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Doctor insights on: Cortisone Injection Elbow Pain

Not sure either: But if turns out to be a similar thing, consider prolotherapy or prp injections.

Return to treater: Your mom needs to return to the doc who injected her arm to evaluate this. A nerve could have been injured, infection may be present, or it may be unrelated. A diagnosis is needed to create a proper treatment plan and prevent the development of more serious problems

Not really.: I believe that your sleepiness is due to the long stressful day and perhaps relief from pain from the cortisone injection. Yes, I think you'll feel better in the morning. I pray that you will.

Yes: A small amount of bleeding under the skin after injection is not unusual, especially if you have been taking anti-inflammatory medicines, which have some minor blood thinning side effects.

Not clear: Pinched nerve in the neck can cause arm and hand pain, numbness, weakness. Tennis elbow typically causes elbow pain and weak hand grip. It is unclear where you were injected. Your doctor should be able to sort out whether this is a neck/nerve problem, or an inflammation of the elbow.

Sure: Old malaria isn't exactly the sort of thing that will be exacerbated by cortisone. There may be a better Rx if that site is itchy, though.

Time: Should get better with time, but I would see a hand surgeon for a consultation to get a better idea of the diagnosis and prognosis. Hope this helps!

Difficult: First, I would probably recommend a second opinion to confirm that tennis elbow is your actual diagnosis. Many doctors jump straight to injections and surgery prior to emphasizing stretching and therapy. I would definitely do these if they haven't been done. Unfortunately, there is a subset of patients who just don't respond to surgery the way that we would hope.

Surgery should be: The very last thing tried. Make sure your physical medicine doctor has put you on a full course of progressive eccentric exercise. Nitrous oxide patches applied directly over the affected common extensor and changed every 24 hours can be a very helpful adjunct to physical therapy. If this fails (and it works most of the time) consider ultrasound guided needle tenotomy of affected areas.

See your md: I assume you had ac joint injections for ac joint arthrosis or 'weight lifters' clavicle. If u are having the symptoms you are describing I would contact his office and see if you can't be seen fairly soon. Ac joint injections should not cause pain in neck, down arm etc. Any allergies? See your ors.

Not common: Usually avn of any joint is due 2 oral steroids or im injections on a long term basis, also etoh abuse. The intra articular injections repeatedly into a joint cause permanent damage 2 the articular cartilage of the joint.

Steroid injections: Too many steroid injections can weaken the tissues and once this occurs, the damage is done. Tendons have been known to rupture after too many cortisone shots. The main treatment is to avoid any future steroid shots or placing of undue stress on the elbow. An orthopedic specialist can advise you further.

Likely no: Most elbow pain is from issues in the elbow. Unless your pain is coming from your neck (unlikely if just elbow pain) an esi will not help. You may need an injection in the elbow.

Golfers elbow: You should be examined and treated by an othopedic specialist to get the best results.

Can not tell: Could be number of conditions but if it cured with cortisone and there are no other symptoms it is self limited rash.

Yes.: A cortisone injection can be extremely helpful, even curative. It should be administered by an orthopedic elbow specialist, top make sure that it's given in the right location.

Yes.: The injection can be very effective, if your pain is localized to one spot right on the bony origin of the muscle mass. Usually you need to combine the injection with a tennis elbow strap and physical therapy.

3 or more: The rule of thumb I follow is no more than 3 injections in a one year period into the same area and at least 1 month between injections. This may be more or less conservative when compared to other docs but it has kept my complication rate very low. Corticosteroids over time can weaken or rupture tendons/ ligaments and cause necrosis in bone. If your not responding, ask about other treatments.

Go to doctor: Pain after an injection is not normal and could signal an infection. Doesn't have to be but I'd want to know sooner rather than later. Is ther eswelling, redness or warmth over the injection site, bruising? Or other abnormality? Go see your doctor, please.

You can have...: Not sure about your specific treatment but patients can have osteochondritis dissecans of the elbow w/ secondary loose body formation that will require arthroscopy... As well as 'tennis elbow'... They can co-exist. Best of luck!