Cortisone (steriod injection) into ankle (2022)

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Cortisone (steriod injection) into ankle (1) Cortisone (steriod injection) into ankle (2)


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  • Cortisone (steriod injection) into ankle (5)07-14-2012, 04:31 AM #1

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    Cortisone (steriod injection) into ankle (6)

    Cortisone (steriod injection) into ankle (7) Cortisone (steriod injection) into ankle

    Howdy,

    I've posted a separate thread about my history http://www.healthboards.com/boards/foot-problems/905250-severe-throbbing-after-ankle-arthroscopy-debridment.html

    However as part of my post surgical management I'm now to have a cortisone injection into my ankle.

    I'm two months post ankle arthroscopy and debridement and not progressing as well as expected.

    Before surgery a different surgeon asked for an injection into the joint and rather than nothing happening or making it better, it made it far worse.

    Some of the worse pain I've ever felt.

    It was explained to me by my GP that there is "no spare room" in the ankle joint and any introduction or additional fluid can be problematic.

    Just curious what other people's experiences have been?

    (Video) Common Foot And Ankle Injections - Everything You Need To Know - Dr. Nabil Ebraheim

    I know many people that have had cortisone's and swear by them, but none into a weight bearing joint.


    Sponsors Cortisone (steriod injection) into ankle (8)
    Cortisone (steriod injection) into ankle (9)07-14-2012, 06:23 PM #2

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    Re: Cortisone (steriod injection) into ankle

    It's common to have some increase in pain for a couple days after the injection. It's called a "steroid flare," and even if this happens, the injection still might help a week or so later.

    If you do get the injection, ice the site right after and twice more that day, 20 minutes at a time. Limit time on your feet right after the injection.

    I had cortisone shots in my ankle before my debridement. They helped for a few weeks, then the swelling came back.


    Cortisone (steriod injection) into ankle (21)07-14-2012, 11:00 PM #3

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    Re: Cortisone (steriod injection) into ankle

    Do these steroid injections go into the bone, or cartilage, or in between? I know you can't compress a liquid, so something has to give. I had just one of those injections and that was enough for me. It was extremely painful.


    Cortisone (steriod injection) into ankle (25)07-15-2012, 09:36 AM #4

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    (Video) Ankle Steroid injection

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    Re: Cortisone (steriod injection) into ankle

    No, they go into the joint space between the bones. There's a little sac called the synovium around the joint and some fluid inside. When the amount of fluid changes, the synovium and your skin can stretch to accommodate it.


    Cortisone (steriod injection) into ankle (37)

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    Cortisone (steriod injection) into ankle (38)07-16-2012, 01:17 AM #5

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    Re: Cortisone (steriod injection) into ankle

    I had a cortisone/lidocaine shot into the joint space. It was used partly to ease the pain and swelling and partly as a diagnosis tool. The day I had the shot, I kept my foot up and iced often. The swelling and pain subsided quickly and did not return for several months.


    Cortisone (steriod injection) into ankle (51)07-17-2012, 02:19 AM #6

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    Re: Cortisone (steriod injection) into ankle

    Thanks for the replies.

    I visited my GP today and he is wanting me to go non weight bearing for a couple of days. My Physio ( Physical Therapist) isn't all that keen.

    In all of this it's "within limits of pain" right now i'm counting down the minutes to when the four hours approaches so I can take more pain relief.

    What I'm trying to work out now is how to reduce my workload so I can stay off my feet more, that's the tricky bit.

    I'm going to wait until I see the radiologist on Friday this week who is the specialist and see what he says.

    Either way, the foot will be kept elevated and I'll head back to regular icing on the day of injection and possibly the day after.


    Cortisone (steriod injection) into ankle (53)07-23-2012, 06:32 AM #7

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    Re: Cortisone (steriod injection) into ankle

    I had the injection intermedially I think you call it, on Friday afternoon.

    One of the most painful experinces of my life.

    Kept off my feet for the weekend and havn't noticed any improvment as yet.

    Hopefully it will kick in soon, think I'm just expecting too much too soon!

    Last edited by pilko; 07-24-2012 at 05:02 AM.


    Cortisone (steriod injection) into ankle (55)07-23-2012, 07:09 PM #8

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    Re: Cortisone (steriod injection) into ankle

    I had an appt with a foot/ankle specialist today. I realize now that there is a difference between a generic orthopedic doctor and a specialist/board certified.

    At today's appt, the doctor gave me an injection in three locations, two in the calcaneocuboid and one in the talonavicular joints. He used a strange device to numb the areas prior to the injection; a metalic cylinder thing about an inch or an inch and a half in diameter and about 7 inches long with a lever on the side (i assume the lever was like the forestock on a bb air rifle), it pumped the unit and charged it for the injection to numb the site. of course, my nerves were shot by the time he pulled that device out, so my he time I got home from the appt I described it being the diameter of an old timey drink thermos, the kind with the glass inner liner, and about as long as my forearm (boy, do our imaginations run wild when we're stressed out...). lol

    It's been about 5 hours since the injection, and I think I can actually feel less pain than prior to the injection. I'm hoping that's a sign of finding the right man for the job.

    I have two weeks until my next appt with him, so I plan to pay close attention to how good or bad the areas feel in the meantime. I had a single injection in the calcaneocuboid joint about 15 years ago, and only saw a slight improvement. Maybe this time it'll work out better.

    The first experience with this type of injection was a nightmare of pain, but this one makes me feel more confident in the doctor's skills. Don't let one instance decide for you. There are other factors to consider.


    Cortisone (steriod injection) into ankle (59)07-23-2012, 07:13 PM #9

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    Cortisone (steriod injection) into ankle (63) Re: Cortisone (steriod injection) into ankle

    (Video) Injection - lateral ankle steroid injection

    I had an appt with a foot/ankle specialist today. I realize now that there is a difference between a generic orthopedic doctor and a specialist/board certified.

    At today's appt, the doctor gave me an injection in three locations, two in the calcaneocuboid and one in the talonavicular joints. He used a strange device to numb the areas prior to the injection; a metalic cylinder thing about an inch or an inch and a half in diameter and about 7 inches long with a lever on the side (i assume the lever was like the forestock on a bb air rifle), it pumped the unit and charged it for the injection to numb the site. of course, my nerves were shot by the time he pulled that device out, so my he time I got home from the appt I described it being the diameter of an old timey drink thermos, the kind with the glass inner liner, and about as long as my forearm (boy, do our imaginations run wild when we're stressed out...). lol

    It's been about 5 hours since the injection, and I think I can actually feel less pain than prior to the injection. I'm hoping that's a sign of finding the right man for the job.

    I have two weeks until my next appt with him, so I plan to pay close attention to how good or bad the areas feel in the meantime. I had a single injection in the calcaneocuboid joint about 15 years ago, and only saw a slight improvement. Maybe this time it'll work out better.

    The first experience with this type of injection was a nightmare of pain, but this one makes me feel more confident in the doctor's skills. Don't let one instance decide for you. There are other factors to consider.


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    FAQs

    Can I walk after a cortisone injection in my ankle? ›

    Can I walk after a cortisone injection in my foot? After a steroid injection, you can return to most daily activities, including walking. The treating clinician may suggest against walking a distance/many steps. You should have no issues with walking out of the clinic upon completion of the injection.

    What to expect after a cortisone shot in the ankle? ›

    Cortisone shots commonly cause a temporary flare in pain and inflammation for up to 48 hours after the injection. After that, your pain and inflammation of the affected joint should decrease, and can last up to several months.

    How painful is a cortisone injection in the ankle? ›

    The doctor puts numbing medicine on the injection site or blends it in with the steroid injection. You may feel a bit of pinching and a burning sensation that quickly goes away. The injected area may stay sore for a few days. You'll need to rest the injected area for a day or two.

    How long should you rest after a cortisone injection in the ankle? ›

    After a cortisone injection, it is strongly advised to rest the affected joint for 24 hours and refrain from doing strenuous activity or exercise for several days. Resting after the shot is vital to reduce inflammation effectively.

    What is the next step if a cortisone shot doesn't work? ›

    If the first injection doesn't provide pain relief, your doctor may try a second injection four to six weeks later. If there's no improvement after the second injection, a third injection is not recommended.

    Are ankle injections painful? ›

    The steroid reduces inflammation, while the anesthesia relieves pain. Some patients report feeling mild pain and pressure while the medication is being injected, but it is otherwise not too painful. Ankle injections can be repeated three to four injections a year. More than that is not recommended.

    Where is the most painful place to get a cortisone shot? ›

    Where the shot is injected and the size of the needle can impact how much pain you may feel. Injections given in the hand and sole of the foot tend to hurt the most.

    What is the downside to a cortisone shot? ›

    The Downsides

    According to the National Institutes of Health, the side effects from cortisone shots include: Dizziness or headaches. Skin issues, including dryness, thinness, acne, dry skin, and red or purple blotches. Fatigue and trouble sleeping.

    Can I walk after cortisone injection? ›

    The injection consists of two medications: Cortisone (a steroid) and Marcaine (a numbing agent). It is recommended that you refrain from any high level activities using your knee for approximately 48 hours. Routine activities including walking are permitted.

    What should I do after ankle injection? ›

    If you have had a hip, knee or ankle/foot injection, we suggest you rest from running for at least 5-7 days. However, this advice may vary depending on your specific condition and circumstances. If you have had an upper limb injection, you could return to running after 48 hours, unless you experience a 'steroid flare'.

    Will a cortisone shot help arthritis in the ankle? ›

    The goal of steroid injections (e.g. corticosteroid injections) is to reduce inflammation and thereby alleviate swelling, stiffness, and pain. Steroid injections can provide short-term pain relief but do not prevent ankle osteoarthritis from progressing.

    Do they numb you before a cortisone shots? ›

    Cortisone shots are injections that contain high doses of corticosteroids, powerful steroid medications that mimic cortisone, a steroid your body naturally produces. These injections also usually contain numbing medications to help prevent any pain.

    Do you need time off work after a steroid injection? ›

    Generally, a cortisone shot takes 4-5 days to start working. However, we often say you should leave about a week before an event for the cortisone shot to work. Also, you need to be aware that cortisone can cause a flare of pain in the first few days.

    What are common side effects of cortisone injections? ›

    The most common side effects of steroid injections include:
    • pain around the injection site, also called a cortisone flare.
    • bruising or dimples at the injection site.
    • pale or thin skin around the injection.
    • facial flushing.
    • insomnia.
    • temporary high blood sugar.
    • temporary high blood pressure.
    • increased appetite.
    31 Aug 2021

    Why does my foot hurt worse after a cortisone shot? ›

    Some patients may experience a “cortisone flare” after their injection. This happens when the cortisone crystallizes and causes pain for a day or two. The pain may be worse than what you were living with before the shot. This is not a dangerous side effect, but it is uncomfortable.

    What is the difference between a steroid shot and a cortisone shot? ›

    Also called “corticosteroid,” “steroid shot,” and a human-made version of the hormone cortisol, these shots aren't pain relievers. Cortisone is a type of steroid, a drug that lowers inflammation, which is something that can lead to less pain.

    Can I take painkillers after cortisone injection? ›

    Common side effects

    You may also get some bruising where the injection was given. This should go away after a few days. It helps to rest the joint for 24 hours after the injection and avoid heavy exercise. It's safe to take everyday painkillers such as paracetamol or ibuprofen.

    Is it normal to have more pain after a cortisone injection? ›

    A cortisone flare is the most common immediate side effect of a cortisone injection. Some people may notice a flare-up of pain in the joint for the first 24 hours after receiving the injection, although this is rare. The discomfort can often be managed by taking over-the-counter painkillers.

    Should I rest my foot after steroid injection? ›

    If you're having an injection to relieve pain, it may also contain local anaesthetic. This provides immediate pain relief that lasts a few hours. You should be able to go home soon after the injection. You may need to rest the treated body part for a few days.

    What happens when a cortisone shot hits a nerve? ›

    In conclusion, it was shown that the intrafascicular injection of commonly used steroid agents had a direct toxic effect on peripheral nerve-fibers and caused a disruption of the blood-nerve barrier. Use of the more toxic agents in the vicinity of peripheral nerves should probably be avoided.

    Will a cortisone shot Help ankle tendonitis? ›

    Cortisone injections can be a quick and effective way to treat tendonitis or plantar fasciitis but it is not without its drawbacks. Steroid injections alleviate pain and inflammation in the short term but can soften cartilage in joints and rupture tendons with repeat injections.

    What type of doctor administers cortisone shots? ›

    An orthopedic doctor or physician assistant is skilled and practiced in administering cortisone shots to temporarily relieve pain and inflammation.

    How many cortisone shots can you get in a lifetime? ›

    You can only have three cortisone injections in a lifetime

    Generally, if the first injection doesn't work, the second and third probably won't either. Moreover, you should limit yourself to 2-3 injections in one area over 3-6 months.

    How long before a cortisone shot takes effect? ›

    It can take up to 7 days for a cortisone injection to begin working in the body. The effects of the injection usually last up to 2 months, but sometimes longer. Cortisone can reduce inflammation that damages joints.

    What is a natural alternative to cortisone shot? ›

    Prolotherapy is a great alternative to cortisone injections, because it stimulates the regeneration of treated tissues.

    How much does it cost for a cortisone shot? ›

    Cortisone injections - a shot containing a corticosteroid - can cost anywhere from $25-$300, depending on your health insurance status, the injection site, and what the injection is being used to treat.

    Can a cortisone shot affect your heart? ›

    Arrhythmias: Studies have shown that the use of corticosteroids, particularly in high doses, is associated with a greater risk of heart arrhythmia known as atrial fibrillation. In this abnormal heart pattern, the heart beats irregularly, and the blood flow to the brain can be impaired, increasing the risk of stroke.

    How long does it hurt after cortisone shot? ›

    Does pain relief last? In the first 48 hours after the injection, people may experience some discomfort as the anesthesia wears off. Usually, patients experience a small flare in inflammation of the affected area. However, within the next few days, patients experience positive effects and a decrease in pain.

    What does arthritis in ankle feel like? ›

    Foot and Ankle Arthritis Symptoms

    Pain when you move it. Trouble moving, walking, or putting weight on it. Joint stiffness, warmth, or swelling. More pain and swelling after you rest, such as sitting or sleeping.

    What does osteoarthritis of the ankle feel like? ›

    Symptoms of Ankle OA

    Tenderness when someone touches or squeezes the joint. Swelling may happen all around or on one side of your ankle. Decreased range of motion means your ankle won't bend and flex completely. Difficulty walking due to pain, stiffness and loss of motion.

    Where do you inject an ankle joint? ›

    Ankle Joint - Intra-Articular Injection Technique - YouTube

    How do I prepare for a cortisone shot? ›

    You can prepare for a cortisone injection by: Answering all questions about your medical history and medications. This includes prescriptions, over-the-counter drugs, herbal treatments, and vitamins. It is a good idea to carry a current list of your medical conditions, medications and allergies at all times.

    Should I wear a splint after cortisone injection? ›

    The injection will be at the thumb side of the wrist near the base of the thumb. You should wear your thumb/wrist splint as much as possible for the next 24 hours.

    Do cortisone injections go into the bone? ›

    In contrast, cortisone and similar shots are injected into a joint or into the spine, and the medication typically stays in the area where it is injected. That means little or no absorption of the corticosteroid into the bloodstream and, as a result, little or no effect on bones.

    What should I do after steroid injection? ›

    Rest Up! Our physicians recommend resting for at least 24 hours after getting home as the anesthesia wears off and the body starts to heal after the injection. While some people experience relief right away, the full effects of the injection may not be noticeable for 1-3 days after the procedure.

    Does a cortisone injection hurt? ›

    Cortisone injections are painful: The majority of patients expect the injection to be very painful, an most are pleasantly surprised that it isn't the case. At the time of injection it should hurt no more than a common immunization needle. Around 1:20 patients may have pain that is worse after the injection.

    Does cortisone cause weight gain? ›

    Steroids affect your metabolism and how your body deposits fat. This can increase your appetite, leading to weight gain, and in particular lead to extra deposits of fat in your abdomen.

    Does cortisone shot affect kidneys? ›

    Corticosteroid increases the risk of cyclosporine toxicities by increasing drug levels: kidney dysfunction, gall bladder disease, tingling sensations, high blood pressure, edema (swelling), fluid/electrolyte disturbances, and hyperglycemia (high blood sugar).

    Are cortisone shots safe for elderly? ›

    Cortisone has a place in the treatment of elderly arthritis patients who need help coping with the pain of deteriorating joints. The pain relief provided by the injections can help to postpone or avoid joint surgery.

    Can I walk after a cortisone injection in my ankle? ›

    Can I walk after a cortisone injection in my foot? After a steroid injection, you can return to most daily activities, including walking. The treating clinician may suggest against walking a distance/many steps. You should have no issues with walking out of the clinic upon completion of the injection.

    How painful is steroid injection in foot? ›

    The doctor puts numbing medicine on the injection site or blends it in with the steroid injection. You may feel a bit of pinching and a burning sensation that quickly goes away. The injected area may stay sore for a few days. You'll need to rest the injected area for a day or two.

    Can I use Voltaren Gel after a cortisone shot? ›

    Interactions between your drugs

    No interactions were found between cortisone and Voltaren Arthritis Pain Gel. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.

    How long after a cortisone shot can I walk? ›

    As a general rule, we suggest that you rest for a minimum of 2 days after a steroid injection. After 2 days, we would suggest that you can gradually build up your activity levels. However, this advice does vary depending on what area is being injected.

    Should I rest my foot after steroid injection? ›

    If you're having an injection to relieve pain, it may also contain local anaesthetic. This provides immediate pain relief that lasts a few hours. You should be able to go home soon after the injection. You may need to rest the treated body part for a few days.

    Will a cortisone shot help a sprained ankle? ›

    Cortisone shot injections should not be used for injuries. If you have an injury, like a sprain or fracture, it is normal for the body to go through an initial phase of inflammation, and giving a steroid during this critical period of healing will impede it.

    Why does my foot hurt worse after a cortisone shot? ›

    Some patients may experience a “cortisone flare” after their injection. This happens when the cortisone crystallizes and causes pain for a day or two. The pain may be worse than what you were living with before the shot. This is not a dangerous side effect, but it is uncomfortable.

    Where is the most painful place to get a cortisone shot? ›

    Where the shot is injected and the size of the needle can impact how much pain you may feel. Injections given in the hand and sole of the foot tend to hurt the most.

    What is the difference between a steroid shot and a cortisone shot? ›

    Also called “corticosteroid,” “steroid shot,” and a human-made version of the hormone cortisol, these shots aren't pain relievers. Cortisone is a type of steroid, a drug that lowers inflammation, which is something that can lead to less pain.

    Do you need time off work after a steroid injection? ›

    You should be able to go home the same day you get the shot. In the first few hours after your injection, you may actually notice a decrease in the level of your pain. However, this is usually due to the numbing medication your doctor used before giving you the cortisone shot.

    What is the downside to a cortisone shot? ›

    The Downsides

    According to the National Institutes of Health, the side effects from cortisone shots include: Dizziness or headaches. Skin issues, including dryness, thinness, acne, dry skin, and red or purple blotches. Fatigue and trouble sleeping.

    What are the side effects of cortisone shots in the foot? ›

    Potential risks and side effects include:
    • Pain and Swelling (Cortisone Flare) The injected cortisone medication can crystallize inside the body. ...
    • Skin Discoloration. ...
    • Fat Atrophy. ...
    • Elevated Blood Sugar. ...
    • Tendon Injury. ...
    • Cartilage Loss. ...
    • Infection. ...
    • Allergic Reaction.

    Should you drive after a cortisone injection? ›

    You may not drive for 12 hours after your injection. It is common to experience mild soreness at the injection site(s) for 24–48 hours. Ice is the best remedy. You may apply ice for 20 minutes at a time several times a day as needed.

    What does a torn ligament in ankle feel like? ›

    What Are the Symptoms of a Torn Ligament in an Ankle? You can feel sudden pain, and a tearing, snapping or popping sensation – which might be so bad you can't put weight on your foot – and swelling around your ankle joint. In some cases, there may bruising that extends down your foot and up your calf.

    Can cortisone injections go wrong? ›

    Another common side effect is aggravation of the inflammation that the shot was intended to treat. This inflammation flare up is called a “cortisone flare.” In rare cases, the site of the injection will become infected within a week of the cortisone shot.

    Can I use Voltaren Gel after a cortisone shot? ›

    Interactions between your drugs

    No interactions were found between cortisone and Voltaren Arthritis Pain Gel. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.

    What happens if a steroid injection hits a nerve? ›

    Injecting drugs right into the nerve rather than into the area surrounding it can also cause direct damage. This is a collection of blood near the nerve, which collects due to damage to a blood vessel by the needle or the catheter. Small amounts of bleeding or bruising are common, and do not cause damage to the nerve.

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    Introduction: My name is Twana Towne Ret, I am a famous, talented, joyous, perfect, powerful, inquisitive, lovely person who loves writing and wants to share my knowledge and understanding with you.