Cortisone injections: what are the benefits and risks?

Cortisone injections, also known as corticosteroid injections, are commonly used to relieve inflammation and pain in various conditions, such as arthritis, tendonitis, bursitis, and other inflammatory conditions. Here are some benefits, risks, complications, and side effects associated with cortisone injections:

Benefits:

  • Rapid pain relief: Cortisone injections can provide rapid pain relief by reducing inflammation and swelling in the affected area.
  • Convenience: Cortisone injections are a simple outpatient procedure that can be performed in a doctor’s office, and patients can usually resume normal activities immediately after the injection.
  • Non-surgical: Cortisone injections can help avoid the need for more invasive treatments, such as surgery.
  • Targeted treatment: Cortisone injections can be administered directly into the affected joint or tissue, providing more targeted treatment.

Risks and Complications:

  • Pain and discomfort: Pain and discomfort at the injection site are common after a cortisone injection and can last for a few days.
  • Infection: There is a risk of infection at the injection site, although this is rare.
  • Tissue damage: Repeated cortisone injections can damage the surrounding tissues, including cartilage, tendons, and ligaments.
  • Temporary flare-up: In some cases, the injection can cause a temporary flare-up of symptoms.
  • Skin discoloration: The injection may cause skin discoloration at the site of the injection.

Side Effects:

  • Elevated blood sugar levels: Cortisone can elevate blood sugar levels, so patients with diabetes should monitor their blood sugar closely after receiving a cortisone injection.
  • Weakening of bones: Repeated cortisone injections can weaken bones, leading to an increased risk of fractures.
  • Weight gain: Cortisone can cause weight gain by increasing appetite and fluid retention.
  • Mood changes: Cortisone can affect mood and cause anxiety, depression, and irritability.

It is important to discuss the potential benefits, risks, complications, and side effects of cortisone injections with a healthcare provider before undergoing the procedure. Cortisone injections should not be used as a long-term treatment and should only be administered as part of a comprehensive treatment plan.