Cortisone is the name used to describe a group of drugs correctly known as corticosteroids. Cortisone is used to treat pain in various parts of the body where inflammation is felt to be the cause of this pain. The reason why cortisone is effective in treating such pain is because it is a powerful antiinflammatory.
What are the Indications for a Cortisone Injection?
• Bursitis (eg. Shoulder- subacromial bursitis and Hip - trochanteric bursitis)• Arthritis (eg. Knee, ankle, hip)• Tendinosis and Tenosynovitis (eg. plantar fasciitis, tennis elbow, bicep tenosynovitis)
What is involved?
The skin is prepared using an antiseptic agent. The needle is then guided into the relevant body part using ultrasound. The degree of discomfort during the procedure is generally mild as the needle used is fine and local anesthetic is used first, followed by the cortisone.
Common Side Effects:• Allergy to any of the substances utilized during the procedure, such as the cortisone, dressing, local anesthetic or antiseptic. This is usually minor and self-limiting.• The cortisone may result in palpitations, hot flushes and mild mood disturbance. This usually resolves within 24 hours and no treatment is necessary.• Infection. Infection is a rare but serious complication, especially if injected into a joint. If you suspect an infection, contact us at (520) 204-1495 or after hours report to the nearest emergency room.• Local effects: bruising, skin atrophy, hypopigmentation.• Mild increase in blood sugar levels in diabetic patients for several days.• Transient increase in pain at the injection site before the cortisone takes effect. Occasionally this may be severe, however usually lasts only 4–24 hours and is treated with a cold pack, acetaminophen and an anti-inflammatory medication. If this occurs and you are concerned, especially if the pain is not settling despite the above treatment, then please contact us at (520) 204-1495 or if after hours report to the nearest emergency room.• Cortisone injection administered directly into a tendon has been reported to weaken and damage the collagen fibers thus carrying a risk of delayed rupture.• An extremely rare complication is avascular necrosis (bone death) which some doctors suspect may rarely occurwhencortisoneis injectedintoajoint,thoughthis has notbeenproven.
Disclosure On The Impact Of Health Care Reform On Your Care
I hereby ACKNOWLEDGE that my doctor will make every attempt to deliver the best care possible in the context of the dynamically changing health care environment. where there is an increasing amount of regulation and rules as to appropriateness and medical necessity of procedures and surgeries. In fact, your doctor is subject to such Medical Necessity and Appropriateness of Procedure Rules imposed by insurance companies, hospitals and surgery centers, where providers at the Center For Advanced Spine Care are currently performing procedures and surgeries at. As a result, the treatment recommendation that your doctor/surgeon may make could be affected by these rules and may not be necessarily the most appropriate or preferred treatment in his or her clinical judgement. In addition, procedures and surgeries may not be authorized and your doctor may simply not be able to perform certain procedures on you. With the transition of our local health care system from a Clinical Guidelines based system to a Rules based system, your doctor may not be able to provide the preferred recommended care given those newly imposed constraints.