Doctor insights on:
Cortisone Injections Interfere With Mri
The word "cortisone" is thrown around a lot to mean a steroid, but there are many different types of steroids, and not all spaghetti is the same. In general, steroid injections are used to reduce inflammation. Inflammation = pain. You reduce the inflammation, you reduce the pain. Some steroids last longer than others, but can produce side effects. Discuss which one is being ...Read more
YES cortisone works : There have been many studies that have demonstrated the efficacy of corticosteroid injections for carpal tunnel and there have been those that said they do not work. Much depends upon the severity, chronicity and duration of the carpal tunnel as well as other health factors yes cortisone works but not all the the time short answer. ...Read moreSee 1 more doctor answer
No: Kenalog (triamcinolone) does not interact with hormonal birth control. Having said that the use of kenalog (triamcinolone) to control allergies is something that should only be done by an allergist. There are typically better ways to control allergies that work better and are safer. ...Read more
Have value: Used on a limited basis have value at alleviating pain reducing inflammation, particularly for inflammatory arthritis (rheumatoid, gout, etc). Should be used with caution if at all in younger pt with no evidence of cartilage breakdown or inflammatory arthritis. In this situation underlying cause of pain must be identified/addressed as apposed to repeated injections. ...Read more
Had surgery 5 mo ago for meniscus tear. Still having complications - should doc order MRI or continue with injections such as cortisone & euflexxa?
Knee Problems : You mention that you had meniscus surgery, but also note that you have had cortisone and euflexxa injections. Why ? At age 35 you are young to have degenerative changes. Complications covers a lot of things and usually implies that things didn't go as planned. If you have pre-existing arthritis then you are going to need to deal with that. Are you overweight? Really we need more information. ...Read moreSee 1 more doctor answer
What conditions are Bilateral Lumbar Facet Steroid Injections used for vs. an epidural steroid injection? which would be ordered 1st for DDD pain?
Maybe: If your Doctor has ordered an MRI with an arthrogram, then cortisone can be administered into the joint with the arthrogram. However, your doctor may have ordered an MRI without contrast, and the cortisone injection may be intended for treatment of the tissues around the hip which are outside the joint. Tissues outside the joint will not respond to cortisone administered into the hip joint. ...Read moreSee 2 more doctor answers
Considering visco supplementation injections or steroid injection for arthritic knees. Should I see a rheumatologist or an orthopaedic for this?
Are epidural steroid injections, si joint, and radiofrequency ablation dangerous if given for years?
Yes and No: Osteoporosis after any sort of steroid exposure can occur. Usually this requires repeated chronic long term exposure after several years. Based on your age, unless you have previous exposure to oral steroids or have had significant exposure to epidural steroid injections i would not be too concerned yet. ...Read moreSee 1 more doctor answer
Yes if...: If you left your piercings in they could produce enough metal artifact to distort the images. There could also be significant heating around any metal piercings. Finally, any piercings which are magnetic could potentially be ripped off your body and cause projectile injuries. Don't try to hide your piercings and enter the scan room! ...Read moreSee 1 more doctor answer
Follow up: I've had cortisone injections for my torn rotator cuff along with OTC and tramadol. No help. Surgery next month. ?
Be sure of diagnosis: Unless you are an overhead athlete ( pitcher or tennis, etc.) full - thickness rotator cuff tears in your age are very unusual. More commonly seen are shoulders w/ a component of instability and secondary rotator cuff tendinitis/partial thickness injuries and/or biceps anchor injuries'SLAP' tears . See an experienced ORS w/ subspecialty training in shoulder / sports before you have surgery . GL! ...Read more
Are steroid epidural injections and physical therapy effective treatments for severe spinal stenosis?
Well: Technically no difference, they are probably the same. However, if the cortisone injection is not done under an x-ray machine (fluoroscopic c-arm) then it could be that the cortisone injection may be just that an injection into the muscle like a trigger point injection. Speak with your doctor to get clarity about what you will be getting. ...Read moreSee 3 more doctor answers
Fix it yourself: If you are interested in an at home treatment for carpal tunnel which can reduce and possibly eliminate your symptoms, and you are willing to be an active participant in your health, then please contact me for a Professional Consultation, and I will put you on a treatment program using natural healing and reflexes. ...Read moreSee 1 more doctor answer
Epidural steroids: This entails injecting a potent anti-inflammatory medication into the outermost part of the spinal canal - the area outside the dura. Your provider can give you all the risks, benefits, and alternatives, but a needle is placed into the back so that the pain relieving medication can be delivered in the immediate area of the pain. ...Read moreSee 1 more doctor answer
Hand/wrist specialis: See an orthopedic hand/wrist specialist, who would be able to perform the injection. ...Read more
Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...Read more
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