What is cortisone?
Cortisone is a synthetic (man-made) form of cortisol, a steroid naturally produced in the adrenal gland and released during times of stress. Cortisone functions similarly to cortisol but comes in a more potent range of strengths. This hormone is released during stressful periods and serves various functions in the human body, such as reducing inflammation. Cortisol is categorized as a corticosteroid, which refers to a steroid hormone created by the adrenal glands. It is important to note that while cortisone and cortisol are steroids, they should not be mistaken for anabolic steroids such as testosterone, which boost male traits and athletic abilities. In contrast, cortisone and cortisol serve as anti-inflammatories by suppressing the immune system and reducing inflammation in damaged tissues.
How do cortisone injections work?
When it comes to orthopedic treatment, cortisone is administered directly to the inflamed area. Often mistaken for pain relievers, cortisone is not a pain medication but an anti-inflammatory agent. Its mechanism involves temporarily stopping collagen production, thereby suppressing inflammation by inhibiting collagen-producing cells in the tendon or joint. This process calms nerves and indirectly alleviates pain. While it may provide temporary relief of pain and swelling, it is important to recognize that cortisone addresses symptoms and not the root cause of inflammation.
Cortisone effects begin immediately upon injection. However, the timeframe for patients to experience relief can vary. Some individuals may notice instant relief, whereas others experience a gradual decrease in pain over days or weeks. In cases of severe inflammation or chronic conditions during treatment, pain relief may not be as significant.
Are cortisone injections safe?
Cortisone injections are considered safe and effective when used properly. The risks associated with cortisone treatment of tendons are tied to the way cortisone works. Due to the high proportion of collagen in tendon fibers, tendons have the highest tensile strength of all our connective tissues. But cortisone works by shutting down collagen production in the tendon cells. As a result, when you get a cortisone shot, your tendon tissue stops making new collagen. Over time, repeated injections may weaken tendon tissue, and may be responsible for tendon ruptures.
In patients this diabetes, cortisone injections can cause a temporary elevation of blood sugars.
Are cortisone injections appropriate for me?
You will need to consult your physician to determine if cortisone may by appropriate for you as well as to discuss specific risks and benefits in your case.
