Cortisone Injections

Cortisone injections are a very useful tool both for treating and diagnosing a number of shoulder problems. The conditions which respond best to cortisone are those with a high inflammatory component such as frozen shoulder and calcific tendonitis. But they can also be very useful for treating other shoulder conditions by providing a pain free period during which good physiotherapy can cure the underlying problem.

Sometimes a cortisone injection proves helpful when trying to work out the source of your shoulder pain. So even if you have no benefit from an injection it rules out that site from the differential diagnosis.

It is currently recommended that you should not have more than 2 or 3 cortisone injections per site per year. Generally cortisone injections are not horribly painful when given into the shoulder. But they sometimes cause a post injection flare which can cause worsened pain for up to 3 days.

Complications associated with cortisone injections in the shoulder are uncommon and seldom serious. They can include infection, skin thinning, whitening of the skin, and rarely, allergic reaction. They are not recommended in the early stages of pregnancy but they are safe while breastfeeding. There is some suggestion that they might reduce ones immunity for a week or so, and it is not recommended that you should have any vaccinations within 2 weeks of a cortisone injection.

Harry and his team administer all cortisone injections themselves, using ultrasound, to make sure that the injection is put in the correct place.

Harry talks more about cortisone injections in this video

You can read about Cortisone injections here

Cortisone injections can be given in different parts of the shoulder joint.  Here Harry demonstrates giving a glenohumeral joint injection in clinic for frozen shoulder.

In this video Harry gives an ultrasound guided subacromial injection.