Doctor insights on:
How Long After Surgery Before Taking Cortisone
Have got shoulder impingement and been told either cortisone which I had and didn't help or surgery and long recovery what's best option?
How long should I wait before having surgery for iliopsoas snapping? I've tried pt, nsaids and cortisone shots (12 of them).
Tends to improve: Hard to answer that question but in my experience snapping hip syndrome tends to improve w/ time. Occassionally 'snapping hip' is misdiagnosed or in conjunction w/ another hip abnormality (labral tear).If u can tolerate the discomfort w/ nsaids I would wait on having the surgery as it causes no long term problems and generally improves as u get older... Plus surgery is not 100% or benign. ...Read more
How long should you wait to have knee surgery after having a cortisone shot? I am thinking of have knee replacement surgery and I had a cortisone shot 2 months ago, I need to know if this is enough time to wait.
It: It really depends on the surgeon. Some will replace your joint as soon as six weeks after a cortisone, but many like to wait for a total of 12 weeks. ...Read more
Had cortisone for medial plica 1.5 weeks ago. Still painful. Should next step really be surgery? Not reading good things about the outcome.
If not willing to-: Accept the risks, you need do nothing, but your symptoms will not get better. Repeated steroid injections will cause damage to the joint surfaces. It's a great drug, but a double edged sword, beware! ...Read more
Try one more,: If no long term effect next is surgery. I always used injections as a temporizing treatment, to allow a more suitable time for the patient to prepare work schedules and so forth. If they happened to get long term relief, then no surgery until injections don't work after 1 or 2. ...Read more
Maybe: Cortisone injections (why 3? ...There is no standard to do 3 shots.) can help the inflammatory process of the nerve roots irritated by the disc hernitaion. These injections do not "heal" the disc, but can cause accelerated pain relief. Disc herniations occasionally resorb (disintegrate) over time, but there is no guarantee that a disc is healed once the pain is gone, even from injection therapy. ...Read more
Need eval: If the pain is in the artificial knee it has to be evaluated for loosening, infection, instability, possible knee cap malfunction, or very rarely metal allergy. If the pain is along the inside and just over the top of the shin bone, it may be pes anseurene bursitis. Only in this condition injection may be warranted. You need to be evaluated by your orthopaedic surgeon. ...Read more
Partial thickness intrasubstance tear 3 x 5 involving anterodistal suptaspinatus tendon. Three months of PT and one cortisone injection. Surgery time?
Not necessarily: All depends on your age, level of function, and how much it is disrupting your life and daily activities. Discuss all of these things with your primary Dr and/or orthopedic surgeon to determine the best next step for you. ...Read more
I need dequervain's surgery. Is it safe to have 6 weeks after having a cortisone injection in that same spot?
Not really: Some try splinting but this is generally ineffective. ...Read more
I have pain in both ankles 12 weeks after bunion surgery. What could be causing pain? Is cortisone injections the solution?
See your doctor: There can be a variety of reasons for these symptoms. See your surgeon for evaluation. It is not unusual to have some swelling and discomfort away from the surgical site due to favoring the feet. Have it evaluated. Dr. L ...Read more
I'm 24 and have herniated discs at L4 L5 and a building disc at T11-12. I've done physical therapy many times and cortisone injections to try to help with the pain and neither worked so at 18 I was told my only option left was surgery but I opted not to s
See below: Injections can provide relief if they are placed in the correct location, and therapy is only as good the therapist your working with. You may also want to try chiropractics. Proper diet, ergonomic modifications, posture, and your mental state also play an important role overcoming back pain. ...Read more
S/P rotator cuff debride/AC joint decomp.: 7/14. Not improving w/wkly PT and cortisone inject. MRI arthrogram 2 Dec.= 8x6mm Supraspina tear. Surgery?
Knee mri showed torn meniscus. I have a lot of pain and I don't react well to cortisone. I'm taking too much advil and Tylenol. I need another medicine alternative until I can get to surgery. I have MRI supporting doc?
I have Morton's neuroma. Have had cortisone shots, alcohol shots, epac and to no avail. I hear surgery is risky. Thx for your advice.
What are possible complications from a sphenoid sinus inf that is not clearing with antib and cortisone? Had fess 2 months ago, avoiding more surgery
Sphenoid sinusitis: Hello, the sphenoid sinus is often times referred to as the silent sinus. It sits in the most posterior part of the nasal cavity. It may cause posterior cephalic pain in the occipital area. An infection in this area can cause more PND and cough since it is closest to the nasopharynx. The internal carotid and optic nerves are in close proximity. It's rare that these two structures are involved. ...Read more
I have Morton's neuroma in my right footHave had cortisone shots, alcohol shots, epac and to no avail. I hear surgery is risky. Thx for your advice.
No Not risky surgery: As non operative treatment failed, your doctor advised you to under go surgery, is simple removal of that thickened (neuroma) nerve, a low risk out patient procedure. If you want you can even take a second opinion, your doctor will not object may even help you to get one. ...Read more
Can you give me more info on trigger thumb, and can it be cured without surgery or cortisone shots?
Prob. Not: Nodular tenosynovitis of the a1 pulley of your flexor tendon of your thumb (fpl), or 'trigger thumb' is very common and can be both painful and disabling. 'locking' of the thumb @ the wrong time can be problematic as u know. U could try wearing a splint and taking a steroid "dose pak"but this is unlikely to resolve the problem... If it continues to lock and hurt consider a1 pulley release. Gl! ...Read more
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
I've had surgery on my knee to remove cartilage and I get cortisone shots now, is there something I can do so I don't need shots anymore?
I have a Morton's neuroma and intermetatarsal bursitis. Cortisone helped a lot but I still can't run or power walk. Should I consider surgery?
My MRI showed a tfcc tear. I've had cortisone and used a splint for 2 months. The pain has decreased. Is the tfcchealed or is surgery still needed?
Healing: The improvement is encouraging and a step away from surgery. As long as immobilization and or injection (s) up to three have improved the condition than surgery is not warranted. The tfcc can be considered healed when asymptomatic. If rarely painful, fully functional, then surgery is not warranted regardless of MRI finding. 30% of people older than 30 have mris with tfcc changes w/o injury. ...Read more
I had a specific injury that caused my tennis elbow. I had multiple cortisone & blood injections & surgery 4 mos. Ago-still have pain-any other tx?
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. ...Read more
Tennis elbow confirmed after examination. No scans. 4 cortisone injections in two years. Last two made pain worst. Suggested surgery. What should I do?
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. ...Read more
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