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Old 11-10-2008, 02:21 PM
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cortisone shots

Has anyone had these?
Two summers ago I badly injured my foot, and from time to time it still bothers me. I got an MRI and everything was as it should be, but sometimes it feels like I have pinched nerves or something.
Anyways, my doctor recommended a cortisone shot, but I'm on the fence about it.
Has anyone had any first-hand experience with cortisone shots?
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Old 11-10-2008, 04:20 PM
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I had cortisone shots in my shoulder for my rotator cuff injury. The shot itself is a bit painful, because the 'serum' is actually very viscous, so it takes a larger needle and a fairly long time to actually inject it. The sight of the injection burns a little. The relief from the pain is WELL worth any of the bad stuff about it.

The cortisone isn't a permanent fix in many cases, so ask your doc what he/she hopes to accomplish with this treatment. Do they think it will fix the problem? Are they suggesting a series of injections? I have heard that over time, the cortisone will become less and less effective, so it really should be a sort of a last resort.

Of course, this was my shoulder, not my foot...

Hope that helps.

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Old 11-10-2008, 04:50 PM
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Cortisone is a steroid that significantly reduces inflammation, so it may help you significantly is you have nerve inflammation. I had ones for some nerves in my back...I had to get an epidural caudal injection though, and that is different than the other types. They go in through here:


I didn't think the injection itself was that bad, but it didn't really help much. That is somewhat typical for my problem though (herniated discs that rub nerves and inflame them) since they have to hit the nerve root in the right spot and it is difficult to do. They are definitely worth trying through, I always tell people to try them at least once.
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Old 11-10-2008, 05:44 PM
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Had a series of them done and ended up putting on 30 pounds that would not come off. Got so bad I thought I had a thyroid problem ( Didn't even think it could have been the shots) so I had a full blood screening done and nothing. Everything normal. Took me 1 1/2 years to regulate my weight back to normal. It turned into a nightmare for me. You have to weigh out the pros and cons on this one. Nobody told me anything. Find all the info you can from your DR. before doing it.
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Old 11-10-2008, 06:06 PM
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Quote:
Originally Posted by jeaniebean View Post
Had a series of them done and ended up putting on 30 pounds that would not come off. Got so bad I thought I had a thyroid problem ( Didn't even think it could have been the shots) so I had a full blood screening done and nothing. Everything normal. Took me 1 1/2 years to regulate my weight back to normal. It turned into a nightmare for me. You have to weigh out the pros and cons on this one. Nobody told me anything. Find all the info you can from your DR. before doing it.
I actually gained about 20lbs after mine also, but it kind of correlated with my back getting really bad, so for the first time in my adult life I wasn't running 20+ miles a week. Although, I hadn't been able to run for about six weeks before the shot and hadn't gained...I just figured it was catching up with me. My doc never mentioned weight gain as a side effect of a localized injection
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Old 11-10-2008, 07:03 PM
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That was the thing My excersize and eating habits didn't change and when i went to see my primary about it I didn't mention getting the shots till after all my blood works came back and were normal. It was a very fast weight gain so my primary was very concerned.
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Old 11-10-2008, 07:08 PM
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I had one in my knee and it hurt so freakin' bad!! It helped in the long run, but holy crap was the shot painful.
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Old 11-10-2008, 07:18 PM
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Yeah I'm just wondering if the risks are going to outweigh the benefits...my doctor basically said there's nothing he can do to actually fix my foot. When I first injured it, they stuck me in a boot, told me to stay off it for 2 weeks and called it good.
Now its been almost a year and a half and it still bothers me. I just wish there was SOMETHING they could to do just fix it. I'm about ready to tell them to just take my foot off!
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Old 11-10-2008, 07:25 PM
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Cortisone is only a temporary fix. I would get an MRI done and go see another DR..
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Old 11-10-2008, 07:41 PM
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Originally Posted by jeaniebean View Post
Cortisone is only a temporary fix. I would get an MRI done and go see another DR..
I did get an MRI about 3 months ago (about a year after I injured my foot) and they said everything looked fine.
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Old 11-10-2008, 08:04 PM
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Maybe it's something that needs physical therapy......Have someone else read the MRI to be sure. Maybe your DR. missed something, you never know. Always a good idea to get a second opinion for something like this especially if your in pain.
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Old 11-10-2008, 08:12 PM
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Have you tried to apply heat to it? I broke a couple of bones in my foot and after the cast was off I went for a bunch of sessions where they wrapped my foot in warm paraffin for like half an hour and I think it helped me to recover faster. My foot still bothers me sometimes ( 8 years later ), but only when it rains and it's a very minor discomfort.
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Old 11-10-2008, 08:21 PM
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I've had them. Once.

I had a shoulder injury that was quite painful and the doc recommended that I get the shot. She also gave me a lidocaine injection which proved to be somewhat useless if I must say so (though I'm also not sure how much worse it would have been without it ) Anywho!

The shots hurt like hell. I nearly passed out during the procedure. And directly after the shot I was feeling pretty good...but then an hour or so later I felt some intense pain in my shoulder which lasted for quite a while. But after it was all said and done, it felt much better. I still struggle with shoulder pain occasionally but nothing like I did before I ever got the shot.

She gave me some rehab kind of exercises to do after a follow up appointment to strengthen my shoulder while the shots were working.

Much for cortisone shots!!
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Old 11-10-2008, 08:33 PM
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As far as the risks outweighing the benefits...there aren't any real risks. The shot itself will hurt and might not work, but won't leave you any worse off than you are now. Extremity nerve stuff is always tricky...if the shots don't work and the pain is still significant the next step would likely be surgery, where they would probably go in and clean out around the nerve in case any scar tissue had developed from the injury (which may or may not show up on the MRIs).
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Old 11-10-2008, 08:37 PM
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Quote:
Originally Posted by scatterusaway View Post
As far as the risks outweighing the benefits...there aren't any real risks. The shot itself will hurt and might not work, but won't leave you any worse off than you are now. Extremity nerve stuff is always tricky...if the shots don't work and the pain is still significant the next step would likely be surgery, where they would probably go in and clean out around the nerve in case any scar tissue had developed from the injury (which may or may not show up on the MRIs).
Well of course I'm not an expert in this area, but I'm thinking it might be scar tissue. There is a part in my foot that protrudes out further than what is normal. Looking at the top of my foot, the part that sort of protrudes on the outside of the foot just below the pinkie toe, well on my injured foot (left foot) it sticks out further than my right foot, though when I touch it, it feels just like my right foot.

I did point this out to my doctor but he didn't really say anything about it.
Edit: heres a couple pics

Injured foot:



Good foot:

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Old 11-10-2008, 09:06 PM
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ouch! definitely get a second opinion...foot pain blows. that bump on the side of your feet, though...I have that too. It's called the european foot shape and it's why I'm 2 sizes bigger in width than I am in length I can see the difference in size though...you're right, it might be scar tissue. good luck :/
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Old 11-10-2008, 09:47 PM
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Get a second opinion! Too much difference in those feet! No matter what it is it's not right and your DR should be addressing it.
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Old 11-11-2008, 04:03 PM
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You know, it could be any number of things. I would definitely get a second or third opinion. Some of the things it could be (bunion, gout) probably wouldn't be helped much by a cortisone shot...

-P
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Old 11-11-2008, 05:35 PM
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i agree with the others in regards to physical therapy and another opinion. there is most likely a reason why you are having continued pain, and they should be able to tell you why and if it will go away or not.

good luck (and my feet look like your left side pic!)
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Old 11-11-2008, 06:26 PM
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ITA with those who say to have a second opinion.
I've had 2 Cortisone shots before.
Both were extremely painful !
First one was in the back of my head. I was getting sharp pains in my skull and my Dr gave me a shot. I was sick for 2 days.
That was about a year and a half ago. The pains are just starting to come back now.
Second one was about 6 months ago. I have De Quervain's Tenosynovitis in the Flexor Tendons left wrist/hand. That shot has done nothing for me except give me more pain.

Do a TON of research on Cortisone & have a second opinion.

Good luck !
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Old 11-12-2008, 01:42 AM
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I'd search for a great physiotherapist and see what he/ she says. In my experience a great physical therapist is often a lot more competent than many docs. It might be a problem that doesn't even show in an MRI or similar. I have that with my shoulder. Only Physiotherapy helps me (some muscles are shortened because I held myself differently for quite some time, trying to avoid pain). I wnet through three docs until one could explain what's happening. And that was what my physiotherapist had said from the start...
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Old 11-12-2008, 08:22 AM
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Get a second opinion or a referral to a podiatrist.
I don't think cortisone shots are that big of a deal, they are pretty routine and are primarily prescribed for inflammation.
My mother had one for a prolapsed intervertebral disc a few years back, and along with the pain meds, gave her enormous relief.
I've also had a cortisone shot for a groin cyst a while ago and it really helped.
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Old 11-12-2008, 05:17 PM
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I had cortisone shots on both my wrists for carpal tunnel. It hurt like hell! My wrists turned purple for weeks! Then, after that my skin where I got the shots turned completely white like someone bleached my skin. It was like this for 3-4 months. It was nasty looking!

Cortisone is only temporary fix though and can't get more than 2-3 times a year... Like everyone above said, you may want to get a second opinion because I think the shots won't help you in the long run.
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Old 03-19-2009, 12:33 PM
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Ok I'm bumping this up. I have Morton's Neuroma which is where a nerve is inflammed in between the 3rd and 4th toe. My podiatrist gave me a shoe insert but that didn't help - made things worse.

So I called him and spoke to his nurse who had the same thing as me. She practically forced me to get the cortisone shots so I have an appointment on Monday but I'm still hesitant to get it.

One - it only lasts for a certain amount of time so its not permanent. Two - the nurse got cortisone shots and still ended up having surgery!! That makes me think, why shouldn't I just get the surgery over with? If I still have a chance that even after cortisone shots, I still need the surgery, why not just get it over with instead of going thru other things?

Plus I hate hate hate needles and people say cortisone shots are painful....I have a LOW tolerance for pain I would rather go thru pain just once (surgery) rather than have to go through it two or three times...And I heard you can put on weight with these shots!

But my pod wants surgery to be a last resort, and thats what I wanted, but I'm really hesistant against these shots since its not permanent and I just want this pain to go away!

Sorry that was so long Anyways I'm just wondering if anyone has had cortisone shots in their foot specifically and how their experience was.
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Old 04-02-2009, 07:54 AM
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I can't relate to your foot pain, but i have chronic lower back pain from 4 bad discs. I am scheduled for a steroid shot in my lower back on April 9th. My doctor has been nagging me for the past 6 months to get one. He acts pissy toward me each time I tell him that I do not want the shot. I have already canceled once before because I am afraid of the pain. I think I am going to chicken out again after reading this post.

Is it the needle that makes the shot so painful, or the medicine? Can someone please describe the pain to me. I am scared to death.
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