Cortisone-injection frequency up for debate

DEAR DR. GOTT: Could you tell me how often someone can have cortisone injections? My mother had some in her shoulders. They worked great, but now the pain and stiffness are back with a vengeance.

DEAR READER: Cortisone can be injected into joints such as the ankle, knee, shoulder and other areas to relieve pain and inflammation. They have been known to help osteoarthritis, gout, carpal-tunnel syndrome, bursitis, plantar fasciitis and a host of other conditions. About 30 years ago, corticosteroids were given with great regularity. Today, however, a different approach is taken. Some physicians restrict a person to three injections a year, others to three in a lifetime. [Read more...]

Cortisone appropriate for arthritis

DEAR DR. GOTT: I am a 54-year-old female with osteoarthritis in both hips. My general practitioner sent me to an out-of-state specialist who recommended cortisone injections. When I tried to have cortisone injections done by a local specialist, I was told that they would not help me because I don’t have bursitis.

I am most uncomfortable when I stand still, sit or lie down for any length of time. Using a heating pad several times during the night helps alleviate the muscle cramping, though. I have more pain in my lower back/sacral area, knees and thigh muscles than in the hips themselves. Who is right? Would the cortisone injections really help? [Read more...]