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Knee Arthritis and cortisone shots

1113 Views 9 Replies 5 Participants Last post by  fox-runr
Has anyone ever had these?<br><br>
I saw an ortho for my knee pain today. He confirmed that its just arthritis. But my pain has been severe enough that he talked me into giving me a cortisone shot today. He said it will get rid of the pain for about 6 mos or so.<br><br>
He also told me that common sense would tell me not to run. (I never claimed to have common sense)<img alt="" class="inlineimg" src="" style="border:0px solid;" title="Smile"><br><br>
Just wondering if anyone has any experience with this. Will it really help? Are there side effects that I should watch for? How did it effect your running, if it did?<br><br>
Thanks for any info you can share with me. <img alt="" class="inlineimg" src="" style="border:0px solid;" title="Smile">
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I have never had one, but I would never have them on any kind of a regular basis. The problem I have with them is that they make the pain go away and then you can't feel the damage you are doing or know how bad it would be hurting without the cortisone you continue along without addressing the cause and end up worse in the end. I think if it were me, I would seek out alternative methods for dealing with arthritis. Acupuncture, maybe (Meri?) Diet changes? Vitamin and mineral supplementation?
TJOCF, do you have any supplement suggestions? I dont plan to do it on a regular basis, but I had to do something. The pain was bad enough that I was having to "guard" it every time I got up or down, and that was throwing everything else off. I was kinda at a loss at to what to do.<br><br>
My ART guy had been working on it too, but it hadnt really seemed to help much.<br><br>
Never thought of acupuncture. Meri?
I've had a lot of luck doing a long term program of very heavy eccentric work on my quads as knee rehab.<br><br>
My knee problems are mostly cartilage loss with some tendonitis/tendonosis. I saw a reference to some studies that said heavy eccentrics are good for tendonosis, so I started them in May. I've had significant healing, apparently of the synovial cartilage damage, since then.<br><br>
I use a seated quad machine, load up enough weight so I can lift the bar with both legs but not one, then lift up with both and drop back slowly just using the single leg. 3 sets of 7-10 every day.<br><br>
From what I've heard, along with what Toejam said, there is a danger of long term tendon degradation with repeated use of steroids. I've heard it said that at similar dosing the side effects of corticosteroids are worse than anabolics. Don't know if that's really true though.<br><br>
Supplements I use are glucosamine/chondroitin, SAMe (as a methyl donor), and long term Naprosyn. I get kidney/liver tested regularly because of the danger of long term NSAID use.<br><br>
Probably the most successful thing I've done is to identify movements in my daily life that aggravate my knee problem and find alternate movement patterns. That has made a huge difference but it's so easy to forget not to squat down THAT way.<br><br>
Good Luck.
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Acupuncture, duh! <img alt="" class="inlineimg" src="" style="border:0px solid;" title="Smile"> definitely. <a href="" target="_blank"></a> is a list of board certified acupuncturists in the country. that is a starting point..<br><br>
Cortizone i would avoid for something chronic like arthritis. Maybe an oral steroid to ease the inflammation now, but not the injection. The injections can weaken the ligaments and connective tissue. Also, it is not a cure for something chronic and you have a lifetime limit of three per area, so even if you do get relief, it is minimal and not something you can do forever. Some people get some relief from them, but usually not long lasting. Sometimes it is a day, sometimes a week, sometimes a couple months. The only thing i think it can work well for is an acute inflammation, not something chronic like arthritis.<br><br>
definitely take glucosamine/chondroitin/msm, there are mixed thoughts on higher dosages, (like doubling up) some say it makes no difference, others say it helps. It takes about 6-8 weeks of taking it daily to see change. There are a lot of other supplements you can do as well. I will look them up later and post them. A lot of good, natural anti inflammatories.
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Hippo, did that exercise cause a lot of pain when you started it? I have a way to do that at home, which is good, but I have the most pain when I am putting weight on it while bending it. I an cringing just thinking about what that will feel like. I'll give it a try though.<br><br>
I dont plan in doing the shot again. Sounds like thats a bad deal all around. I probably shouldnt have done it today. I should have gotten a clue when he told me not to run. <img alt="" class="inlineimg" src="" style="border:0px solid;" title="Sad">
Don't feel bad! One time when you are in pain and just need relief, is fine. Now you are manageable for a while so be sure to use this time to seek some better solutions. In your shoes, I may have done the same thing. Meri and Hippo answered your question very well....also, I always tell everyone to foam roll because tight trigger point and muscles will only make the pain worse!<br><br>
Also, remember (and I think Meri will agree with me on this) I have very little faith in modern medicine for chronic pain issues/conditions. The doctors today are very pressed and don't have time for lengthy, all-inclusive, rehabilitative reccomendations. Often, people want-and they give- the easiest, quickest solution regardless of the lasting effects.....
Sierra, my problems are mostly in the cartilage on the end of the femur, so I went against the normal PT recommendation to do "closed chain" lifts and did "open chain" which does not force the bone-on-bone compression of my knee. Doing this only caused small discomfort. If it hurts, you might try with lighter weights and build up.<br><br>
Disclaimer: we may have very different knee problems.
Spot on, my husband is an anesthesiologist that gets the pain referrals. He says "everyone wants their quick fix" and most don't see the rehab doctor, or PT, OT, etc. after the injection takes their pain away. But when they are ready for their next injection, geesh, they are calling are home phone number!
I know a 72 year old guy that says he gets some gel injected into his knee 2x a year??? because he has no cartilage. He still runs 1/2 marathons
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