KNEEtalk

The OSTEOARTHRITIS DEPARTMENT => KNEE ARTHRITIS - Injections into the joint => Topic started by: happybunny on April 16, 2007, 03:48:34 AM

Title: How long do the effects of a cortisone injection last?
Post by: happybunny on April 16, 2007, 03:48:34 AM
I had a cortisone injection in my knee on Friday and it is like a miracle! I am walking almost normally and the pain is reduced by 90%. I am now afraid this wont last.

I have severe osteoarthritis after the removal of my medial meniscus 25 years ago. I am taking Mobic 15 mg per day, which I hope will now be more effective since the inflammation seems to have calmed. I was at about the end of my rope pain-wise, so I am so happy this has worked. I just hope it lasts for a long time?

What has been everyone's experience with this?
Title: Re: How long do the effects of a cortisone injection last?
Post by: knee deep in Goo on April 16, 2007, 03:59:17 AM
Good Luck. I hope your leg is able to get stronger so your pain subsides.  Have you tried any type of viscosupplementation? It is also another thing you can try to help reduce your OA pain .
Title: Re: How long do the effects of a cortisone injection last?
Post by: susieq2007 on April 16, 2007, 04:49:19 AM
After my cortisone shot, I walked normally and was pain free for 3 days. That was it. I tried the series of Supartz injections after that. Those shots did not help. Ultimately, I had my total knee replacement surgery on March 27th.of this year.( I had been told that arthroscopy would not help either.) Good luck to you.         Susan :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: happybunny on April 16, 2007, 07:14:16 AM
Good Luck. I hope your leg is able to get stronger so your pain subsides.  Have you tried any type of viscosupplementation? It is also another thing you can try to help reduce your OA pain .

I havent tried the Synvisc yet--that is next on the plan. I am switching insurance plans so I have that complication before I can see my original OS next month and get started on them. I needed immediate pain relief--it had gotten so bad I had developed plantar fasciitis on my left foot, since I was favoring my right leg so much. I feel like things are in a little more control now. Just hope my cortisone lasts longer than the 3 days mentioned!
Title: Re: How long do the effects of a cortisone injection last?
Post by: Almpngcat on April 24, 2007, 06:15:18 PM
Those shots did not help. Ultimately, I had my total knee replacement surgery on March 27th.of this year.( I had been told that arthroscopy would not help either.) Good luck to you.         Susan



Hello Susan...i am curious how is the knee replacement working for you.. I am also curious how are you.. My ortho surgeon completely disaggree of me going throught it  I felt the scope did not help me at all..  The considered me too young to have it and to risky to have it redone.... personal question is at what age group are you. I am in 40's age group.

thank  you,
Mary
Title: Re: How long do the effects of a cortisone injection last?
Post by: lilrosie06 on April 27, 2007, 04:18:08 AM
Mary...I had a cortisone shot last Thursday, and got very little relief for that day and the next, then it was the same pain as always. I, too, am facing a TKR. In fact, OS told me to call him in 2 weeks and schedulean appointmentwith him to either a. schedule synvisc injections....IF the cortisone worked, which it did not or b. schedule an appointment with him to set up my TKR. I am 42. You can read my other posts in patellar femoral, post op diary, calendar of events to get my "knee story". Sounds like we have alot of similarities. Keep in touch.

Donna
Title: Re: How long do the effects of a cortisone injection last?
Post by: happybunny on April 28, 2007, 01:27:38 PM
An update... its been two weeks since my cortisone shot and my knee is still much improved. It was almost 100% pain free (but still felt unstable) the first week--and this week I have a small amount of discomfort but it's totally tolerable. My Mobic also seems to be more effective now that the inflammation has been calmed, and seems to be maintaining. One thing that I did notice--how much the pain had limited me without really knowing it--suddenly I am doing more yard and house work, playing more with the kids I see as a therapist and walking like a normal person again! I now feel very hopeful that the Synvisc injectins might have a real chance to work since I experienced so much relief. :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: stickshifty on May 03, 2007, 10:44:51 PM
I'm glad the cortisone has lasted for you! It only lasted for a week for me. The day after was the worst pain I have experienced in my life, but the week it was gone was the best week of my life.

Too bad I had to march in the Hollywood Christmas Parade two weeks after the shots... it would have been nice if it lasted that long.

:ST!CK:SH!FTY:
Title: Re: How long do the effects of a cortisone injection last?
Post by: susieq2007 on May 15, 2007, 03:41:47 AM
Hi Mary,

It's me, Susan. To answer your questions, I am 59 years old. Believe it or not, I had two orthopedic surgeons tell me that I was "too young for a tkr." After trying cortisone, Supartz injections (fluid therapy) prescription pain meds and pain patches and physical therapy, I was still limping and having horrid pain. The third orthopedic surgeon recommened the tkr. He was adamant that arthoscopy would not help me...could possibly make the situation worse.

I know that the revision surgery could be in 15-20 years. Hopefully modern medicine will continue to advance. (currently the revision surgery is supposedly more difficult than a tkr)

I'm coming along. It's been quite an ordeal. The knee pain that I had is definitely gone. :)  What I'm dealing with now is getting the strength back in the leg; in order for me to navagate without a cane. I know that I'll have to perpetually continue with strenthening exercises. A recumbent bike, along with swimming, is the exercise that has been recommended.

I'm optomistic that better days are ahead.                  Good Luck to you. 
Title: Re: How long do the effects of a cortisone injection last?
Post by: jathib on May 15, 2007, 06:59:17 PM
An update... its been two weeks since my cortisone shot and my knee is still much improved. It was almost 100% pain free (but still felt unstable) the first week--and this week I have a small amount of discomfort but it's totally tolerable. My Mobic also seems to be more effective now that the inflammation has been calmed, and seems to be maintaining. One thing that I did notice--how much the pain had limited me without really knowing it--suddenly I am doing more yard and house work, playing more with the kids I see as a therapist and walking like a normal person again! I now feel very hopeful that the Synvisc injectins might have a real chance to work since I experienced so much relief. :)

Cortisone and Synvisc injections are two totally different things. I got no relief from either one and I would not recommend Synvisc to anyone. From what I've read, the majority of people get no benefit. Either way the results will be temporary. I once had a cortisone injection in my shoulder that lasted three weeks. That's the most relief I've ever gotten. I had a PKR back in December and for the first time in about 30 years I have no pain during the day and only minor pain and stiffness at night.
Title: Re: How long do the effects of a cortisone injection last?
Post by: happybunny on May 16, 2007, 05:23:26 AM

Cortisone and Synvisc injections are two totally different things. I got no relief from either one and I would not recommend Synvisc to anyone. From what I've read, the majority of people get no benefit. Either way the results will be temporary. I once had a cortisone injection in my shoulder that lasted three weeks. That's the most relief I've ever gotten. I had a PKR back in December and for the first time in about 30 years I have no pain during the day and only minor pain and stiffness at night.

Oh I know they are totally different. I am just hoping that a less-inflamed knee = better chance for the Synvisc to work. My cortisone shot is still working somewhat, a month later. Not as great as the first week, but not unbearable either--and I totally overdid it on vacation by doing some hiking :(

I know the results are temporary, but I really dont want to have a TKR. Someone I know had one (granted, she is much older than I) and she lost almost 2 years of her life to this surgery. She had the TKR, then the prosthesis got infected, had to be taken out, her leg had to recover from the infection (with a steel rod in place) and THEN she had to redo the TKR. Sorry, that is just not for me. I will do anything and everything to avoid it and if I can get some time with the Synvisc, I will do it. I am also open to trying the Unispacer or that surgery that realigns your leg bones (forget the name).

What is really concerning me is that my good knee has suddenly begun to act up--pain on straightening it, swelling... I think it is being done in by overuse as I use that leg too much. I see the orthopod next week, so we will see!
Title: Re: How long do the effects of a cortisone injection last?
Post by: lilrosie06 on May 16, 2007, 05:36:03 AM
Susie..How long ago did you have yout TKR? I am going to get scheduled next Thurs...I am 42.

I feel the same way about a "possible" revision. Ill take the chance.

Please tell me about the surgery, hospital stay ,etc.

Thanks...DONNA :D
Title: Re: How long do the effects of a cortisone injection last?
Post by: susieq2007 on May 16, 2007, 08:39:57 PM
Hi Donna,

The key is to have an orthopedic surgeon who specializes in total joint replacement; along with having extensive physical therapy.
Do begin the therapy asap after surgery.

To answer you, I had a spinal. The advantage was that when I woke up in the recovery room I didn't have horrid pain plus there were no tubes in my throat to make it sore. The first couple of days in the hospital were rough. I took Percocet every 4 hours.
I was in the hospital for 4 nights, 5 days.

It is quite an ordeal, I'll admit. Now at 7 weeks, I've gotten the okay to drive the car.  :)  I only used the walker for a couple of weeks before my therapist switched me to the cane. I am hoping to be done with that within the next month.
I always took a prescription pain pill 45 minutes before my therapy appointments.

I'll be going to the local YMCA now to utilize the recumbent bike and the warm therapy pool. It's important to continue exercising to keep the muscles strong; along with the range of motion.

I googled "total knee replacement" before surgery and watched the virtual surgery on Edheads.

The first couple of months have been a challenge but I can see that I'm turning the corner. I no longer have the pain that I had before surgery. :)

Do utilize this website for support. I see by your profile that you and I both live in Pennsylvania. You can see my email address.
Don't be hesitant on emailing me with questions, also.

Keep a positive attitude. Don't be hesitant on leaning on family and friends for help. Better days are ahead, Donna.   Susan

Title: Re: How long do the effects of a cortisone injection last?
Post by: chereb on August 15, 2007, 12:49:07 AM
I had a cortisone injection at the end of May and it was like a miracle! I was pain free and couldnt beleive life could be so good without the constant pain. The injection lasted about 1 week before i started to feel some discomfort and then it just gradually got worse again. Within one month i was back to square one. My GP suggested you could get anything from 2 weeks to 6 months out of the injection. You never know! I would go for it again. My OS refused me it because i was 35 and i would wear on my knee more because i was pain free. He said the pain was there for a reason and that i should listen to it. My resoning was that i was taking my girls to Disneyworld and i wanted some peace to enjoy it!
Title: Re: How long do the effects of a cortisone injection last?
Post by: LisaV on January 25, 2008, 01:50:51 PM
Hi!
Forgive me as I'm a total newbie to this forum.
I had a cortisone injection in November. I had added pain for 48 hours following the jab. Unfortunately I had no relief whatsoever from it. I had such high hopes but nothing wrong with trying. It's great you are getting relief from your pain. I was told at the time relief could be from zero to 6 months with an average time of about 6 weeks.. Hopefully you'll be one of the latter group.
Good luck.
Lisa
Title: Re: How long do the effects of a cortisone injection last?
Post by: Caroline109 on April 01, 2008, 02:51:28 AM
Any cortisone shots I've had, in the knees and shoulders (ones in the feet did nothing), have lasted about 7 weeks. ALthough I wish they lasted longer, they do work really well for  me. As people's reactions differ, your results may be longer, shorter, or no results at all.
Title: Re: How long do the effects of a cortisone injection last?
Post by: sylgerenrda on June 02, 2008, 01:04:53 AM
Hi, I'm new to this forum.  Just read about how long corticone injection last?  I just had one 2 weeks ago and still feel great.  I've been getting one every 3 months.  Sometimes they work for a week and the next time up to l month.  I keep putting off my tkr off this way.  But my life style has changed so much, I am realizing that surgery is a must.  Will go to dr. to make appt for the surgery in a month.
 So glad to read all of the interesting stories of others that have gone before me.  Sylvia
Title: Re: How long do the effects of a cortisone injection last?
Post by: suehaem on June 02, 2008, 10:56:36 PM
Mine is not doing to badly I am about six weeks with a little pain creeping in but did have a few twinges at the three week mark but otherwise not doing to badly.  Was due for another one but seeing the OS next week and did not want to mask the pain.

Sue
 ;D
North Wales
Title: Re: How long do the effects of a cortisone injection last?
Post by: SmplySweet1021 on June 25, 2008, 07:07:45 PM
I had a cortisone injection in my knee on Friday and it is like a miracle! I am walking almost normally and the pain is reduced by 90%. I am now afraid this wont last.

I have severe osteoarthritis after the removal of my medial meniscus 25 years ago. I am taking Mobic 15 mg per day, which I hope will now be more effective since the inflammation seems to have calmed. I was at about the end of my rope pain-wise, so I am so happy this has worked. I just hope it lasts for a long time?

What has been everyone's experience with this?

I'm 22 years old, had my first cortisone shot in my knee beginning of February and it's beginning to wear off now. Though I've had about 10ish in my right ankle and it's been 5+ years and those are still working. Though those were used to break up scar tissue.

The cortisone shot is after the Supartz didn't work for me.
Title: Re: How long do the effects of a cortisone injection last?
Post by: akam. on October 31, 2008, 09:45:25 AM
I posted about my last major problems with my left knee under the "baker's cyst" section and have just now posted a conclusion to it, but I saw this thread and wanted to add to it.

Having had 7 knee swellings within two months (Nov 07 - Jan 08) I ended up having it shot with cortisone on 10th January. It was indeed like a miracle, and even now, since then my knee has not ballooned at all. I still occasionally suffer with my recurrent knee popping problem, and sometimes get aches under my kneecap (which I suspect is the arthritis), but otherwise, all is good. This was my first ever cortisone injection in my knee and I have to say it seems to have helped it immensely.

Everybody is different and the amount of relief it offers is only relevant to the amount of injury and pain you have to begin with. Those people who had little or no relief from cortisone injectons most probably have a far worse knee condition than I do.

Hayley
Title: Re: How long do the effects of a cortisone injection last?
Post by: Plumb on October 31, 2008, 11:23:15 AM
Going to the OS today.   I had my last cortizone injection in  Aug 08.   Planning on getting a cortizone shot.   If I can get at least 2 months of relief from it it is better than 2 weeks.   and far better than going into another surgery. 

It is a bandaid not a cure all.  My knee is pretty trashed.
Title: Re: How long do the effects of a cortisone injection last?
Post by: SmplySweet1021 on November 21, 2008, 04:15:39 AM
I had a cortisone shot in January and I felt good till about end of April...BUT My knee surgeon said this would be the only one he would do. Apparently cortisone is REALLY bad for the body and he will never do more then that 1 shot for me, I can't remember the exact reason but something about the cortisone forms a crystal that stays for many years and then something bad happens when it breaks down. Sorry guys can't remember. He's not the only one that has told me that cortisone in the joints is really bad, both of my PT's have also said this to me too.

Now this must be some new research or something because I had about 10-15 shots in my Right ankle when I was 16 (23 now) in an effort to break down scar tissue that had formed after 4 surgeries. (Got hit by a car) It worked and since then have been relatively pain free. Though now I'm worried about the long term effects of the cortisone but only time will tell.
Title: Re: How long do the effects of a cortisone injection last?
Post by: digginit on November 21, 2008, 09:18:25 AM
The research on the effects of cortisone on the joint is inconclusive at best.  In fact some of the newer research shows fewer long-term problems than the older research did. 

With adequate spacing of injections, a lot of the research finds very little cartilage change with steroids.  Other research shows that over time steroids soften articular cartilage. 

Possible risks vs. Benefits.  I wouldn't hesitate to go that route again, as they kept me functional in the year prior to my TKA.  I liked to use Marcaine and Kenalog in my shots.

~dig
Title: Re: How long do the effects of a cortisone injection last?
Post by: lady on January 28, 2009, 01:47:38 PM
I'm totaly clueless as to what the cortizone shot does. I had one in September when I had my knee drained. My knee has progressivly gotten worse since September. Just curious why exactly is it done.
Title: Re: How long do the effects of a cortisone injection last?
Post by: Caroline109 on January 28, 2009, 02:22:40 PM
A cortisone shot reduces inflammation in the joint where it's been injected. I just had one myself in the bursa below my new knee yesterday. Not sure why your knee has gotten worse since then, Lady, unless it didn't work (which has been known to happen). I've had cortisone shots in my feet (ouch) that did nothing. And possibly, if they didn't work for you, the problem has worsened. You might want to give your ortho a call for another appointment.
Title: Re: How long do the effects of a cortisone injection last?
Post by: lady on January 29, 2009, 01:07:53 AM
Thanks Caroline. I can't believe you had cortizone shots in your feet. That is horrible. The shot hurt but I already was in some pain before they have me the shot and I believe they did it through the needle they used to drain my knee at the time, so it was already in there.

Anyways...I am debating about going to the docs. I hate going. My husband thinks I'm a wacko. I have this gut feeling I can't hold of surgery anymore and its time to go in again. He's already suggested it but I did the synivis instead twice. And then had to have it drained and corizone.

Oh well I'm going to wait it out a few more weeks and see if its just the winter months bugging me.
Title: Re: How long do the effects of a cortisone injection last?
Post by: digginit on January 29, 2009, 02:05:46 AM
Hey Lady.  Your doc would not have given a cortisone injection through the same needle that was used to drain your knee.  Typically when fluid is drained from the knee, it is done with your knee extended and from proximal and lateral to the patella.

You *can* do injections from there, but usually a knee joint injection is done with the knee flexed to about 90 degrees and the injection done eithewr medial or lateral into the joint space.

Tell your husband you are NOT a wacko, but a woman with a knee problem and that you need for him to not think of you like that....
 
~dig

Title: Re: How long do the effects of a cortisone injection last?
Post by: lady on January 29, 2009, 02:24:15 AM
Oh no,lol. He is very supportive. He thinks I'm a wacho becasue I won't go to the docs. Because I don't want to be a baby and always complain to the doc or him or to you guys. lol. I sometimes think I'm a big wimp.

I thought they used the same needle. But I definitly could be wrong. I was not watching. It was very uncomfortable.
Title: Re: How long do the effects of a cortisone injection last?
Post by: Fyre-Faery on April 14, 2009, 09:43:15 AM
I've been offered a cortisone injection. I don't know wether or not to take it. If I don't do much my pain is minimal - but I can't do things like lift an encyclopaedia or stand on one spot for a long time to do the dishes - and I can't do much more than the very basics of my physio exercises, which is damn frustrating.
Does it completely reduce all inflammation - or still leave a residue?

And what help is it taking out the synovial fluid for analasys with the injection? Does it hurt a hell of a lot more? Has anyone here had a good diagnosis from the fluid?

I've been diagnosed with minor maltracking, but after struggling with vast bouts of inflammation for 3 years it doesn't seem like that is the only thing wrong with me.
X
Flame
Title: Re: How long do the effects of a cortisone injection last?
Post by: lady on April 14, 2009, 12:28:44 PM
Flame,
It does reduce inflamation. I had cortizone after a sever flare up. It helped for a couple of months. I think eveyrone is different with how much it helps due to there severity.

As far as the pain goes, it was uncomfortable not horrific. They sent my fluid out too but nothing came back.

Sorry I'm not much help. Good luck.
Title: Re: How long do the effects of a cortisone injection last?
Post by: GJJ on April 15, 2009, 10:13:37 PM
If your afraid, then try HA.  Euflexxa works the best for me.  Different molecular makeup and not animal produce. 

The effect depends on a number of factors.  I can get up to 4 months if I'm good. (ex ultra runner).  Depends on what is really wrong with the knee as well.  I don't think they work very well for meniscus but we all different on pain levels.

It is scary but they have been helpful to me and until they don't work, then I will continue until there is non invasive options rather then these scarring surgery procedures that have very low success rates (you must do your homework).

GJJ
Title: Re: How long do the effects of a cortisone injection last?
Post by: Lisa-marie on May 03, 2009, 10:00:33 PM

   Hi there, My Names Lisa & I am new on the board, juss some quick info I am 36 and had pretty bad knees all my life from soccer, I played since I was 6 till my college yrs. back in 1998 1999 my right one was super bad  & I took glucosamine and msm and it started getting better nd I stopped working out pretty much. an occasional walk but no high impact stuff. for the last 9 yrs they have been ok. till in january i slipped nd a few weeks later had knee pain, idk if it was from the slip..I caught my fall..that caused it, becuz we redid our kitchen back then also nd I did alottttt of bending..long story short, The pain got worse and worse in my left knee nd then my right one. so. I went the OS and he did xray and it should my knee was off to the left nd not centered which  I know I had all along. anyhow I had 2 bilateral mris nd it showsed my left (worse) knee had an irregularity in the Plica but in a Normal area, nd he said its slight. so..why would it cause SO much pain?? Now my right one had mild arthritus, erosion, cartilage irregularity but no tears. nd my left one w/ not much Killsssssss me. so I am due for a cortisone my FIRST one ever this tuesday. so I am wondering if anyone things it is worth it? its been really bad all of march-april nd now may...so I guess i will try it...I have doing my quads isometrics a few times a week..but it just hurts the next day so bad..when i sit also they kill my knees...Ughhh its so annoying as u all know.. Thanks for listeing..
                                                          Your thoughts are greatly appreciated.
                                                             Lisa_marie ;)
Title: Re: How long do the effects of a cortisone injection last?
Post by: GJJ on May 04, 2009, 09:13:09 PM
Lisa,

Try some kind of HA first.  If that does not help, then cortisone.  These do not fix the problems tho, they will buy you time until you decide what you can do.  If you can hold out, stem cell therapies are starting to make progress.  I think any surgery is just a temp fix as well and sometimes makes things worst.  Try non invasive measures and hope for new procedures.  You need to find out what actually is the problem.  No guessing or assuming.  If your doc does not know, seek out another one until your sure.  The shots don't hurt if they are done right. 

Good luck.
Title: Re: How long do the effects of a cortisone injection last?
Post by: Lisa-marie on May 04, 2009, 09:52:45 PM

 Hi there & thanx for the reply I am all anxious as I am suppose to get the shot 2morrow at 12 noon..;( yikes. lol but what is HA? nd the problem he said in the Worse of the two is the Plica is showing on the MRI a slight irregularity in a Normal area. that is all that showed on the Mri for that specific knee which is the worse..I Do however have a mal alighnment sp? problem where my knee goes more to the left and isnt centered like it should aka PFS or runners knee..but he doesnt seem to think the plica is due to that ..??? but want me doing home therapy for my Quads which I have been..nd really dont work juss toning my thighs more LOL ;) oh my..ok can You please let me know what HA is???
                               && Thanks so much for the reply..
                                                      Lisa~
Title: Re: How long do the effects of a cortisone injection last?
Post by: achybrakeyknees on May 14, 2009, 01:50:50 PM
I got a cortisone injection three weeks ago.  It worked great.  A week later i started my symvisc injections and they were very helpful.  I had two symvisc injections so far and Im 90% recovered, which Im happy with.   Hoping too, that these last awhile as I was nearly unable to walk at all prior to the injections.   Only one knee got the cortisone and its doing better than the one that didn't.  I don't know why he only chose to do one, I wish he had done both.   
Title: Re: How long do the effects of a cortisone injection last?
Post by: Clarkey on May 14, 2009, 03:48:11 PM
I also had my cortisone injection 3 weeks ago but it not worked for me as I still get pain and discomfort in my right knee and they do say it works for some while it does not work for others and seem to be the unlucky one and has not helped. I feel mainly catching/pinching on lateral side of knee followed by sharp pain and my OS injected the area that I feel the pain and catching/pinching but its not reduced the pain in an way and catching/pinching still the same.

I was hoping it would help so I would not have the propect of my 1st every surgery which looks likely now as all conservative methods are not helping out my right knee. I hope to see my OS Mr Green again in June as he has been fantastic so far and could not ask for a better OS.

Nick :) {2009} :)   
Title: Re: How long do the effects of a cortisone injection last?
Post by: Julie42 on May 29, 2009, 01:36:57 PM
hi

I had a cortisone injection in March didn't work at all my specislist wants me to have another one the end of June. If this doesn't work he told me all he can do for me is a TKR on my left knee but he doesn't want to do a replacement because I am only 42.  :-[

Here's hoping

Julie  :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: lady on May 31, 2009, 01:52:51 AM
Julie,

Have you tried Hylan injections (synvizc, orthorvisc)? Ask your doc about them. Or look them up on this website and also google Synvisc.

Title: Re: How long do the effects of a cortisone injection last?
Post by: Plumb on June 01, 2009, 12:00:03 PM
One I can tell you a TKR is a wonderful thing if you have no place else to go but up.  I had my right one done at  36.  It was a nightmare. My left knee I had my last cortizone injection on March 4 along with my HA shots.  I am never quiet pain free but it is a pain level that I can tolerate with the help of pain medication.  You never just want to replace a body part until you hit rock bottom. While the TKR takes away all the bone pain..  There are small trade offs. 

I was on crutches for a year before I had my TKR.  Very far different experience with my left knee.  Which I can tolerate weight bearing and doing small amounts of walking with out getting into what I call Insane pain moments. 

A good rule of thumb is when every movement is a struggle.  You may think you can tuff it out but when life becomes an utter struggle.  Thats when I think the TKR is the only option left.  Well that is my bench mark for doing knee #2. 
Title: Re: How long do the effects of a cortisone injection last?
Post by: Clarkey on April 23, 2010, 04:00:57 PM
A year ago today I had a cortisone injection into the lateral side of my right knee and had my 2nd one on the 30th March 2010 on the medial side of my right knee. I had surgery in November 2009 and knee is feeling worse now then it was pre op. The injection I had last month has not really eased the knee pain and I still feel pain and tightness towards the bottom of the knee on medial side each time I try to squat or kneel down.

This year is going like it did last year had pain and swelling this time last year and had a cortisone injection. 11 months lator another injection and its not really helped. I just hope its not scar tissue causing the pain and swelling as the last thing I need is another scope, which happened last year after injection failed and ended up having my medial plica removed and fat pad trimmed.

Nick :) {2010} :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: elizabethb on April 23, 2010, 05:07:16 PM
Cortisone injections are sort of an "iffy thing".  My mother had her first one years ago and it gave her relief for several years.  I had them in both knees last year - got a few weeks relief the first time.  Almost no relief the second round.  Then I went to the supartz injections.  They were the most painful thing I have ever experience and they did no good.  In fact they made my right knee much worse.  I guess my knees were too far gone to get relieve from either injections.  Some people swear by them and say they get relief for mionths or years - others feel they are a miracle. 
Title: Re: How long do the effects of a cortisone injection last?
Post by: Clarkey on April 26, 2010, 04:40:32 PM
Hi elizabethb,

My mum also had a cortisone injection in her knee and it worked for her and lasted for a few years while for others it does not work at all. Also know it not good to have too many injections in the knee as you have found out with the supartz injections. Sorry it made your knee worse rather then better.

Nick :) {2010} :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: Clarkey on June 21, 2010, 04:28:30 PM
I had a cortisone injection into my right knee on the 30th March 2010 and the last few days my right knee is hurting more again around the tibia. Was like this before my injection, so is it normal for the injection to only last 3 months and starts to wear off after a certain period of time!

I am going back to see my OS on the 29th June, so see what he got to say about it.

Nick :) {2010} :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: Lottiefox on June 21, 2010, 05:21:53 PM
Hi Nick

Sorry you're getting some more aches. I think cortisones can vary between people, some people only get relief for two weeks, some for six months, some not at all. I know that for me, when I've had steroids for hay fever (Kenalog - a shot into the glute) that works for about 3 months. During this time (currently!) my knees also settle right down. I would imagine that a direct joint injection may be similar for some people.

I'm very tempted to try a direct cortisone into the knee when this general one wears off. I know they aren't great for your joints long term or used frequently, but neither is being in pain.  :-[ :'(

Hope the OS sheds some light on things on the 29th. Will you see Mr Green do you think?

Lottie  :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: Clarkey on June 22, 2010, 06:42:05 PM
Hi Lottie,

I have given up seeing my physio as he was ment to see me this week before my OS appointment and told him last week I could see him this week but have a feeling he wont contact me so wont contact him and find a physio more local if the NHS physio is not very good.

I suppose I could ring up the hospital and asked them if I could see Mr Green or would that be too cheeky. I want his opinion this time as the surgery has not benefited my knee, just made even more problems.

I have been told as well that too many cortisone injections in the knee is not very good for the knee but surgery would be much worse so an injection is less drastic. Less then a week now till my appointment and hope its not a waste of time and will know whats causing my knee problems.

Nick :) {2010} :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: Lottiefox on June 25, 2010, 02:14:53 PM
Hi Nick

I don't think it would be cheeky to call the hospital and see if you can see Mr Green. I think at least they would know that was your preference and you might have a better chance of him actually looking at the knee. You've been more than patient with seeing his registrars so it would be nice to see the top chap.

I agree on the steroid injections - too many aren't good for the joint but invasive surgery would be a higher risk at the moment so I shall explore the injection results first when my current hay fever one wears off.

Its frustrating with your physio but you do have a lot of knowledge now youself and can take things forwards - you've made good progress and the swimming sounds like it is another chance to work the legs without impact. I do know how you feel about running - I was never a big runner but I see people in their running kit on these lovely sunny evenings and it would be nice to head off to a trail for a 30 minute jog and get some fresh air. I physically can run, but it seems to shake my knees with every step and I know it isn't doing my narrowing joint spacing much good so I'll stay away. Still miss it though.

Good luck next week

Lottie x :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: Clarkey on June 26, 2010, 12:36:57 PM
Hi Lottie,

I will give the hospital a ring on Monday afternoon after work or chat to my physio on the phone if he knows if Mr Green in Clinic that day as he lives in the same Village as him and had a scope done by him. My physio tried to arrange for me to see Mr Green at my last consultation and sent me a message on the day of the appointment, saying he is not working in the clinic that day.

I think he does work Tuesdays on the NHS and if I cannot contact the hospital can asked one the nurses on the day of consultation if I could see Mr Green rather then his Registrar. Not long now 3 days to go.

Nick :) {2010} :)
Title: Re: How long do the effects of a cortisone injection last?
Post by: Kefu on November 21, 2013, 01:48:47 AM
Clarkey it looks like you have done botox injections. Let me know how those went.
Title: Re: How long do the effects of a cortisone injection last?
Post by: Clarkey on January 18, 2014, 01:48:39 PM
Hi Kefu,

Sorry for the late reply back, I have been very busy lately sorting out some personal issues. I am sorry to say that the Botox injection into the tensor fascia lata in September 2013, followed by PT made has made no difference to my right injured knee.

I am now waiting for an MRI scan and will be seeing my OS again, we will then decide the next stage of treatment to hopefully get me back running again.

[email protected]
Title: Re: How long do the effects of a cortisone injection last?
Post by: Clarkey on February 12, 2014, 04:06:12 PM
Hi All,

Finally having an MRI scan done one my right knee tomorrow morning 13/02/14 @7:40am. Botox injection and PT did not help my question is my OS jumping ahead too much as he has not yet tried to see if a cortisone injection might help ease the pain and swelling at the bottom of the kneecap.

I have so far had 2 injections in total 2009 pre op and 2010 post op and may be 3rd time lucky and may really help benefit my right knee injury after a heavy fall on black ice in January 2013. Or is it the next best option to go for an MRI scan at this stage of my injury!

[email protected]
Title: Re: How long do the effects of a cortisone injection last?
Post by: Clarkey on November 06, 2015, 04:22:06 PM
Hi All,

It has been a fair while since my last update, a lot has happened since February 2014. The Botox injection never really helped ending up with scope #2 AIR surgery in July 2014 for excessive scarring from scope #1 of medical plica excision and fat pad trimming. 

Post op to scope #2 I have had two cortisone injections in a space of five months of this year May to October 2015. Both injections have not made any difference apart from numbing the pain slightly! I am still limping and have not been unable to run sine January 2013.

For me having cortisone injections does not work for my on-going right knee problems. It depends what is wrong with the knee. It can be very beneficial for many patients experiencing knee pain and discomfort on a daily basis.

I think I have now peaked the minimum amount of safe cortisone injections as too many is not good for the knee as it can increase arthritis in the knee!

A cortisone injection is a short term fix rather than a long term fix to delay the need for any further surgical procedures.

[email protected]