CompOrtho has the very latest in modern MRI technology with our Paramed Open MRI scanner. This unit doesn’t have that loud hammering sound like traditional scanners, therefore patients can enjoy the music of their choosing! For almost all scans, the head is completely out, and only the body part scanned is actually under the unit. To say patients are happy with this unit is an understatement!
Cortisone shots can potentially provide long-lasting relief from pain and inflammation in the joints.
Many injections can greatly reduce pain and inflammation caused by musculoskeletal injuries or chronic conditions such as arthritis, significantly shortening recovery timelines and providing lasting relief. One shot we particularly recommend to patients entails an injection of cortisone into a damaged joint. We’ll tell you what you need to know about this tried-and-true treatment for pain and inflammation in the joints.
What Is a Cortisone Shot?
A cortisone shot is an injection composed of a corticosteroid medication and a local anesthetic. Used to relieve pain and inflammation, it’s most commonly injected into a joint, often in the shoulder, hip, or knee. These shots are often one option in a comprehensive treatment plan for chronic inflammatory conditions such as arthritis, tendinitis, or rotator cuff impingements or tears.
How Long Does a Cortisone Shot Last?
A cortisone shot’s effectiveness depends on the severity of the patient’s condition. In most cases, pain and inflammation will marginally increase for about 48 hours following the injection, and will decrease precipitously thereafter. In some cases, a single injection can provide relief for as long as several months.
Generally, cortisone shots should only be given two times per joint per year. Repeated cortisone injections can damage the cartilage in the joint.
What Are the Side Effects of a Cortisone Shot?
Cortisone shots are typically safe in moderation, but since they infrequently lead to serious complications, they should be taken under a doctor’s supervision. Be sure to let your doctor know if you suffer from diabetes or other any other conditions affecting your blood sugar levels, as well as any medications that you are currently taking.
Most cortisone shots have some minor side effects, including a temporary uptick in pain and inflammation in and around the joint, and a thinning and lightening of the skin around the site of the injection. In some cases, however, they can result in a sudden spike in blood sugar if you’re diabetic and have poorly controlled blood sugar levels. .
What If the Cortisone Shot Doesn’t Work?
Cortisone shots provide a source of temporary relief from inflammation and pain. They will not solve the underlying problem, and pain may gradually return as the shot’s effectiveness subsides. As a result, cortisone shots should be administered as part of a more comprehensive treatment plan that may include physical therapy or surgery.
Fortunately, our team of orthopedic specialists at Comprehensive Orthopaedics has several years of experience in treating joint problems. Regardless of your specific condition, we’ll work with you to develop a personalized treatment plan that provides lasting relief from your symptoms.
The onset of back pain among runners may stem from a general weakness in their deep core muscles, new research indicates.
Such deep muscles are located well below the more superficial muscles typified by the classic six-pack abs of fitness magazine fame, the researchers noted.
Using computer simulations, they found that runners with relatively weak deep core muscles end up relying more and more on their superficial muscles to keep on running. The result is a higher risk for back pain.
“We measured the dimensions of runners’ bodies and how they moved to create a computer model that’s specific to that person,” said study lead author Ajit Chaudhari. “That allows us to examine how every bone moves and how much pressure is put on each joint.”
Chaudhari is an associate professor of physical therapy and biomedical engineering at Ohio State University’s Wexner Medical Center.
The investigators found that “when your deep core is weak, your body is able to compensate in a way that allows you to essentially run the same way,” Chaudhari said in a medical center news release, “but that increases the load on your spine in a way that may lead to low back pain.”
The study team said it’s not uncommon to find avid athletes who fail to put sufficient focus on their deep core strength, perhaps because superficial muscle maintenance tends to get a lot more public attention.
However, Chaudhari said, “working on a six-pack and trying to become a better runner is definitely not the same thing.
“If you look at great runners, they don’t typically have a six-pack, but their muscles are very fit,” he said. “Static exercises that force you to fire your core and hold your body in place are what’s really going to make you a better runner.”
The study was published online recently in the Journal of Biomechanics.
The American Academy of Family Physicians has information on low back pain.
SOURCE: Ohio State University Wexner Medical Center, news release, Jan. 3, 2018
A new treatment that aims electrical pulses at irritated nerves around the spinal cord appears effective at relieving chronic lower back pain and sciatica, a preliminary study suggests.
The minimally invasive procedure, called image-guided pulsed radiofrequency, eased lingering pain in 80 percent of 10 patients after a single 10-minute treatment. Ninety percent were able to avoid surgery.
“Given the very low risk profile of this technique, patients suffering herniated disc and nerve root compression symptoms may undergo a safe and fast recovery, going back to normal activities within days,” said study author Dr. Alessandro Napoli. He’s an interventional radiologist at Sapienza University, in Rome, Italy.
“In fact,” he added, “one of the dramatic advantages of this technology is that we can perform it in a day-surgery setting, without anesthesia, and [patients] go home the same day.”
Napoli’s study is scheduled for presentation Wednesday at the Radiological Society of North America’s annual meeting, in Chicago. Studies presented at scientific conferences typically haven’t been peer-reviewed or published, and results are considered preliminary.
About 8 in 10 people suffer from lower back pain at some point in their lives, according to study documents. This pain can be due to a herniated disc in the lower spine. Sciatica is radiating leg pain caused by a pinched nerve in the lower spine, which also may be due to a herniated disc.
Also called a slipped or ruptured disc, a herniated disc occurs when the spongy material inside a spinal disc squeezes through its tough outer shell because of aging or injury. This material can press on surrounding nerves, causing pain and numbness or tingling in the legs, according to the American Academy of Orthopaedic Surgeons (AAOS).
Conservative, nonsurgical approaches typically ease symptoms of a herniated disc over time, according to the AAOS. These treatments include rest, gentle exercise, pain relievers, anti-inflammatory drugs, cold or hot compresses and physical therapy.
However, about 20 percent of those with acute low back pain don’t find relief through these measures. That leads some to decide on surgery to remove disc material pressing on their spinal nerves. For these people, Napoli said, image-guided pulsed radiofrequency treatment may become a viable option if larger studies reinforce his findings.
Napoli’s research included 80 people who had experienced at least three months of low back pain from a herniated disc that hadn’t responded to conservative treatments.
Image-guided pulsed radiofrequency treatment uses computed tomography — a CT scan — to help physicians insert a needle to the location of the herniated disc and surrounding nerves. A probe that’s inserted through the needle tip delivers pulsed radiofrequency energy to the area over a 10-minute period, resolving the herniation without touching the disc, Napoli explained.
More than 80 percent of the 80 study participants were pain-free a year after a single treatment. Six people required a second treatment session.
Pulsed radiofrequency has been widely used in pain medicine for other types of chronic pain, Napoli noted.
He said the treatment works by “eliminating the inflammation process” in nerves surrounding the herniated disc, hindering painful muscle contractions. “The aim was to interrupt this cycle and give the body the chance to restore a natural healing,” he added.
Dr. Scott Roberts, a physiatrist with Christiana Care Health System in Wilmington, Del., said the new findings showed “an impressive drop in pain and improvement in function.” However, he noted that the research didn’t include a control group for comparison with people not given the treatment.
“With no control group, we don’t know how much of the improvement we’re seeing would have happened anyway,” Roberts said. “I was very encouraged by [the study] because its results are significant, but it’s far from conclusive without a control group.”