Go Back  Bike Forums > Bike Forums > Fifty Plus (50+)
Reload this Page >

Cortisone shot for shoulder pain...

Fifty Plus (50+) Share the victories, challenges, successes and special concerns of bicyclists 50 and older. Especially useful for those entering or reentering bicycling.

Cortisone shot for shoulder pain...

Old 05-21-13, 01:13 PM
  #1  
eja_ bottecchia
Senior Member
Thread Starter
 
eja_ bottecchia's Avatar
 
Join Date: Jul 2010
Posts: 5,131
Mentioned: 5 Post(s)
Tagged: 0 Thread(s)
Quoted: 658 Post(s)
Liked 43 Times in 33 Posts
Cortisone shot for shoulder pain...

About three months ago I took a fall and landed hard on my left shoulder and left hip.

The pain to my left hip went away after about a month. the left shoulder, however, continues to hurt.

At first I tried all the usual remedies, ice packs, Motrin, sleeping on my back (as opposed to sleeping on my side/shoulder),offerings to the Madonna de Ghisallo.

The only thing that I have not tried is rest.

I went to an ortho about a month ago and he took x-rays. There is no rotator cuff tear/injury and there is no physical evidence of trauma or damage to the shoulder joint.

He gave me some samples of Celebrex and prescribed Tramadol. He also suggested PT and, if that did not work, then a shot of cortisone.

The Celebrex worked while I was taking it (while at the LB Tour de Cure). The Tramadol just does not seem to work at all, however.

I have not gone to PT because of time issues.

So now I am considering taking a cortisone shot.

Has any one here had a cortisone shot to the shoulder for shoulder pain? Did it help? (Much? Little? Not at all?). Any lingering side effects from the cortisone shot.

The pain on my shoulder is driving me nuts. It makes it hard to get a good night's sleep, so I am now sleepy and crankier than usual.

Climbing out of the saddle hurts my shoulder.

Because of the shoulder pain I have adjusted my riding position which has now caused the rest of my left arm, down to the elbow, to hurt.

Any suggestions, comments, ideas? I would especially like to hear about your experiences with cortisone shots.

Thanks a bunch!
eja_ bottecchia is offline  
Old 05-21-13, 03:09 PM
  #2  
fietsbob 
coprolite
 
fietsbob's Avatar
 
Join Date: Jun 2010
Location: NW,Oregon Coast
Posts: 40,916

Bikes: 8

Mentioned: 182 Post(s)
Tagged: 0 Thread(s)
Quoted: 6556 Post(s)
Likes: 0
Liked 64 Times in 57 Posts
You need to talk to Your Doctor. not strangers over the web.


Tube sock full of (uncooked) rice heated in a Microwave , is a good Hot Pack .

frozen packets of Blue Ice for the cold.

Last edited by fietsbob; 05-21-13 at 03:13 PM.
fietsbob is offline  
Old 05-21-13, 03:30 PM
  #3  
jim p
Senior Member
 
Join Date: Apr 2006
Posts: 1,036
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 4 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
You will probably love the shot. Your shoulder will probably feel great and you will ride like it is well then in about 6 weeks you will be wondering what you did to cause your shoulder to hurt again.

The shot along with PT / full range of motion movement and staying off the bike for a while would probably do wonders.

I am not a doctor but suffered with frozen shoulders for 3 years. I only used yoga to help heal mine. Yoga takes a long time to work without other medical attention.
jim p is offline  
Old 05-21-13, 03:58 PM
  #4  
eja_ bottecchia
Senior Member
Thread Starter
 
eja_ bottecchia's Avatar
 
Join Date: Jul 2010
Posts: 5,131
Mentioned: 5 Post(s)
Tagged: 0 Thread(s)
Quoted: 658 Post(s)
Liked 43 Times in 33 Posts
Originally Posted by fietsbob View Post
You need to talk to Your Doctor. not strangers over the web.


Tube sock full of (uncooked) rice heated in a Microwave , is a good Hot Pack .

frozen packets of Blue Ice for the cold.
Thanks for the suggestions re: hot and cold packs. I have been icing it but not heating it.

Not really asking for medical advice (I know better than to ask for medical advice here...I've seen what happens when others do that).

Just wanted to know what everyone's experiences with cortisone shots have been like. That comes under the "how did it feel to you?" heading, rather than the, "should I do it?" heading.
eja_ bottecchia is offline  
Old 05-21-13, 04:02 PM
  #5  
eja_ bottecchia
Senior Member
Thread Starter
 
eja_ bottecchia's Avatar
 
Join Date: Jul 2010
Posts: 5,131
Mentioned: 5 Post(s)
Tagged: 0 Thread(s)
Quoted: 658 Post(s)
Liked 43 Times in 33 Posts
Originally Posted by jim p View Post
You will probably love the shot. Your shoulder will probably feel great and you will ride like it is well then in about 6 weeks you will be wondering what you did to cause your shoulder to hurt again.

The shot along with PT / full range of motion movement and staying off the bike for a while would probably do wonders.

I am not a doctor but suffered with frozen shoulders for 3 years. I only used yoga to help heal mine. Yoga takes a long time to work without other medical attention.

Thanks. Staying off the bike will drive me (and those around me as well) bonkers.

My shoulder was fine until I fell and hit it.

I have read in several places that people who are 50 and over and have diabetes are at a higher risk for "frozen shoulder." Well, that is two strikes against me.

And I had been doing sooooo well.

Frozen shoulder for three years? Dang it. How did you survive?
eja_ bottecchia is offline  
Old 05-21-13, 04:04 PM
  #6  
DnvrFox
Banned.
 
DnvrFox's Avatar
 
Join Date: Aug 2001
Posts: 20,917
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 1 Time in 1 Post
As I understand it, Cortisone tends, with too much use, to destroy tissue. I took a couple for my never-ending hip bursitis - they have to be about 3-4 months apart, but, really, it didn't help much.

What did help - a lot - was some prescribed PT exercises/stretching, which I do daily religiously. Being my hip, I emphasize stretching the IT Band and strengthening the hip flexors with things such as band walking. Shoulder exercises would, of course, be different. My wife has a bad shoulder area and does PT stuff.

My point? Get thee to a physical therapist.

Last edited by DnvrFox; 05-21-13 at 04:15 PM.
DnvrFox is offline  
Old 05-21-13, 04:07 PM
  #7  
qcpmsame 
Semper Fi
 
qcpmsame's Avatar
 
Join Date: Jan 2008
Location: Barrineau Park, Florida
Posts: 12,367

Bikes: '80 Medici Pro Strada, '86 Tommasini Prestige, '12 CAAD 10 Ultegra

Mentioned: 81 Post(s)
Tagged: 0 Thread(s)
Quoted: 965 Post(s)
Liked 2 Times in 2 Posts
I had to have one in an ankle a while back, it hurt like hell getting it as the doctor fished for the nerve he wanted but, it worked as advertised. Hard consistent pain went away and I was able to go to work and resume weight workouts and riding that evening. If the doctor says it is indicated and nothing does it I'd take them up on having one. I cannot use Celebrex or Tramadol due to kidney disease so the cortisone would be my first question to the doctor. Hope you can get the pain stopped, being off the bike is the pits.

Bill
__________________
I Didn't Choose To Have Parkinson's Disease, I Have Chosen Not To Allow It To Define How I Live
Life Member "Hairy Eared Engineer's Society"
"I Can Do All Things Through Christ, Whom Strengthens Me" Philippians 4:13
qcpmsame is offline  
Old 05-21-13, 04:13 PM
  #8  
sotramk
Senior Member
 
Join Date: Jan 2013
Location: Ohio
Posts: 65

Bikes: Trek 1100

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Originally Posted by eja_ bottecchia View Post
Thanks. Staying off the bike will drive me (and those around me as well) bonkers.

My shoulder was fine until I fell and hit it.

I have read in several places that people who are 50 and over and have diabetes are at a higher risk for "frozen shoulder." Well, that is two strikes against me.

And I had been doing sooooo well.

Frozen shoulder for three years? Dang it. How did you survive?
Been dealing with frozen shoulder for the past two years. It ain't no fun. Getting close to normal now. Could not imagine three years of that.

eja, did you have an MRI done?
Let it rest,IMO. Cortisone will hide the symptoms but if you keep using it it won't heal.
Not a Doc, just offering an opinion.
sot
sotramk is offline  
Old 05-21-13, 04:34 PM
  #9  
digibud
Senior Member
 
digibud's Avatar
 
Join Date: Oct 2009
Location: Further North than U
Posts: 1,993

Bikes: Spec Roubaix, three Fisher Montare, two Pugs

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 37 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
I have two fully torn rotator cuffs. I got a single shot in each arm two years ago and followed with physical therapy. The phy therapy is probably as important as the shot was. If you have no rotator cuff problem it's quite likely good phys therapy would be all that's needed. You basically have four main muscles in your shoulder and having them "balanced" is pretty important. You may also have some boney spikes that are impinging on muscle/nerves. Multiple cortisone shots is a real concern. Cortisone helps the pain but it damages the joint. I would make Phy Therapy a major effort sacrificing whatever you have to do in order to do that before getting a shot. A good phys therapist can show you the proper exercises using "rubber bands" or whatever so you should only need one or two sessions at the clinic followed by work on your own at home.
digibud is offline  
Old 05-21-13, 07:15 PM
  #10  
jalbri
Senior Member
 
jalbri's Avatar
 
Join Date: Jan 2007
Location: Basking Ridge, New Jersey
Posts: 78

Bikes: Cannondale T600, 2013 Cannondale Synapse 6

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
About ten years ago I had the same shoulder issues that you describe. Painful, limited range of motion, couldn't sleep on my side, etc. Doctor recommended cortisone shot and some exercises. The shot did wonders. It took about three weeks to kick in, but shoulder became pain-free and has remained so since then. I'm not a doctor, but I would think, based on my own experience, that it would be worth a try.
jalbri is offline  
Old 05-21-13, 07:16 PM
  #11  
Don in Austin
Don from Austin Texas
 
Join Date: Jul 2009
Location: Austin, Texas
Posts: 1,212

Bikes: Schwinn S25 "department store crap" FS MTB, home-made CF 26" hybrid, CF road bike with straight bar, various wierd frankenbikes

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 11 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
"I have not gone to PT because of time issues......."

Strongly recommend you find the time.
Don in Austin
Don in Austin is offline  
Old 05-21-13, 07:30 PM
  #12  
msujmccorm
Senior Member
 
msujmccorm's Avatar
 
Join Date: Mar 2013
Location: South MS
Posts: 132

Bikes: Madone 5.9, 1980 Raleigh SGP,Trek 3500

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 4 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
I had the shot a few years ago and was pain free for 6 months. The pain came back and I stupidly continued to play tennis. By doing so I ended up shredding the rotator cuff and had to have open surgery instead of getting scoped. If the shot works but the pain comes back, be careful, cause that surgery was tough to recover from.
msujmccorm is offline  
Old 05-21-13, 07:49 PM
  #13  
jppe
Let's do a Century
 
jppe's Avatar
 
Join Date: Oct 2004
Location: North Carolina
Posts: 7,328

Bikes: Cervelo R3 Disc, Pinarello Prince/Campy SR; Cervelo R3/Sram Red; Trek 5900/Duraace, Cervelo P2C/Duraace, Cannondle Tandem/Ultegra, Lynskey GR260 Ultegra

Mentioned: 34 Post(s)
Tagged: 0 Thread(s)
Quoted: 318 Post(s)
Liked 15 Times in 11 Posts
I had shoulder issues from riding. I got the shot and shortened my reach, replaced my bike with a more forgiving fork and the pain went away.
__________________
Ride your Ride!!
jppe is offline  
Old 05-21-13, 08:01 PM
  #14  
BlazingPedals
Senior Member
 
BlazingPedals's Avatar
 
Join Date: Dec 2004
Location: Middle of da Mitten
Posts: 10,853

Bikes: Trek 7500, RANS V-Rex, Optima Baron, Velokraft NoCom, M-5 Carbon Highracer, homebuilt recumbent

Mentioned: 8 Post(s)
Tagged: 0 Thread(s)
Quoted: 865 Post(s)
Likes: 0
Liked 2 Times in 2 Posts
Originally Posted by Don in Austin View Post
"I have not gone to PT because of time issues......."

Strongly recommend you find the time.
Don in Austin
Plus eleventy-eleven. I've had shoulder problems through the years. Old swimming/diving overuse injuries coming back to haunt me. Cortisone helped a little bit, for a short time. Like a few others wrote, it helps with the pain but doesn't do anything about the underlying condition. Do the PT. You'll be glad you did.

Oh, and the P. Therapist will probably tell you that it's OK to keep riding.
BlazingPedals is offline  
Old 05-21-13, 08:25 PM
  #15  
eja_ bottecchia
Senior Member
Thread Starter
 
eja_ bottecchia's Avatar
 
Join Date: Jul 2010
Posts: 5,131
Mentioned: 5 Post(s)
Tagged: 0 Thread(s)
Quoted: 658 Post(s)
Liked 43 Times in 33 Posts
Thank you for all of your insight. I have made an appointment to see the PT. I see her on Thursday--I will report back after our first session.
eja_ bottecchia is offline  
Old 05-21-13, 08:58 PM
  #16  
ratdog
Senior Member
 
Join Date: Mar 2005
Location: New York City
Posts: 875
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Also go and seek another opinion, but this time go see a sports doctor and ask if you should get an MRI. X-rays are excellent for seeing damage to bone and will show muscle and tendons, but will not show damage damage to muscle and tendons as clearly as the MRI.
ratdog is offline  
Old 05-22-13, 05:42 AM
  #17  
Artmo
Senior Member
 
Join Date: Feb 2005
Location: SW Florida
Posts: 1,460

Bikes: '06 Bianchi Pista; '57 Maclean; '10 Scott CR1 Pro; 2005 Trek 2000 Tandem; '09 Comotion Macchiato Tandem; 199? Novara Road; '17 Circe Helios e-tandem

Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Quoted: 83 Post(s)
Likes: 0
Liked 3 Times in 2 Posts
Originally Posted by ratdog View Post
Also go and seek another opinion, but this time go see a sports doctor and ask if you should get an MRI. X-rays are excellent for seeing damage to bone and will show muscle and tendons, but will not show damage damage to muscle and tendons as clearly as the MRI.
+1
I have had both shoulders surgically fixed. The first one I suffered with for about two years because the orthopedic surgeon kept telling me it was bursitis and gave me cortisone shots every few months, which were a temporary help. The pain kept me awake and made my life miserable. I eventually got a second opinion and MRI and found I had a tear in the rotator cuff. Never did discover how I did it. Had surgery and initially VERY painful PT for three months and it was 100%. Many years later I had to have the other one done. By far the worst pain is when they start the PT right after the surgery. Get an MRI and good luck.

Last edited by Artmo; 05-22-13 at 05:47 AM.
Artmo is offline  
Old 05-22-13, 06:28 AM
  #18  
jim p
Senior Member
 
Join Date: Apr 2006
Posts: 1,036
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 4 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
I did have one cortizone shot 40 years ago and it worked great for gout in my ankle.

If you are heading down the road of frozen shoulder. I really don't know what would help. My shoulders started out just being sore and then painful. Luckily only one shoulder had a problem at a time so I was able to ride by just using one arm most of the time. I tried using as much range of motion movements as I could while I had the problem. As you know there is a point of pain that you can't continue to move the shoulder.

Try googling all that you can about frozen shoulders and maybe you can find something that will help.

If there is nothing torn or bone spurs, then run if anyone suggest cutting on anything.

As soon as my shoulders started recovering I started a yoga program and now I have more range of motion than I did before the problem started. If you work with it you will make a full recovery. It is very possible that bike fit is contributing to your problem.
jim p is offline  
Old 05-22-13, 08:39 AM
  #19  
Looigi
Senior Member
 
Looigi's Avatar
 
Join Date: Dec 2010
Posts: 8,951
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 12 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
FWIW, cortisone shots often include an anesthetic like lidocaine which provides instantaneous and miraculous cessation of pain and soreness, albeit temporary. For me the cortisone helped for a few days, but in the end surgery relieving an impingement did the trick. IMO, it's certainly worth trying, but I don't think it often resolves the issue, though it may kickstart the healing process with following rest.
Looigi is offline  
Old 05-22-13, 08:54 AM
  #20  
eja_ bottecchia
Senior Member
Thread Starter
 
eja_ bottecchia's Avatar
 
Join Date: Jul 2010
Posts: 5,131
Mentioned: 5 Post(s)
Tagged: 0 Thread(s)
Quoted: 658 Post(s)
Liked 43 Times in 33 Posts
Originally Posted by ratdog View Post
Also go and seek another opinion, but this time go see a sports doctor and ask if you should get an MRI. X-rays are excellent for seeing damage to bone and will show muscle and tendons, but will not show damage damage to muscle and tendons as clearly as the MRI.
Good idea. I generally seek out doctors who are also into sports, preferably cycling. that way they understand where I am coming from.

The ortho is an avid cyclist.

My Lasik surgery doctor is also an avid cyclist (and a friend of Bill Holland).

My asthma doctor is also a cyclist and marathoner.

My diabetes doctor is "only" a horse rider though.

An MRI may be next in line.
eja_ bottecchia is offline  
Old 05-22-13, 08:59 AM
  #21  
eja_ bottecchia
Senior Member
Thread Starter
 
eja_ bottecchia's Avatar
 
Join Date: Jul 2010
Posts: 5,131
Mentioned: 5 Post(s)
Tagged: 0 Thread(s)
Quoted: 658 Post(s)
Liked 43 Times in 33 Posts
Originally Posted by jim p View Post
I did have one cortizone shot 40 years ago and it worked great for gout in my ankle.

If you are heading down the road of frozen shoulder. I really don't know what would help. My shoulders started out just being sore and then painful. Luckily only one shoulder had a problem at a time so I was able to ride by just using one arm most of the time. I tried using as much range of motion movements as I could while I had the problem. As you know there is a point of pain that you can't continue to move the shoulder.

Try googling all that you can about frozen shoulders and maybe you can find something that will help.

If there is nothing torn or bone spurs, then run if anyone suggest cutting on anything.

As soon as my shoulders started recovering I started a yoga program and now I have more range of motion than I did before the problem started. If you work with it you will make a full recovery. It is very possible that bike fit is contributing to your problem.
I Googled "frozen shoulder" or "50s shoulder."

Dang it, it sucks to get old.

I found out that with frozen shoulder syndrome people over fifty are at risk, people with diabetes are at risk and people with over-active immune systems are also at risk.

That is three strikes against me.

I have an appointment with the PT for this Thursday and a f/u appointment with the ortho for Friday.

I will keep you all posted.

Thank you for your comments and suggestions.
eja_ bottecchia is offline  
Old 05-22-13, 09:41 AM
  #22  
ksisler
Senior Member
 
Join Date: Sep 2012
Posts: 1,718
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 22 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Tramadol is a great non-addictive Rx-only pain killer for muscle pain (tears, sprains, serious bruises, etc.).

Most Docs want to write you a Rx for some variant of Oxy or Perc or Codeine, all of which are dangerously additive, so you have to push the Doc to consider writing the Rx for something less dangerous like Tramadol. They must make more off the scary stuff or just never learned about Tramadol or never had to deal with addicted patients.

Tramalol is howver, pretty useless for bones, joint, cartilage, or tendon injury. If it did little to no good for you, then there is a good chance you have an injury that has not be diagnosed correctly yet.

On the other hand, Cortizone is a great help for damaged or worn out joints, etc. It is really good at reducing fluid accumulation in old knees, hips, etc. It can help put off surgery for a few years or maybe decades when IBuprofen just won't do the job.

There is however no drug without some side-effects or risks so it is best to get real problem diagnosed correctly and then get it repaired or healed.

/K
ksisler is offline  
Old 05-22-13, 04:03 PM
  #23  
gcottay
Senior Member
 
gcottay's Avatar
 
Join Date: Jul 2007
Location: Green Valley AZ
Posts: 3,770

Bikes: Trice Q; Volae Century; TT 3.4

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Originally Posted by eja_ bottecchia View Post
. . . . I have not gone to PT because of time issues . . . .
In my limited experience the shot provided some relief but it was PT that gradually put everything right.
gcottay is offline  
Old 05-22-13, 04:23 PM
  #24  
Artmo
Senior Member
 
Join Date: Feb 2005
Location: SW Florida
Posts: 1,460

Bikes: '06 Bianchi Pista; '57 Maclean; '10 Scott CR1 Pro; 2005 Trek 2000 Tandem; '09 Comotion Macchiato Tandem; 199? Novara Road; '17 Circe Helios e-tandem

Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Quoted: 83 Post(s)
Likes: 0
Liked 3 Times in 2 Posts
Originally Posted by gcottay View Post
In my limited experience the shot provided some relief but it was PT that gradually put everything right.
The fact that the OP fell on his shoulder tells me that there might be tissue damage as opposed to strain. I'm no doctor, but I had PT for my second shoulder problem for months with no success, then a MRI showed a tear. Get a proper diagnosis before wasting money on PT.
p.s. the ortho could not tell him what what is wrong. That sounds like a second opinion is in order.

Last edited by Artmo; 05-22-13 at 04:28 PM. Reason: Afterthought
Artmo is offline  
Old 05-22-13, 09:18 PM
  #25  
jimblairo
Senior Member
 
Join Date: Oct 2004
Location: Montreal, Quebec
Posts: 947

Bikes: Litespeed Ultimate 2006, Litespeed Pisgah , Specialized Roubaix 2008, Trek Madone 2011

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 3 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
My right rotator cuff has been very painful for over the past two years and I tried Celebrex and physio with poor results.
I decided to try acupuncture and I've had 6 treatments and I'm pain free and sleeping well at night.
jimblairo is offline  

Thread Tools
Search this Thread

Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service

Copyright 2018 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.