How often can you get a cortisone shot?

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7 жыл бұрын

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One of the remedies we have used for decades in orthopedic surgery to treat a variety of injuries and conditions is the cortisone shot. We use them to treat pain from arthritis, tennis elbow, shoulder impingement and much more. In this Ask Dr. Geier video, I share my thoughts on the proper role of cortisone injections, when patients can consider using them, and how often you could get them.
Please note: I don't respond to questions and requests for specific medical advice left in the comments to my videos. I receive too many to keep up (several hundred per week), and legally I can't offer specific medical advice to people who aren't my patients (see below). If you want to ask a question about a specific injury you have, leave it in the comments below, and I might answer it in an upcoming Ask Dr. Geier video. If you need more detailed information on your injury, go to my Resources page: www.drdavidgei...
The content of this KZfaq Channel, / drdavidgeier (“Channel”) is for INFORMATIONAL PURPOSES ONLY. The Channel may offer health, fitness, nutritional and other such information, but such information is intended for educational and informational purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. The content does not and is not intended to convey medical advice and does not constitute the practice of medicine. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. You should consult with your healthcare professional before doing anything contained on this Channel. You agree that Dr. Geier is not responsible for any actions or inaction on your part based on the information that is presented on the Channel. Dr. David Geier Enterprises, LLC makes no representations about the accuracy or suitability of the content. USE OF THE CONTENT IS AT YOUR OWN RISK.
Jamie asks:
How often can you get a cortisone injection? And what if the cortisone shot doesn’t work? What is the next logical step? Thank you.
Cortisone, a generic name for a variety of corticosteroid medications, is an anti-inflammatory that aims to decrease pain by decreasing or stopping the inflammation within a joint or in a tendon.
In the past, cortisone injections were very common. They are still used by orthopedic surgeons today, but we have realized some issues with them that have made us a little more cautious.
In this video, I explain some of these concerns. I share some alternatives to cortisone shots as well as conditions for which cortisone injections are perfectly reasonable treatments. Based on that information, I explain why the number of these injections you get are limited by the surgeon.
Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, on my show, or in the comments at the end of these posts. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.

Пікірлер: 74

@DrDavidGeier 6 жыл бұрын

If you have questions about the injuries or treatments mentioned in this video, or about a sports or exercise injury, subscribe to my channel and click the bell to be notified of my Better Than Ever LIVE! streams, including an Ask Dr. Geier live show I do most Fridays at 12:00 PM ET.

@jc4moi 5 жыл бұрын

any thoughts about prp for tennis elbow? mri shows partial tear

@trafficjon400 Жыл бұрын

poison

@trafficjon400 Жыл бұрын

You give this poison out for money and many are horibly sick from it. Dexamethisone ends life or makes people suicidal as an only alternative. ya i know sick or dead people can prove anything. many of these channels shot off notifications so it makes it look like less complaints.

@nosilla2224 3 жыл бұрын

Just got one in the knee today. We shall see what tomorrow brings

@vannitronix 5 жыл бұрын

Hello Doc, I'm a proffesional kitesurf instructor and got two cortison shots both ca. 4 months apart. Three year later my golfer elbow is still like new and it helped me completely stay pain free ever since, despite keeping up the activity (certainly more aware of the intensity doing the favorite specific moves which led to the issue - my medial epicondilitis use to hurt so much, I couldn't cut bread or wash my face without being in pain) My conclusion: One time treatment worked fantastic and helped tremendously for my mental state, keeping you more aware, respectful to your body, active and alive! Thank you for your useful video.

@Spork123able Жыл бұрын

I'm going to try a one-time shit for my hip bursitis so I can get back to cycling. I've had elbow tendonitis for over a year, tried everything for that, so it might be an option for that as well.

@Spork123able Жыл бұрын

Ooops, Shot! 😂

@jimschuster2713 Жыл бұрын

I was getting shots every 3 months, into my subtalar ankle joint. My doctors say that they are completely safe, at this frequency. I have heard differing opinions, that they are not so safe, and will deteriorate the cartilage and bone. Who do I believe?

@tuyetvo4353 Жыл бұрын

Is no good - but I need cortisone injections for my knee - shoulder pain .

@SS-U23 6 жыл бұрын

My problem started with a torn muscle in the forearm, which is as I believe the common flexor. It wasn't the tendon, but the muscle. I went to see my doctor for that problem. He said I had an inflamed tendon and I had to get a shot. I had the first shot but the pain didn't go away that I couldn't wash my face easily. Three months later, I was given another shot, and I didn't get any better. Four months later, I was given the third one, but I still felt the pain. Three months later, I went to my doctor's office to discuss this issue with him. He said you don't need any physical therapy, you don't need to have an MRI done because it's tendonitis which means inflammation in the tendon. He told me that I don't have to worry about it because it's not going to come off the bone, or it's not going to be torn. He gave me the fourth shot and he told me to keep working. This time I started to feel a pain in the tendon origin. The pain didn't go away. Four months later, I went to see an orthopedic at Henry Ford Hospital. The doctor asked me questions and he knew that I had already taken for shots in the tendon of the right elbow. I told him if there is a method that works for my golfer's elbow. He mentioned the steroid shots and the ones called PRP injections. He injected the fifth steroid shot but this time I had my tendon poked three to four times. I felt better for a couple weeks and kept working. The pain came back and this time was a more severe pain. A month later, I was changing four tires for a car, and I started to feel a very sharp pain in my right elbow with burning pain. I couldn't even grasp an object firmly. My right arm became very week and painful. I went to see a doctor at an urgent care. He ordered an MRI for me. The MRI showed that I have a high-grade tear in the common flexor tendon. Now I can't do anything, and I'm in trouble. The cause of the problem is the steroid shots and a bad diagnosis by the doctor I used to see. Thank you

@shwetadas4039 5 жыл бұрын

Did u get any weight gain?

@shannonw5218 4 жыл бұрын

I am 45 severe arthritis in my shoulder. My dr refuses to give me a shoulder replacement due to my age. He said I could get cortisone shot every three months. I'm seeking a second opinion.

@sam06210 5 ай бұрын

Had a cortisone shot on my knee about a year ago and it’s really eased the pain so far. I am able to play basketball once again. Going to contact my doctor about getting another if the pain worsens

@michaelcruz5896 2 жыл бұрын

I just had my cortisone injection 2 days ago, and I feel about 75% better but I know its probably just masking the pain, because when I move neck around, I still feel pain at times.

@USAngel-dn8cx 2 жыл бұрын

Same!!!!! Prayers for your situation!

@simplehead2538 11 ай бұрын

Yes that’s what it feels like. Masking.

@patriciakapua7395 5 ай бұрын

Hi, this is from Hawaii about a year and a half. I got a Cortizone shot. I was doing the Zumba and tiptoe for my own foot went down, and I have a compressed fracture of my spine. I don’t take medication so I was in a hospital for quite a long time, but I didn’t take any Cortizone shot nothing, I usually take her if I have any kind of inflammation pain or whatever but in there it wasn’t happening so anyways I got out and I really couldn’t walk. I was in tremendous pain for months I have an injury that cannot be cured. It was the way I sell. so I basically spent my time in bed using walkers and on and on it goes about three or four months later I was told the orthopedic about the Cortizone shot. He is a spine specialist so I was admitted back to the hospital because it’s a procedure that requires the operation Cent it Hass to do with my spine and you do have to have a spinal Professional doctor do the procedure. It lasted about a year so it took almost a year for me to walk but I ended up back in for one more. I have not been back since last August. I still have a lot of pain but before I enjoyed walking and I really enjoyed walking in Zumba so whether I walk all I don’t walk I have pain so I try to walk anywhere between 3 to 5 miles a day at least five days out of lots of pain but if I sit down, I have pain if I walk I have pain so you might as well take care of your health and keep walking. This specialist only gives the shots twice a year. That is his advice and this doctor is right on track. If you’ve never tried it and you find out if there’s any side effects listen to this doctor he definitely talks like a pro and he is a pro. Thanks for listening from Hawaii.

@heynedajoon 7 жыл бұрын

I have tendinitis in my shoulder the cortisone shot worked great but the pain returned 3 months later and my Dr said I can take as many shots as it takes to reduce the inflammation and the pain.

@Jean-ni6of Жыл бұрын

Some doctors do know what they are doing and some do not. Over the years I've been to both. The doctor that doesn't know can leave you with worse damage and problems than you can deal with. I wish you the best.

@JennyWren333 Жыл бұрын

I have chondrocalcinosis (CPPD - Pseudogout) in both wrists. The rotten horrid sensation is like imagining broken glass in your wrist joints. Steroid injections are a blessing - the pain is that bad. I can’t tolerate prednisone and colchicine not effective since the joints previously were osteoarthritic. Doc says 3x a year. I hold to that recommendation though I have weeks that pass waiting for my “due date for injections” where the pain is overwhelming. I do a lot of silent screaming.

@cbumgmtinc7864 Жыл бұрын

Thank you Dr. David for this very informative video. I am a dancer, sidelined 8 years ago from a fall in a dance class. Tore my left ACL and got that fixed.. Lots of PT and working it out proved very beneficial.. in February, 2022, I hurt my right hip by banging my right knee into the ground and then my hip started hurting badly and in a lot of pain. I endured it till December and I did everything PT, Chiropractic, Accupunture, Massage Therapy, nothing made it better and then someone told me to get a coriszone shot, I did get it in my hip joint and I went on vacation pain free and was pain free till about February ( 3 months), and then after that was good on and off.. I got my second shot today and so far so good. I am just wondering it comes back can I get another one this year, or do I have to wait till next February? Also, should I start PT now that I have my second shot and it's still fresh?

@DrDavidGeier Жыл бұрын

I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on this Friday’s Ask Dr. Geier show, May 5, when he'll be live on KZfaq at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.

@user-in6sm8ii5k 4 ай бұрын

Just got 3rd in shoulder today, had to have it 2 weeks early pain was getting so increasingly bad earlier.

@bernadettesantos6034 3 жыл бұрын

Hello there Dr..Geier! I am glad to watched your video that gave me idea about cortisone. I have carpal tunnel syndrome on both hands.But, my right hand is worse than the left hand. I wanna try cortisone to ease the pain and inflammation. As wellas pain on my tennis elbow.

@myboyboris1 6 жыл бұрын

severe arthritis in both shoulders. my orthopedic surgeon/specialist has given me cortisone injections in both soulders 3 times over 5 weeks. i asked him about it having negative side affects and he responded only in the spine and every 2 to 3 weeks is fine. contradicts what you and others are saying online.

@MiaMore. 5 жыл бұрын

My Dr. is giving my 2nd lower lumbar spinal injection within 3weeks time plus she wants me to also get one in my cervical spine for my herniated discs PLUS one on each hip for bursitis all within 2wks between shots. I questioned her and she said this is fine 🤔

@AnOlderChristianWoman 7 жыл бұрын

dr. Dave thank you so much for this video. I regularly see my orthopedic surgeon for a rotator cuff tear of my right shoulder. He essentially said the same thing as you did... once I reached three shots over a period of two years I'm pretty much done with that mode of treatment. He told me I'm not really a good candidate for surgery to repair the tear. But he said that perhaps physical therapy might help to build up the muscle and protect that tear. Since I have other orthopedic challenges and it's not very easy for me to go to a physical therapy facility I'm wondering if you have a video or could you refer me to a video that has therapeutic exercises to do for the shoulder at home. again thank you so much for your expertise. I enjoyed watching your videos and I learned a lot.

@DrDavidGeier 7 жыл бұрын

I don't have any videos on the specific exercises, but I'll look to see if i can find a good one. I'm glad the video was helpful!

@timv851 5 ай бұрын

I have had osteitis pubis for over a year now and I have also been diagnosed with tendonitis of the adductors. I am a football/soccer player. Would I benefit from the cortisone shot to the pubis symphysis? Did anyone have a similar experience?

@DrDavidGeier 5 ай бұрын

I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, March 8, when he'll be live on KZfaq at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people. - Dr. David Geier team

@icocress 8 ай бұрын

What about in finger joint, pip and dip, how often? I have a chronic synovitis- rock climbing injury.

@DrDavidGeier 8 ай бұрын

Steroids into any joint would have the same risks, so the same guidelines would be suggested by most orthopedic surgeons - no more than every 4 months.

@ricochitomanlapaz5821 4 жыл бұрын

how many days rest return to sport after cortisone injection

@phyllisgarrison2887 3 ай бұрын

My question- how long does the cortisone stay in your system? I had a megadose (240mg) of Depo-medrol. I can’t even find a mention of that large a dose. So far (one week) not seeing much relief.

@DrDavidGeier 3 ай бұрын

I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, May 31, when he'll be live on KZfaq at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people. - Dr. David Geier team

@daviddalton8341 3 жыл бұрын

What about degenerative disc ?

@danaschulz8441 9 ай бұрын

My doctor has injected me twice in my ankle. He says about 60 % of my Tallis bone is gone ( an occlusion) and suggests I keep getting cortisone until it no longer works. Then I will need a complete ankle replacement. Do you agree with this approach? Thanks

@DrDavidGeier 9 ай бұрын

I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, November 17, when he'll be live on KZfaq at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people. - Dr. David Geier team

@CAJAGISAN 6 жыл бұрын

Good day. I had 2x depo medrol (cortisone?) Injection into my chronic golfer's elbow..pain went away for 3 weeks then returned much worse than it was before:( both elbows...i have pain when washing my hair or doing other normal easy chores..rest for months,ultrasound,magnetic treatment and stretching didn't help either...i am now thinking i should start working out in the gym and maybe that will stress those tendons and stimulate them to heal??? I dont know what other to try:/ and i love doing sports. What do you please think? Edit:doc says 3shots per year..but do not want anymore!and if i knew..i would never go for those first two injections.

@elwoodup2nogood892 4 жыл бұрын

Train your underarms

@artrivera7795 2 жыл бұрын

Is a cortisone shot advisable to treat gout flare up of the ankle to reduce swelling or just medication for gout . As on my 3rd shot ? Age 67, thx

@patgleeson8405 2 жыл бұрын

I got 1 injection in back good job but got 2 injection in shoulder did not work at all

@edelgado8762 2 жыл бұрын

Torn acl with complications, seems to be working

@traffic8801 Жыл бұрын

Thank you.

@vijayakrishnan7475 25 күн бұрын

I took cortispne injections in my knee joint but it couldn't 😊work what to do dr please tell me

@DrDavidGeier 23 күн бұрын

I’m sorry, but Dr. Geier can’t legally answer medical questions and offer specific medical advice online. Join Dr. Geier on his monthly Ask Dr. Geier Live! Show, July 26, when he'll be live on KZfaq at 12 PM ET - and bring your questions! Until then, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people. - Dr. David Geier team

@trafficjon400 5 жыл бұрын

also great memory loss from kenolog 40 triamcinolone/ prednisone.

@janninedellinger6758 2 жыл бұрын

I have bone on bone severe arthritis in both my knees (76 years old). I had two cortisone shots one month apart. I'm not going to get any more. Should I be concerned?

@DrDavidGeier 2 жыл бұрын

Let’s talk about this on Friday, July 1, at Noon ET, on my Ask Dr. Geier Live! show. Until then, check out the hundreds of videos here and thousands of articles on my website - drdavidgeier.com - in which I discuss every musculoskeletal injury suffered by athletes and active people.

@swativyas7962 2 жыл бұрын

I took cortisone injection two times but couldn’t get good relief Please answer me

@musclemadnessofficial1239 4 жыл бұрын

Hello dr pls do help me .. I’m a bodybuilder I liftd heavyweights shouldr pres n got my shoulder I’m pigmentations n supraspinates n bursitis.. it’s been a year did al Physo showd several doctors now it’s is not redusing now dr suggestions is for cortisone shot dose it gona help il it come back again pls do reply

@mohamedomran1479 Жыл бұрын

Are you better now .. and what did you do ?

@g.grizzle6367 3 жыл бұрын

Can a meniscus tear , influence arthritis ?

@marinasmith4772 Жыл бұрын

I had a cortisone shot in each shoulder for impingement and bursitis. It gave me tremendous relief for about 4 months. My biggest mistake was to forgo PT while I was pain free. If I had done PT it would have helped resolve the root cause w.o. pain. I'm taking PT seriously now but it is so painful. I want to get another one but am afraid it will damage the tendon.

@carborised Жыл бұрын

I had one today in my shoulder for impingement I'm hoping to strengthening the shoulder once pain free

@swativyas7962 2 жыл бұрын

Why cortisone injection sometimes doesn’t work? What’s the alternative?

@shwetadas4039 5 жыл бұрын

Does these injections leads to weight gain? What if the patient is around 30 yrs, shud she take it for lifetime?

@antoinetteedmundson7543 2 жыл бұрын

I have fluid build up and bursitis in my shoulder which the pain from 1 to 10 always a 8 horrible I’m going for second opinion as what to do because this last Dr. oh no he shouldn’t even be a dr. I don’t like shots I had one before I put a hole in that area and a deep one

@Sharon-yk7xm 3 ай бұрын

10 every week for 15years

@raygsbrelcik5578 6 ай бұрын

Do Cortozone shots give a person a false sense of security?

@sweetloren Жыл бұрын

The big needle is supposed to scare the pain away. If they're not using medicine they're looking at 8 to 10 shots a year. Seems I'm always on line for a procedure. There's so many patients that the doctors throw people away. I truly believe they should give prescription strength ibuprofen otc.

@latintribe4411 5 жыл бұрын

@454bonzai 6 жыл бұрын

I had 2 cortisone injections for shoulder pain bc of partial rotator cuff tears. They did eliminate the pain but I choose to reduce usage of the shoulder to help stop the inflammation. Surgery is not a option. I use ice paks also to reduce inflammation and Pain.

@DrDavidGeier 6 жыл бұрын

Thanks for sharing your experience!

@JuanRamirez-rh4cy 4 жыл бұрын

Ok I just head 10 shots into my arm at once is this normal

@USAngel-dn8cx 2 жыл бұрын

😧 Whaaaaa?!?!? 😧 I’m very sorry but that doesn’t sound good! 😬 I guess it depends on how many units of the Med was in each injection. GOOD LUCK to you & be well!

@rambleon2011 10 ай бұрын

Hunter snorts them every day

@trafficjon400 5 жыл бұрын

1 shot destroyed years of my life steroid phsychosis /bone weekness fatigue / depressian adrenal damage real bad ass shit for me. family member hmany problems also . 2 people commit suicide related very sad.