There will be a possibility of worse pain tonight and for a couple of days. If that happens ice the area, 20 minutes on and an hour off. After the first 24 hours, you can alternate heat and cold. If you need to take something to relieve the pain, Tylenol is preferred. It can take 7 to ten days to start get any significant relief.

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Afletcher
Posted 2008-03-19 8:24 PM (#1281870 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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YES!  Amazon Nurse from HE** held me down and doc shot it into my knee under my kneecap.  Hurt BAD!
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Rowdy
Posted 2008-03-19 10:11 PM (#1282087 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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I had one a couple of years ago. The doctor numbed my shoulder prior to the shot. It hurt for a couple of days but as I used my shoulder the pain got better. The doctor told me that the more I use the joint the better it will feel.
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trimore
Posted 2008-03-20 7:44 AM (#1282347 - in reply to #1282087)
Subject: RE: Have you had a cortisone injection?


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I would be weary of it and try virtually everything short of a surgery before doing it.  It seems that the experience of many is that they are not worth it or there was no or minimal improvement. 
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johnu
Posted 2008-03-20 10:44 AM (#1282779 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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I've had knee, shoulder, elbow and foot injected. They were all painful at the time of the shot but not too bad afterwards. The foot (for pf) was the worst and hurt like heck when it was injected and for about 36hrs after but my foot was the only one that responed well to the cortisone.

Hope you are lucky enough that the shot cures your problem.
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brownlab
Posted 2008-03-20 11:20 AM (#1282901 - in reply to #1281852)
Subject: RE: Have you had a cortisone injection?


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zenkimm - 2008-03-19 9:13 PM

Since the hip injection was not done under fluoro, without an arthrogram you can not know 100% the medicine was actually placed into the joint. Assuming that it was, what you have to realize is that the joint space is small and it is being pressurized by the placement of the fluid (steroid usually mixed with lidocaine), and that pressure is what is causing the increase in pain. As your body absorbs the fluid, the pain will go down as will the steroid go to work easing the inflammation.

I work in Oncology now, but spent over four years working for a physiatrist (physical medicince and rehab). I am pretty sure I can remember the speil for ya:

There will be a possibility of worse pain tonight and for a couple of days. If that happens ice the area, 20 minutes on and an hour off. After the first 24 hours, you can alternate heat and cold. If you need to take something to relieve the pain, Tylenol is preferred. It can take 7 to ten days to start get any significant relief.

Great post - I just had my hip bursae injected on 2/27.  It hurt for a couple of days (I'm guessing because of the needle) but after that, sweet, sweet relief.

Now I just have to have my piriformis done again....I had a lidocaine injection and it helped temporarily, but it's flaring up again.  I hope he does it this time with the corticosteroid.

Good luck to you - it's not a comfortable injection, but it was well worth it in my case.

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81fiatx19
Posted 2008-03-20 12:20 PM (#1283067 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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I had two done last year for a problem in my right foot and could barely walk on it for two days afterwards. After that, the pain that I had went away, but it was no fun getting an injection between your toes.

Recently, I've been having a similar problem in the same area and the doctor thinks it's morton's neuroma. I'm going in next week for a second opinion. I really don't want to get another shot since I've heard (and read) that you shouldn't get a lot of them, but I'm not sure what the final word is on that.
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phillybarb
Posted 2008-03-20 12:51 PM (#1283178 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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I've had injections in my ankle twice. They hurt really bad for about 24 hours and then felt fine. I never felt as if the injections really helped any.
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kylerboys
Posted 2008-03-20 1:50 PM (#1283417 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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Well, its been over 24 hours now and I'm starting to feel much better!  Phew!  I had no idea it would hurt that bad for so long!  That was definitely the worst shot I've ever had!  I hope my other hip heals on its own because I'm not sure I ever want to go through that again.  OUCH!!!!

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snowriderinfl
Posted 2008-03-20 3:29 PM (#1283786 - in reply to #1281686)
Subject: RE: Have you had a cortisone injection?


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Cortisone is no joke. There is a reason a doc will only inject it up to three times in a joint. It will deteriorate the cartilage. If you are going to get a shot, make sure it is necessary. Also, if you have osteoarthritis in the knee ask you doc about Hyaluronate injections. They are safe and effective, of course depending on the brand. If he/she does not know what it is or does use them, find a better doctor that does.
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