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Doctor insights on: Does Large Doses Of Prednisone Increase Problems With Tendons And Ligaments

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What is the effects on ligaments and tendons from long term prednisone?

What is the effects on ligaments and tendons from long term prednisone?

Rupture: If injected directly upon. Orally little if any effect, but not so on bones. ...Read more

Dr. Thomas Namey
2,568 Doctors shared insights

Prednisone (Definition)

Prednisone is a synthetic cortisone. The body makes cortisone, a natural hormone made in adrenal glands. The body converts it to Hydrocortisone to become active. 25 mg of cortisone has about same effect as 5 mgm prednisone. The average person would produce 3-6 mg of pred daily. So why use a substitute? The synthetic has more anti-inflammatory effect; but has less effect ...Read more


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What's could be wrong with my wrist? I fractured (chipped) the bone by my wrist and I've been having problems with it since. I believe it has to do with it being out for two weeks after it happened. Could I have done something to the tendons and ligaments

What's could be wrong with my wrist? I fractured (chipped) the bone by my wrist and I've been having problems with it since. I believe it has to do with it being out for two weeks after it happened. Could I have done something to the tendons and ligaments

There: There are so many variables in this question that it is hard to be very precise. There are many bones in the wrist, and it is very significant which bone, precisely is chipped. When you say it was "out" for two weeks, do you mean that it was dislocated for two weeks? A bone chip on x-ray often means that a ligament was pulled off the bone, taking a piece of the bone with it. It is a bad circumstance if the ligament has pulled off a bone chip and the x-ray shows it to be separated by a distance from the bone, because in this case the ligament/bone chip cannot ever heal back to the bone without surgery, and the associated joint is apt to be lax and pop, clunk, grind, or be painfully unstable. This needs to be seen by an appropriate surgeon. It sounds like something which, at the very least, needs initial splinting/casting for 6 weeks and then re-examination. The probable need for future surgery is high. ...Read more

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What's could be wrong with my wrist? I fractured (chipped) the bone by my wrist and I've been having problems with it since. I believe it has to do with it being out for two weeks after it happened. Could I have done something to the tendons and ligaments

What's could be wrong with my wrist? I fractured (chipped) the bone by my wrist and I've been having problems with it since. I believe it has to do with it being out for two weeks after it happened. Could I have done something to the tendons and ligaments

The: The most common "bone chip" is a small capsular avulsion on the ulnar side of the wrist. These can be casted but can also be trated with splinting alone. These often take 4-6 weeks to feel better. A chip or avulsion does mean that the bone was pulled off or avulsed by the ligament or tendon that attaches to it.

Other chips involve the scaphoid or trapezoid and other bones, it depends a lot upon what the injury actually is to say more.

A chip can also mean the wrist was dislocated and reduced or that a significant ligament injury occurred...But again the most common thing os a small insignificant capsular avulsion and 2 weeks is s short time for recovery.

If you merely went to an er perhaps it is time to see a hand surgeon. ...Read more

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Can you tell me how I could make the tendons and ligaments in my ankle stronger?

Can you tell me how I could make the tendons and ligaments in my ankle stronger?

Exercise: You need to range of motion exercises and use weights. Best to discuss with a physical therapist ...Read more

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What is the way to strengthen the tendons and ligaments.? I am an athlete..

What is the way to strengthen the tendons and ligaments.? I am an athlete..

Tendon strength: Hello:

The quick answer is tendons and ligaments cannot be strengthened like muscles. The amount of collagen fibers in each tendon remains consistent regardless of the amount of muscle increase that occurs from exercise. Ligaments are the same story in that amount of fibers tissue remains consistent regardless of the amount of exercise placed on a joint. Best Regards. Dr. Reed ...Read more

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What type of doctor treats tendons and ligaments?

What type of doctor treats tendons and ligaments?

Orthopaedist: Typically an orthopaedic surgeon treats tendon and ligament injuries, although rheumatologists and physiatrists can treat more mild conditions by medicinal means. All three specialists can splint, prescribe and inject, while only orthopaedists are trained to also apply surgical treatment options. ...Read more

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What could be severe chronic knee tendons and ligaments pain every week? It is disabling pain and it gets worse with extending and standing and walkig

What could be severe chronic knee tendons and ligaments pain every week? It is disabling pain and it gets worse with extending and standing and walkig

Inflammation: Generalized inflammation or that associated with inflammatory arthritis (autoimmune) can cause pain and stiffness in the ligaments and tendons around the knee.

If there's fluid in the joint, tapping this can be important as are xrays and blood tests. Mri can also be done to look at soft tissues such as ligaments and tendons to see if a culprit can be identified. Pt or injection may also help. ...Read more

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What is the difference in function/purpose between tendons and ligaments?

Connections: Tendons connect muscle to bone. Ligaments connect bone to bone. ...Read more

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Does an MRI show damage to tendons and ligaments?

Does an MRI show damage to tendons and ligaments?

Yes: Mri is an excellent imaging test to demonstrate damage to tendons and ligaments among other structures. ...Read more

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Is there anyway to strengthen tendons and ligaments after straining them multiple times?

Rubber bands: Yes! Has a lot to do with consistent, daily stretching, in an attempt to regain some range of motion and tendon/ ligament healing. ...Read more

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Do tendons and ligaments that have been inappropriately stretched (as through injury) return spontaneously to their normal size or is pt needed?

Do tendons and ligaments that have been inappropriately stretched (as through injury) return spontaneously to their normal size or is pt needed?

Depends: The question is a bit too ' general' to give a specific answer. Some ligaments that" stretch" beyond their capability will not return to their normal size and this can result in laxity. Some tendons that stretch for a short period of time will return to their prior state. Some tendons that are contracted secondary to the aging process or disease need stretching! Hope that helps... ...Read more

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Will acupuncture help tendons and ligaments in the knee heal faster?

Will acupuncture help tendons and ligaments in the knee heal faster?

Yes: Yes it will. I would also advise you take some glucosamine and chondroitin, be very gentle if you exercise, and if you do exercise to do it in a pool or in the bath tub. This is all in general. Every case of cause is a little different therefore it is good that you be seen by a processional. ...Read more

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Having a trauma injury to the muscles, tendons and ligaments could that mess up the thyroid?

Having a trauma injury to the muscles, tendons and ligaments could that mess up the thyroid?

No: Thyroid function is independent of traumatic injuries, unless they occur to the thyroid itself. ...Read more

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Can doing acupuncture treatments help tendons and ligaments in the knee heal up faster?

Can doing acupuncture treatments help tendons and ligaments in the knee heal up faster?

Yes: Yes but with the caviate that acupuncture will not fix a lesion that requires surgical intervention. See an orthopedic surgeon or sports medicine physician to determine if surgery is required. ...Read more

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Can prednisone weakened tendons?

Can prednisone weakened tendons?

Typically no: There was some initial research about Anabolic steroids causing weak tendons, but this has been tough to prove again. We also use steroid injections to treat tendinopathies. As such, I highly doubt Prednisone is causing any tendon weakening. ...Read more

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Could prednisone cause tendon weakness?

Yes it can: Historically, chronic steroid use including the use of Prednisone is implicated in tendon weakness and rupturesthis is seen more commonly w/injections of cortisone meds. In or around tendons. Check w/ a rheumatologist concerning the risks and side effects of chronic steroid use. Best of luck! ...Read more

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Does prednisone promote tendon healing?

Does prednisone promote tendon healing?

Yes and NO!: If you have inflammatory tendinitis, more likely yes. If the tendinitis is mechanical-more likely not, but it may relieve pain! ...Read more

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Was prescribed levofloxacin and prednisone. I walk and bus everywhere I am concerned about tendon rupture. Am I worrying to much?

Was prescribed levofloxacin and prednisone. I walk and bus everywhere I am concerned about tendon rupture. Am I worrying to much?

Perhaps but be aware: Tendonitis and rupture have been reported with levofloxacin and other anitbiotics of the same class (highest for ciprofloxacin). Risk factors for tendon disorders include age greater than 60 years, corticosteroid therapy, renal failure, diabetes mellitus, and a history of musculoskeletal disorders. Seek medical attention immediately if symptoms (redness, stiffness, swelling) develop. ...Read more

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I've been on prednisone taper but had to increase dose due to withdrawal symptoms. At higher does symptoms are re-occurring. Cause for concern?

Yes: Regardless of the reason you were taking Prednisone in the first place, chronic use of Prednisone is not recommended as it is known to cause glaucoma, insomnia, low bone density to only name a few things. Taper slowly if you need, but taper off the steroids over time. The longer you have been on it, the slower the taper needs to be. ...Read more

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I've been on corticosteroids oral and IV at varying doses continuously for 4 months. Recently I went back to 60mg from 25mg prednisone, I've had what I thought were some mild hallucinations prior but now with the increase of dosage I fear I am having more

I've been on corticosteroids oral and IV at varying doses continuously for 4 months. Recently I went back to 60mg from 25mg prednisone, I've had what I thought were some mild hallucinations prior but now with the increase of dosage I fear I am having more

Hallucinations: Steroids can cause psychotic symptoms, including hallucinations. Sometimes this is also accompanied by mood changes such as mania or depression, with sleep disturbance. Please tell your prescribing physician about what you're experiencing. Your dose may be adjusted or other medication temporarily provided, etc. ...Read more

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I just got off a prednisone taper 5 days for asthma. I have had increased anxiety during the week is this fairly common with a prednisone dose?

I just got off a prednisone taper 5 days for asthma. I have had increased anxiety during the week is this fairly common with a prednisone dose?

Emotional response: It is not super rare to have an emotional response to prednisone and anxiety is possible. If due to medication, however, this should resolve soon after stopping the drug. ...Read more

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What is the best way to I increase ankle strength. I have sprained and strained and torn muscles and ligaments and tendons so often they won't rebuild?

What is the best way to I increase ankle strength. I have sprained and strained and torn muscles and ligaments and tendons so often they won't rebuild?

Rebuild: I would see a physical therapist that specializes in sports injuries and they will come up with a regimen plan for you to strengthen your ankles, keep in mind when you have an injury to a ligament and there are many around the ankle they do not heal with the same strength do to scar tissue formation that is not as strong as the original ligament. ...Read more

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My doctor has perscibed me to take this prednisone 4mg pac. The problem for me is, the two pills at bedtime. I cannot sleep. Is bedtime dose necessa?

My doctor has perscibed me to take this prednisone 4mg pac. The problem for me is, the two pills at bedtime. I cannot sleep. Is bedtime dose necessa?

CHANGE THE TIMING: Take all your medications as prescribed by your physician but you may try to change the timing. Also speak to your physician about this as well. Prednisone can have an effect on your sleep so this is not uncommon. ...Read more

Tendon (Definition)

Tendons are made up of collagen and are the functional tissue that interfaces between muscles and bone. Muscles generate force that is transmitted through its tendon that inserts on a specific bone that is moved in the plane of the connecting joint made ...Read more


Ligament (Definition)

A fibrous band of tissue that connects one bone to another. They hold joints in place. Dr. Fox's trivia test: what one bone is the only one ...Read more