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Old 05-02-2019, 05:32 PM
 
266 posts, read 126,575 times
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Are all you sure that these knee injections were cortisone shots?

I haven't worked in orthopedics recently, but when I did, and I had one job (as a physician assistant) where I did knee injections and I don't think this has changed, the substance injected into the knee joint was hyaluronic acid: https://www.mayoclinic.org/drugs-sup...n/drg-20074557
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Old 05-02-2019, 05:33 PM
 
Location: Northern Appalachia
5,032 posts, read 6,219,349 times
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Quote:
Originally Posted by karen_in_nh_2012 View Post
So I'm leaving on Sunday May 12th to go to the UK with my students and did NOT want to repeat last year's experience in Europe (preparing for this year's trip), which was that I could not walk without pain -- which did not work well at my seminar in France, which required hours of walking every day (they hadn't told us that in advance ).

I finally gave up on the pain getting better and went (back) to my doctor. They did x-rays and found that I have "advanced osteoarthritis" in my left knee. (My right knee is generally OK for now.) I have a family history of arthritis AND ran on pavement for 20 years (the best thing EVER for my mental health, but not for my knees ), so the diagnosis was not surprising.

Over the past week or two, the pain had been excruciating, especially at night -- I would take 4 ibuprofen tablets at "lights out," then wake up 4-5 hours later because I felt like someone was stabbing my knee with a knife. Yes, HORRIBLE, INTENSE pain while SLEEPING!! Needless to say it was frustrating beyond belief.

Anyway, I got the cortisone shot yesterday morning (my PA was great -- I felt a tiny bit of pressure as the needle went in but otherwise I didn't feel the shot at all). Yesterday evening I was walking downstairs and realized I could bend my left knee without pain (MUCH greater range of motion). Last night I woke up in the middle of the night ONLY because I had to go to the bathroom -- the stabbing pain was absent. So the cortisone shot is already working.

From what I've read and what my PA said, I can expect a bit more improvement over the next couple of days. I don't want to get my hopes up as I DO still have some pain, but it's already much better than it was pre-shot. What I'm hoping for is enough lessening of pain so that I can easily do housework, do some gardening, walk, bike, and do other exercises because for me, that is THE best weight control "method" (my everyday diet is pretty good already).

I am curious as to what others' experiences have been RIGHT AFTER the shot and over the next few weeks? (And PLEASE, let's not have this degenerate into a discussion of how bad "traditional medicine" is or how doctors are only out for themselves etc.!) Thanks in advance!

Karen,
I've had two cortisone shots over the past couple months. I'm 64 and have been dealing with this torn meniscus issue since I was 50. My situation has similarities to yours, but also some differences. My goal was to prepare for and play in a charity basketball game. I found a physical medicine doctor who ordered an x-ray and gave me a cortisone injection for what he said was bursitis in my knee. I have mild arthritis and a torn meniscus, but he thought bursitis was causing most of my pain. He also referred me a sports medicine doctor who he said did a treatment that he did not do. The first injection did nothing so I had the appointment with the second doctor. It seemed that it was a referral for PRP injections. He said I did not have bursitis and since I did not want to go forward with the PRP, he suggested cortisone and Euflexxa at the same time. He said my arthritis was not that bad. He drained 50cc of fluid from the knee and injection it using an ultrasound machine. This was on a Thursday and he did not want me to do any strenuous exercise until the following Monday.



The knee felt good over the weekend. I played basketball that Monday and had pain afterwards. I tried running later that week and could not run. The following week I played basketball Monday, Tuesday, and had the charity game on Thursday. The game was full court on a college court. It has been a week and my knee is still hurting.


My thoughts comparing to your situation. I think the cortisone would have lasted a lot longer if I had not pushed it, The cortisone/Euflexxa gave me some immediate relief. I think draining the fluid from my knee also helped. All of this was temporary however. I think if you take it easy on your knee, you will delay the pain from returning for a longer period of time. They say the cortisone injections are not good for your joints but when the only alternative is a knee replacement, what options do you have? At 64, I'm satisfied to get a little more time playing basketball, etc. That may have been my last full court game but it was worth it.


BTW, I'm also interested in thoughts on stem cell/PRP.
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Old 05-02-2019, 05:51 PM
 
2,684 posts, read 1,003,243 times
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"....experiences have been RIGHT AFTER the shot and over the next few weeks?"

wonderful.
on the drive home from the injection, the pain disappeared
and it stayed gone for 11 months. then i got another one.
11 months later....got another.
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Old 05-02-2019, 08:20 PM
 
Location: Tucson Arizona
3,648 posts, read 1,533,234 times
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The therapist gave me a shot in my thumb which did nothing. Went to the specialist a few weeks later, had the same dosage but aimed better, pain gone. He said it should last a year. It's been 4-5 years at least, with no recurrence.
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Old 05-02-2019, 08:46 PM
 
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I have had a few cortisone shots in my knees. How well it works depends on the issue. If it is arthritis, they said it is highly effective because it will reduce inflammation. I had one for my right knee and had been on crutches and was told I had a torn meniscus, osteoarthritis, bone spurs and no inner cartilage due to bow legs. It helped immediately and I regained full use and it has been very good for many years. Can't run or twist though. It was a full recovery. I have torn the meniscus in my right knee 3 or 4 times. One time it popped like a rubber band breaking.



I had a shot in my left knee and the cortisone shot did not really help much. Had some temporary relief. They told me the shots would not help a torn meniscus much. After 6 months, had another shot. Minimal relief, but still quite a bit of pain. Will give it more time. I have been walking to rehab it and start out fairly well, but after a couple miles, it does become painful. If I take a break and start up again, it relieves the pain for a spell. The other issue is stiffness and soreness after sitting at a desk.
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Old 05-02-2019, 10:10 PM
 
Location: Honolulu
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I had a shot in each of my shoulders in the past. I don't have arthritis, the doctor told me it was probably bursitis or some other kind of inflammation. Each time it started out a little sore and over the next few days got steadily more painful until I finally went to the doctor and he gave me a cortisone shot. Both times it was so painful, over the counter or even prescription painkillers like Vicodin didn't have any effect. I couldn't sleep since I was in constant pain.

I didn't notice any relief from the pain until about a day after the shot. By day 2 it was still painful but noticeably better. After that it consistently got less painful over the next few days. It took about a week for the pain to mostly subside. About 2 weeks for no pain at all.
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Old 05-03-2019, 12:43 AM
 
Location: on the wind
6,385 posts, read 2,557,034 times
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Quote:
Originally Posted by townshend View Post
Are all you sure that these knee injections were cortisone shots?

I haven't worked in orthopedics recently, but when I did, and I had one job (as a physician assistant) where I did knee injections and I don't think this has changed, the substance injected into the knee joint was hyaluronic acid: https://www.mayoclinic.org/drugs-sup...n/drg-20074557
Yes, I know it was cortisone/steroid. Joint therapy with hyaluronic acid didn't exist yet.
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Old 05-03-2019, 02:53 AM
 
Location: Eugene, Oregon
8,761 posts, read 2,818,691 times
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I've been taking glucosamine hydrochloride from Schiff and MSM for almost 20 years and my knees and other joints have continued to get better. And I run every day on pavement. I'd run on grass or a soft trail if it was available, but such places are too far away. Sometimes wearing the right brand and model of running shoes for all your activity can help, instead of wearing traditional shoes. If you go to medical or dental clinics, almost everyone who works there, is wearing running shoes
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Old 05-03-2019, 03:56 AM
 
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That's an excellent point about shoes as they can make a big difference. I wear Asics when home and shopping. I also wear Skecher's as they have very good cushioning. I am yet to find a casual work shoe that is as comfortable as an Asic's running shoe. Some of the Skecher's are very good.
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Old 05-03-2019, 04:51 AM
 
146 posts, read 82,333 times
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I haven't had a cortisone shot so I can't comment on that. However I've also had some bad knee pain. Last month I went to Florida to visit my mother. Along with my bother we decided to go to Disney and I knew there would be a lot of walking which concerned me.

For many weeks before I went I took anti-inflammatory supplements and worked on some knee exercises to strengthen the area around the knee. It helped somewhat but not enough so I decided to see my doctor and was ready to get a cortisone shot. However just before I saw my doctor, my big toe (same leg as the bad knee) started to hurt a lot. The pain was sudden and I could hardly walk it was so bad!

The doctor took xRays of both knee & toe and it turns out that I have bone spurs on both the knee & toe along with some arthritis on the knee. He gave me some prednisone pills to take & bring down the swelling. They were amazing! I only took half of the dosage (I don't like taking a lot of meds plus prednisone has a lot of bad side effects) over the Florida trip but I was able to walk!

I've been back home a few weeks now and I'm still taking my anti-inflammatory supplements (stopped the prednisone after a week) and though my knee doesn't feel like it did when I was young, it's better than it was for months before!...I hope it lasts but I'm afraid that at some point the horrible pain will return.

I'm not sure yet what to do if anything about the bone spurs. I'll have to see a specialist if it starts to bother me again.
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