Doctor insights on:
Cortisol Vs Cortisone
Similar: Both are steroid hormones. Cortisol is the more "powerful" of the two, accounting for about 95% of the glucocorticoid activity in the body. Cortisone is a metabolite of cortisone, but it has much less of an effect. It can be considered an inactive form of cortisol, although cortisone can be converted into cortisol if needed. ...Read more
My cortisol level has been low for the 2nd time in the morning. I received a cortisone shot in the beginning of November. Would this make it low?
Cortisol: Cortisone shot from November will not affect your blood cortisol 3 months later. Presumably you are getting a cortisone shot in an affected arthritic joint? Why is a blood cortisol being measured repeatedly? Cortisol levels bounce around a lot and an isolated level means little. Does your doctor think you have Addison's disease? Maybe you should see an Endocrinologist. ...Read more
Are there any medications to reverse skin atrophy from cortisone? Also can high cortisol levels in body cause skin thinning?
Maybe and Yes: Yes to the second questions. Localized skin atrophy can be a side effect of cortisone type medications when injected locally. Image guidance, choice of steroid formulation & technique can minimize the risk, but does not eliminate it. It may improve with time. In a few of my own patients, I've had excellent results with dermal fillers injected by plastic surgeon or dermatologist. ...Read more
Recently had blood test for cortisol. It was 29.1 at 10 am. Is this indicative of Cushings? I had recently had a cortisone shot, could that affect?
Depends: Why are you getting them? The reason for the shot is the determining factor. Usually a steroid shot in the back or into a joint is no more than every 3 months and that is usually the maximum and for good causes. Shot in the hip are the same and would need to know why! steroids are good meds but harmful if abuse or misused. It is often a way to get someone out of pain until a joint replacement. ...Read more
Depends on multiple: Factors. Ex. Where it is being injected; some areas of the body are more responsive to cortisone than others. It depends on reason 4 injection. For inflammatory or degenerative joint pathologies, depends on how bad the degeneration/inflammation is, how bad the pressure on the nerve is, what your "genetics" is with susceptibility to inflammation, how much daily stress the body area is subjected to. ...Read moreSee 1 more doctor answer
Depends: It really depends on the condition being treated. In general terms, cortisone injections relieve inflammation and pain. Other modalities that can sometimes achieve this are: ice, oral medications such as Ibuprofen or steroids, rest, and splinting. Physical or occupational therapy can also sometimes be helpful for musculoskeletal conditions and there is always surgery too. ...Read more
Could be either: Both could explain an improvement in symptoms. An acutely herniated disc has swelling and blood associated with it which can resolve to some extent, whereas cortisone gives a booster dose of anti-inflammatory which reduces the swelling and inflammation if the disc and the inflamed nerve. ...Read more
Minimal: Occasionally, patients have an hour or two of injection site soreness, due to passage of the needle through muscles. Ice and rest is sufficient to address this pain. ...Read more
Yes: In fact I saw a case of this last week. ...Read more
Maybe: The injection was not positioned correctly or that the issue is beyond response to cortisone. ...Read more
Many choices: This depends on your diagnosis. We have different medications beyond cortisone. We want to use these other medication so we can avoid long term corticosteroids like prednisone because of the long term side effects and risks of chronic cortisone. Your physician can have you see a rheumatologist and depending on the we can use Methotrexate or other DMARDS or use a biologic like TNF inh ...Read more
Injection site: Pain can hurt.Get a more detailed answer ›