Background

Cortisone refers to a group of medications collectively known as corticosteroids. These medications are potent anti-inflammatory agents and are used to treat pain caused primarily by inflammation.

At Rad X, the most commonly used corticosteroids are Celestone (Betamethasone), Kenacort (Triamcinolone), and less commonly Depo-Medrol (Methylprednisolone). These are legal prescription medications and should not be confused with anabolic steroids.

Indications

Cortisone injections may be recommended for:

• Arthritis (any joint)
• Bursitis (commonly shoulder or hip)
• Tendinosis / Tenosynovitis (elbow, wrist, finger, heel)
• Nerve-related pain (e.g. sciatica)
• Other conditions such as ganglion cysts, popliteal cysts, and frozen shoulder

Mode of Administration

Procedures are typically performed under ultrasound or CT guidance. The skin is cleaned with antiseptic and a local anaesthetic is often injected with the cortisone. A small concentrated dose of steroid is injected directly into the painful area. Fluid may be aspirated prior to injection if required.

Benefits and Risks

Your referring doctor and treating radiologist will ensure the benefits outweigh any risks. Diagnostic injections may sometimes be performed.

Potential Side Effects

Possible side effects include allergic reactions, temporary flushing or mood changes, bruising, skin changes, infection (rare), blood sugar fluctuations in diabetics, temporary pain flare, and rare tendon damage.

Alternative Treatments

Alternative or complementary treatments include rest, medications, physiotherapy, and exercise-based rehabilitation.