Training & Nutrition - What's your experience with cortizone shots?

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trmcgeehan
05-15-03, 07:58 AM
I have been having trouble with my left knee lately, as a result of spending two weeks on my knees refinishing floors in my house. After three weeks of pain, I went to a doctor, who injected 4 cortizone shots in my knee. This procedure hurt like hell, but it was worth it! The next day, I woke up to find my knee was as good as new. No pain! The doc said this "cure" might last 6 days, 6 months or forever. There's no way to tell going in. I was wondering if any of you have had expience with cortizone? What was the long term result?
A word of warning. If you find yourself on your knees alot, buy good knee pads! I was using an old, thin pair of pads, which slipped off my knee often. So much of the time, I was kneeling on the wood floor with no protection. The doc said this put alot of pressure on my knee cap, which scrunched the cartilage. After this experience, I went out and bought the best pair of pads I could find at Lowes. They have a gel center, and I was told this is what the tradesmen use when they're on their knees all day. They cost $30, but I think they are worth it.
I think I got into my knee dilemma by running. For 25 years, I was a runner, and competed in 12 26 mile marathons. It took its toll, evidentally. So when I couldn't run any more, I turned to cycling, which has been much easier on my knees.
Hope to hear from you if you've had a cortizone experience. The doc said I can't keep going the cotizone route, because each successive shot is less effective. Thanks for listening.


ZackJones
05-15-03, 08:12 AM
I had to have a cortizone shot not too long ago and I'm loving life since I had it. I have/had a heel spur in my left foot. I tried stretching, 6 weeks of PT, etc, etc and nothing seemed to help. Finally they gave me the shot. Since having the shot I have been able to walk without any pain. I'm hoping the single shot did the trick. If for some reason the pain comes back I'll go back for another one.

Zack

bac
05-15-03, 08:52 AM
The downside of cortizone is that it's only masking the pain - addressing the symptom and not the underlying problem, if you will.

If your pain is related to an issue that can cause long-term problems (arthritis, tendonitis, etc) - well, you do the math.


cbhungry
05-15-03, 10:46 AM
The theory behind cortisone shots in the knee vs. the heel spur (really a plantar fasciitis) is that the cortisone slows down the degradation of the cartilage from enzymatic breakdown released from the cartilage cells called chondrocytes. (I am assuming you have significant osteoarthritis in that knee just from your age. ) This is different from injecting a tendonitis to get rid of the inflammation and pain. The cortisone decreases the proteolytic enzymes that alter the glycosaminoglycans and all the other good stuff that keeps it healthy. However, if given more frequently then 3 months it does just the opposite. Some people need the shots every 3 months, others never again.
Of course modifying behavor that may be affecting your knee is important. Have you gained 10 pounds recently? A ten pound weight gain can increase the force on your knees by 2000 pounds per square inch. Sometimes a modest weight loss can help.there are alot of good studies with glucosamine chondroitin (1500 mg a day) although the effects can take up to nine weeks of usage. Hopefully, this one shot will do the trick.