Cortisone Injection - Knee and Hip

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For what conditions are cortisone injections used?

Cortisone injections can be used to treat the inflammation of small areas of the body (local injections), or they can be used to treat inflammation that is widespread throughout the body (systemic injections). Examples of conditions for which local cortisone injections are used include inflammation of a bursa (bursitis of the hip, knee, elbow, or shoulder), a tendon (tendinitis such as tennis elbow), and a joint (arthritis). Knee osteoarthritis, hip bursitis, painful foot conditions such as plantar fasciitis, rotator cuff tendinitis, and many other conditions may be treated with cortisone injections. Injections of cortisone and an anesthetic such as lidocaine are sometimes used to confirm a diagnosis. For example, if pain in the buttock and groin improves after a cortisone injection in the hip, the pain is caused by hip arthritis rather than arthritis in the low back.

Epidural injections in the lumbar spine (lumbar epidural) are cortisone injections inserted into a specific location in the spinal canal of the low back by a specialist under X-ray guidance (fluoroscopy). These injections may help relieve back pain and sciatica. Epidural injections can also be given in other areas of the spinal canal to relieve upper back and neck pain.

Corticosteroid injections given in the shoulder may cure localized soft tissue inflammation in the shoulder such as bursitis or tendinitis. Cortisone injections of the shoulder may be used in conjunction with physical therapy to treat rotator cuff syndrome.

Systemic corticosteroid injections are used for more widespread conditions affecting many joints or the skin, such as allergic reactions, asthma, and rheumatoid arthritis. These injections are usually given intramuscularly, into a large muscle group such as the gluteus muscles in the buttocks, or into the deltoid muscle in the shoulder. The corticosteroid is then absorbed into the blood and travels through the bloodstream to treat the inflammation. Systemic corticosteroids can also be administered intravenously to treat more severe widespread inflammation.

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See what others are saying

Comment from: Karen, 55-64 Female (Patient) Published: June 13

I had a left hip cortisone injection two days ago. The procedure was unpleasant, but I have had wonderful relief. I have no pain now, and I didn't realize how I was so limited. I hope this lasts! Cautiously optimistic but don't want to jinx it!

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Comment from: lg016, 65-74 Female (Patient) Published: July 08

I never had any symptoms until one night I had a bad stomach ache. I went to the emergency room and had a CT and ultrasound done and found a 5 cm tumor in colon. I had a colonoscopy the next day and found out I had stage 3 colon cancer. Only 22 and I found out I had the same thing my mom died of. Now I am doing chemotherapy using oxaliplatin and Xeloda. I had the mass removed through surgery. I still have swollen lymph nodes that could be from surgery or live cancer cells. It has only been a month and a half since I found out.

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