Cortisone

Steroid injections, lubricants (eg Synvisc)
Post Reply
Balaclava
MICROgeek (<20 posts)
MICROgeek (<20 posts)
Posts: 19
Joined: Mon Jul 27, 2020 12:35 pm
Contact:

Cortisone

Post by Balaclava »

My knee collapsed on me last July (caused by playing golf). I paid for a MRI scan and a consultant. The Consultant read the scan report to me (20 minutes)! The scan showed a torn my meniscus on two places and I had some age related arthritis. Four months later it is still swollen and sore, I can walk 18 holes but I can't swing a club (twist on the knee). The NHS has just come in with a telephone consultation with a physio. The physio has booked me in for a cortisone injection.

Questions:
1. Will a cortisone injection help mend my torn meniscus?
2. Should I put it off until the spring to get the benefits on the golf course during the summer?
User avatar
vickster
Administrator
Administrator
Posts: 5187
Joined: Fri Jan 01, 2010 11:12 pm
Location: Surrey, UK
Contact:

Re: Cortisone

Post by vickster »

Cortisone won't do anything to fix damage in the knee, the aim is to reduce inflammation and hence pain, and enable you to do more. It's not a long term fix, if you have it now, you may well need another in the spring. Degenerate meniscus tears in an arthritic knee don't really heal, but most aren't problematic.

If you have biomechanical issues in the knee due to the meniscus tears (locking bucking, loss of range), unfortunately surgery might be your only option. Even if you do have the meniscus trimmed, if it's in poor condition, it could well tear again especially if twisting.

If the arthritis is confined to one compartment in the knee, you might find an offloader brace can enable you to do more and protect the knee (find a specialist physio who can advise)

(I'm having the same discussion with a surgeon this week)

There is good arthritis and meniscus info in the learning portfolio

Good luck :)
Last edited by vickster on Sat Nov 21, 2020 1:02 pm, edited 1 time in total.
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone
Balaclava
MICROgeek (<20 posts)
MICROgeek (<20 posts)
Posts: 19
Joined: Mon Jul 27, 2020 12:35 pm
Contact:

Re: Cortisone

Post by Balaclava »

Vickster wrote: you may well need another in the spring
Thanks - Is there a limit to how many times you can have these. Should I try to optimise their benefit by choosing not to have one now and having one each spring?
User avatar
vickster
Administrator
Administrator
Posts: 5187
Joined: Fri Jan 01, 2010 11:12 pm
Location: Surrey, UK
Contact:

Re: Cortisone

Post by vickster »

Max 3 a year as they can damage cartilage further so they prefer to avoid unless the knee is already arthritic.
There is another type of injection called hyaluronic acid for mild to moderate arthritis but not generally available on NHS.
Neither type of injection is guaranteed to help. There's info around the forum
Eg https://www.kneeguru.co.uk/KNEEnotes/pr ... -arthritis

How bad is the arthritis? How old are you? Injections are really just a sticking plaster as your longer term need may be a knee replacement
Last edited by vickster on Sat Nov 21, 2020 1:44 pm, edited 1 time in total.
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone
Post Reply

Return to “KNEE ARTHRITIS - Injections into the joint”

Who is online

Users browsing this forum: No registered users and 0 guests