Side Effects of Cortisone Shots in the Knee
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- Опубликовано: 21 июл 2024
- Side effects of steroid shots in the knee
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Osteoarthritis is the leading cause of disability in adults and affects over 50 million people in the US. The knee is the most common source of disabling pain caused by arthritis.
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One of the hottest topics of discussion with patients is the use of steroid (cortisone) injections. People always want to know how they work? Is it safe? What are the side effects?
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Pain relief from steroid injection is thought to work by reducing the inflammation in the knee.
A common recommendation by providers for people with moderate to severe arthritis is that injections can be performed 3-4 times per year (if they are successful @ reducing pain). Keep in mind this is not recommended for people with healthy normal cartilage. So if you are a young athletic patient, this is not an Injection that should be used frequently.
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Several studies have shown that steroid Injections have been successful at reducing pain in the short term. The exact duration of pain relief remains UNKNOWN. Several studies showed a definite improvement at 1 week, but there is no evidence that these injections are demonstrating benefit past 6 months. Additionally, there is evidence that in obese patients the injections are less effective.
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Steroids are not recommended in people with the following conditions:
allergies to corticosteroids
an active infection
difficulty clotting
Compromised skin
Fractures
Presence of knee implants
Labile diabetes
or if you are having a knee replacement within 3 months (higher risk of post op infection)
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Some Adverse effects include :
Skin pigmentation changes
Fat or skin atrophy
Residual injection site pain
Facial flushing
Increase in blood sugar
Infection (studies range from 1/7000 -1/50000)
Note: Studies demonstrating a toxic effect to cartilage have been shown in laboratory studies but not clinical studies. The clinical data showing local anesthetic has effect on chondrolysis is shown in continuous infusion of GH joint, not one time injections.
I have been in pain for well over 6 - 8 months in my right knee with OA. I will have a knee replacement within the next 6 months. I received my 1st cortisone shot yesterday and WOW the pain that I have been living with is 95% gone! I am so happy that I received this shot and I can say that my life has changed!! We are going on vacation in 10 days from now and I will be able to do the things I want to do!!
Thank you both for the valuable guidance. I've just had this cortisone injection on my knee yesterday n really appreciate the relief it provides. No side effects so far. Appreciate your education. God bless you.
I had an injection in my knee this past week. I’m almost 71, had the other knee replaced 14 years ago. Doctor said we’re buying some time before the knee is replaced. It does feel less painful. I’m very active, gym 6 days a week, walking every evening.
Thanks for bringing up this topic! I am 61 yrs old and just had injections in both knees two days ago. I am experiencing chills and kind of fever feeling in my face and arms are very hot. The pain have reduced a bit but I was told to give it a 3 weeks to kickstart. I am feeling hopeful, thinking that after 3 years enclosed cause by the excruciating knee pain I may will be able to finally start to get out of the house now to get on with life. 🙏🙏🙏
Well I just got an injection steroid shot in my left knee 3 days ago & I'm in just as much pain now as I was then. So many people get relief right after they've received their shot, and I'm happy for them, but I'm so bummed for myself. I thought this sht would really work.
I have resisted cortisone for all these years. Last week I finally gave in and got an injection in my knee. The first two days were wonderful by Monday I wasn't doing so well. By Tuesday I had to reschedule two appointments because I was in so much pain that my nerves were shot. My knee was full and tight and I could hardly even bend my knee. Before that I was getting around but had pain but it did not bother me at night. Now I can't find a comfortable position that has no pain. My doctor did not ask if I was diabetic. After watching this I will go check my sugars and see where I am. I can say that I am not a happy camper and there will be no more cortisone in put in this old body.
Oh man hope your better now.
I just had exactly the same thing. By day 4 the pain was worse than before my ACL surgery 5 months prior. 3 weeks later it's still agony to put weight on it and exceptionally swollen. Did yours end up getting better?
@@Wsportys Thanks, I am doing better and just started prp injections. Let's hope.
@@kathklphotography It took quite a while but that terrible pain has subsided. Not that I don't have pain anymore but it is the normal pain of arthritis and I am able to sleep, aside from my lifelong insomnia, the pain doesn't keep me awake. I just started prp injections. That is platelet rich plasma. Look it up to learn more about it. It is very expensive but I finally found a doctor who actually is a doctor so she could help people and she keeps her prices super low. It will take a while before I know if it is working but I don't want to get the replacement if I can help it so I keep trying alternatives. Best to you.
Super helpful, thank you! As a rheumatoid arthritis warrior, I’ve had a few of these over the years. One knee was done a few months ago and yesterday both were done. This is the first time I’ve had side effects! Last night I had a cortisone flare in one knee and today I have the facial flushing. Fun times! Lol
I had my first Cortisone shot, I am Thankful, It really really Helps, Well it Helped me alot , Although I need a Knee Replacement sometime in the Future, But besides that This shot is Awesome, Just hope it last a long time, Thankyou Dr. Calvin Oishi.
Very informative, thanks . Will someone with a torn meniscus benefit from the use of a cortisone injection?
Very helpful info, I have pain in my right knee, doctor says is benign and very small sclerotic mass and suggested cortisone shot, I've been thinking about it and just been taking Ibuprofen to ease the pain in thethe last 3 months, you video definitely helps, and my question is, what happens to the cortisone injected inside the knee after a period of time, does it stay there and cause any future problem or does it just disappear over the years. THANKS AGAIN!
I have bone on bone OA. I got a cortisone injection in December 2022. It worked within hours and was gone in 10 days. I have an appointment next week to discuss surgery.
Just saw your videos. They are great. Please make some more. We have a 2.5 month :)
The first was miraculous. I've had 2 since over 3 years. Each time the pain comes back worse than before. Which really worries me.
Enjoyed the ease of the video. When you say that they last 1 week to several months is that the effect of them or the medication is still in the systems. That is the part that confuses me.
I'm considering the shot following an accident. Cycling 2+hrs my knee is already feeling swollen inside, sharp pain. My miniscus has a tea, im 90 lbs overwright and 6 months away from active duty. I guess my plan is to get this shot, begin training and my knee should feel better after losing all the access weight following the accident....
good stuff guys!
Good info doc 👍
Great video!
Thank you I want to know if knee injection of coercion has some side effect testosterone hormone 's balance in the body?
They work around 3 months for me, I have RA and the shots work really great. Although I feel like I took speed for a few days after getting a shot.
75 for me… did you have more urination after the shot?? Thank you 👍🏻😁‼️
My shot brought me 3 painless months in my right knee. I do have cartilage in that knee. Going to see what is causing my pain.
My C--Shot to the knee, 14 years ago was GREAT! I haven't had One
Single Problem, and I'm 73!
You talked about how it can help with diagnosis what can be diagnosed?
Hi thanks for the info ❤
Dr say I need a shot. At the moment I don’t feel pain in my knee except if I step wrong I got pain but after that pain gone can I refuse a shot I take a tablet instead? Please give advice. Thanks 🙏
I need advice I have osteoarthritis in the shoulder they want me to wear prothesis but im only 44 , my arthritis is very advance they say , what else can I do please
I had a Cortisone shot today. The X rays revealed Baker Cyst caused by torn meniscus. In a few weeks knee surgery. Right now my knee is hurting worse
I think they should also be avoided for tendons because they weaken the tendon and have a risk of rupture later on.
Does it have systemic effects like due they cause stretch makrs on the body
I've had relief that only lasted 1 week and another shot that lasted about 4-5 shots. It's frustrating not knowing how long it will give me relief.
what i find weird is i am reading others say their knees hurt for a few days after, and got worse or better with time. i got the shots in both knees today and other than fainting after and being a bit out of it mentally for maybe an hour or two afterwards, i feel fine. no pain and honestly i don’t feel like i’m very wired up. i feel quite normal actually other than some inflammation after receiving the shots which has already slowly gone down. however, i am a lot younger than everyone i’ve seen comment on their reaction to the shots. (i’m 17)
what the reason of you getting the shots? Maybe that also matters!
I had the flushing for a couple days on my face , arms and chest. It reduced my knee pain immediately and has lasted for 2 1/2 weeks so far. I can sleep again, which was the goal, so I’m thrilled.
hi I had a Cortizone shot three days ago I was at work on the third day and my knee gave out on me the pain was very serious can you tell me what does that mean thank you
I dislocated my hip when I was 13 years old and when I did that I started falling on my left leg on purpose. Now I did have two screws in my hip when I was thirteen and they were removed when I was 14. By the time I was 38 I got a total hip replacement and I'm almost 47 now. I was diagnosed with kneecap arthritis 2 years ago but I knew about arthritis in my knee 8 years ago when I got my total hip replacement. And believe me I'm in pain. I can't stomp very hard with my left foot if I stop hard it will make my knee hurt. If I miss step then I will have to use my crutches because I won't be able to take any weight on my left leg for a good six or seven or eight hours. I used to get cortisone shots in my heel because I used to be obese. Those cortisone shots in my heel only lasted three weeks. I'm not obese anymore. I am overweight. 15 pounds will get me to 136. I can tell a difference because I went from 207 pounds to 127. I'm 152 now. I'm good at 135.
And I had my first cortisone injection in my left knee in October 2021. I was very leery of getting this because I heard they do damage to the ligaments and tendons in all it does is mask the pain. I want something to address more than just symptoms. But I was impressed. That cortisone shot in my left knee helped my knee pain go away for about 10 weeks. I'm going to count the weeks this time. And then the next time I think I need to get the Ozone gas therapy in my knee
You
Just got an injection in my left knee 3 days ago & I'm still in sever pain. It was done in an urgent care clinic & I'm not sure what went wrong. But I'm really regretting this.
Hi I had a chromosome shot about three days ago on the third day as I was at work doing my job my knee became very painful where I could not walk almost can you please tell me what can I do do I go back to the doctor I’ll give it some more time for it to heal thank you have a pleasant day
Had a cortisone shot about a month-and-a-half ago took about a week to work. The cortisone injection only works for about two-and-a-half weeks now I'm back in a lot of pain in my knee unfortunately. The doctor said I can only get a cortisone shot every 4 months. I feel like the cortisone shot was a waste of time for me.
What to do for facial flushing?
Long-term affects are nnot mentioned...and seem to be SIGNIFICANT! Reports are that cortisone actually ACCELERATES joint deterioration. Why is that not mentioned in your warnings?
Very informative, you have a new subbie now
You mentioned it might not be a good idea if you have a broken bone. Can you please elaborate on this? I have a broken ankle and was just given a cortisone shot in my knee. This is why I am curious about wht you said. Thank you.
I believe they are not good for acute injuries because the inflammation and immune response heal the wound. Steroids reduce your immune system and inflammation.
Thank you. I had cortisone in my outer hip area yesterday. Today I feel like my hips broken lol I can hardly put weight on it. So to hear flare is a side effect is good to know. Hopefully it settles down soon. Thanks again.
hi, how long the side effects last? because my is painful, day 1 post steroid injection, got severely worsen
I just want to know if the shots cause more urnination??! Thank you 👍🏻
I had a flareup of pain after injection . Release after two months.
I just got one of those shots, Today in my left knee, later I got a Headache, which I never get, at least Not Often..Do Those shot Cause Headaches?
i’m 16 and my face has been swollen for 3 weeks and it was an allergic reaction i couldn’t breathe well and my throat was itchy and they gave it to me but now my face and lips are more swollen what should i do i’m so tired of this
What about long term side effects on the bones
I had cortisone shots in both knees I could hardly bend my left knee the shots are Purdy much painless and they worked wonders on my knees I felt like I was 18 again after the shots I have been getting them for the last 5 years every 3 months but these last shots didn't work its been over 2 weeks since the shots and I can hardly walk my left knee is killing me it hurts standing sitting or lieing down . I am going to try Gel shots next time if I can wait 3 more months. I am thinking about having my legs amputated that would stop the knee pain 😫
Amputated limbs have phantom pain . So you still feel the pain 💔
I am 44yrs old with arthritis in my right knee with little to no cartilage left. I got the cortisone shot and it didn't help me at all. So now they are talking surgery
I got the shot in my knee yesterday and woke up nauseous with a dull headache. I’m only 40 but I keep getting really hot and just walking into the next room my heart rate goes up as if I ran. I was watching the video for side effects but the kind that doesn’t exactly mean at injection site
How are you doing now?
How is it now?
Hi DRS. Can you or
Someone that see this message can tell
Me if one injection of cortisone will make
Me gain weight
This may sound crazy but when I get a cortisone shot I get hiccups , infact after a iv with cortisone I had hiccups for ten days.
The cortisone was life saving for me (no more thoughts of suicide) had been getting them 6 to 8 months apart and now they no longer work (59) now looking at the hyaluronan injections.
28.11.20 - Update my Doctor won't' refer me for the hyaluronan injections because he said they don't work so until I get the 2 knee replacements I'll soldier on until the suicidal thoughts return and then demand the surgery.
Why not just get a nee knee at your age ? You’re well within the acceptable range.
Check with a wholistic doctor about HA.
@@jefflawrence5835 Doc wouldn't refer me said I'm too young so I changed to a supportive Doc and heading to see the bone Doc in a couple of months.
My GP had the Hyaluronin Injections and it worked great she’s up and running again. Get another opinion & do more research into it
Mine lasted 1 day. 2 days post shot was a slight improvement. 3rd day was fantastic. 4t day back to intense pain. Not a fan.
I received a cortisone shot in my knee for pain three months ago. That night, I didn't sleep and my knee throbbed all night. The next day it was bruised about three inches around the site of the injection. There was a small pinprick where the needle went in. Over the next few weeks, the bruising radiated out and surrounded my kneecap/knee area. The bruising was circular and extended out about six inches around on both sides. There was bruising beyond that six inch circle, and the bruises radiated out like striations towards the sides of my leg and trying to go around the back of the knee. The pinprick started opening and turning into a scab that was the size of a pencil eraser; eventually the scab grew bigger and bigger and was about the 3" across the knee. My knee throbbed and there were days I could barely walk on it. It felt like it was going to explode from the inside, out - so much pressure. The knee was hypersensitive and I could not stand to have even a puff of air on it. At night I didn't sleep from the pain, and I developed a severe issue above the kneecap which swelled and was extremely tender, to the point I couldn't stand to have a sheet over it at night. I literally thought I was going to go crazy from lack of sleep and being exhausted. Went back to the doctor, who said "Yes, it's an allergic reaction!" and took no further action. She sent me on my way with advice to let it heal on it's own. I've been nauseous for 3 mos intermittently. The healing process took another four weeks; so I've had this for almost 12 weeks and it is just now starting to heal, with the scab decreasing and the pain getting better. I would encourage people to consider carefully before getting a cortisone shot - what's in it? What are the risks? How can it be treated if you severely react? etc etc....! I've had other cortison shots in the past with no reaction. My doctor could not/would not explain why it happened; and had no treatment for it. My doctor was SO disinterested in helping me. Why?
What was in the injection she gave me? Did it come from the Wuhan Lab in China, or the Drano Lab in Mexico? I'll never know. Now I'm scared to death to get **any** shot for **any** reason.
Thank you for sharing your story and spreading awareness.
@@detectiveyoshi Let me add that before I received a numbing anesthetic injection and then the cortisone shot, I had received my Covid booster the week before. I'm not convinced now, that I didn't have some sort of reaction because of the booster. OR to the anesthetic injection. Frustrating b/c there is literally no medical professional who can or will respond with information.
@@VABmo ah yes that might have played a role, your immune system was already weakened.. still doesn’t explain the allergic reaction tho 😳 and imo you were not helped enough with that.. I have a very swollen, painful knee and it’s really limiting me in everyday life. Also just kinda scared what will happen to me when I’m older since I’m not that old yet. They did a mri scan and in two days I get the results, hopefully they will figure out what it is.. I hope they won’t recommend cortisone injection because I probably don’t want to do that. I also read that for some people the area of the skin where they have injected cortisone had sunken in and it remains like that.. did that happen to you too?
@@detectiveyoshi No! I've had one cortisone shot in the wrist, with no reaction at all. It did the trick and I never needed another shot.I hope you find out what yours is all about. Please do update here!
@@VABmo I see.. good thing you didn’t have much side effects on your wrist and it worked! How about your knee? How is it now? And thank you so much 💗
Thanks I was scared to get this maybe I get next time
Just be aware that in can go well or not so well. It went very not so well for me.
I had one on the outside of my knee but I feel like the inside of my knee my pop is that a side effect
I just had both my knees I injected today and I have a horrible migraine. My blood pressure also shot-up and I am sweating. Why is that?
Maybe you are like me and didn't get along so well with it. First two days my knee felt great. A steady decline in great. Today, one week later I can barely walk. Never again.
Can pregnant have this shot? Or someone planning to get pregnant can hv cortisone shot?
I get a significant bump in blood sugar
are any of these side effects permanent???? can you explain that????
My doctor has told me to go on RUclips and look for knee exercises to strengthen my knee after my cortisone injection. Do you have any suggestions please?
maybe check out a physiotherapist?
Hello, I had a steroid shot 2 days ago, and my knee got very swollen and painful. Is that normal? The doctor said the shot would help me get better, but it actually got worse. I called them, but they're closed because of the Thanksgiving Holyday. I just wanted to see if any health professionals here could give me some guidance.
How are you feeling now
I got worse too!
I took the shot in both knees two days ago and I am in pain since then . What should I do??
@@omaralshikh9555 how are you doing now?
How do you know if you've got an infection? It's been 3.5 days since the injection and I'm in more pain now then I had seen I went to the doctor. I can't bend my knee at all. And pain Radiates down my calf.
Bonnie Hammaker Same here, are you better now??
Me too. I am not happy but don't know what to do about it.
@@pppaaattt4671 Same here. How are you doing now?
@@icecreamladydriver1606 did ur pain go ???
@@jiyolifewithvimal8301 No, sadly I am now using a four wheel walker with a seat because I can't stand very long at a time. I am going to physical therapy and we will see what that does. Thanks for asking and I hope you are not hurting from some shot.
Is that normal ?
I got the shot in my both knees and after 2 hours I started to feel a lot of pain . I am in my third day after the shot and still have pain that is really bothering me .
Please advice
I don't really think personally is not normal. I've had cortisone shots for years put in. Yesterday I had them put in both knees my left one is the worst usually it feels a little better but my right one got way worse so I don't understand I'm seeing the doctor today God bless you good luck with your journey
i had a cortisone injection recently. 2 hours laterit was if a bolt of lightening hit me. i couldnt walk as in excruiaciting ain and screaming . had to sit for hours in terrific pain could not even get up for a drink . then my face inflamed and went red from chest up neck to cheek. leg not painful now but im taking antihistamine regulary as still a bit puffy and burning up. no support to help with this . i have had 3 anaphalaxis this year . im not saying this was one but certainly triggered a reaction and concerned next could trigger an even worse reaction more quickly. why would this happen?
Can you get mood changes from the cortisone shot?
Yes! Mood swings, depression and light psychose in some rare cases.
I got really weepy. Really a mess. I think my face got flushed. It felt hot and puffy.
I get hiccups from these type shots or medication. Everytime
I had a cortisone shot in my knee yesterday and have weird swelling in the ankle. I iced it but still swollen.
I can tell you in my case they only last about 30 days.
What if you’re type 2 Diabetic?
Do these shots hurt as I have a phobia with needles.
I had 3 in my leg yesterday....Do yourself a huge favour and DO NOT look at the needle( had to lay on a stretcher because I fainted )
Lol sounds like something I'd do ,really hate needles.
Thanks for the advice ;-)
I had mu e 2 dats ago an no nit at all they put nubing soray firt all u feel is oressure no oain
After my cortisone injection my knees still paining me after two months is that normal
This is not official medical advice, but Cortisone is a potent anti inflammatory and doesn't solve the underlying issue. It can actually make the problem worse by degrading tissue since it shuts down the body's inflammatory response. Be careful if you ever decide to do another injection.
did not work for me AT ALL.
You left out Cortisone Flare. That day's of hell
I just found out what a cortisone flare-up is today. Hopefully, it will go away soon.
Me too😢
I have a suprapatellar fat impingement in my left knee. I've tried PT, got an MRI, toom antiinflammatory meds...now I guess I'm signed up for the shot
I use to shots in both knees every 2 months. Now just the left knee cause zero help for right knee. And just 37 years old. 17 years of the coal mining industry.
You left out hiccups. Each time I get steroid injections to both my knees I always have uncontrollable hiccups as a side effect. Not easily treatable for me.
Frequent cortizone steriod injections can degenerate the bone and cartilige. Steriods do have side effects. Anesthesia for joint replacement is dangerous for seniors and temporiarly or permanently affect brain function. My brain is more important than my knee.
Love this discussion about cortisone injections! Next time my patients ask me questions about this, I’m gonna just play them this video 😁😉
That's ridiculous. If you're really a doctor, you probably should take the time to educate your patients on the risks of the injection rather than send them to RUclips. Cortisone isn't a joke, doesn't fix the problem, and if you were my doctor, I'd walk out of that appointment if you told me to watch a RUclips video after I took time out of my day to have an appointment.
My shots only lasted 2 days. Not the dr wants to do gel injections. If that doesn’t work the next step is surgery
Had a cortisol shot in knee first time ever. I’m not diabetic but my blood sugar went up. What do I do to get it down this has not happened to me before
I don't understand, why people with knee replacement still take cortisol injections? Thanks Dr.
They don't work 😢😞
What about people who have been living with chronic lyme disease
The injection was supposed to be for a crows feet tendinitis. It did nothing but caused me more problems. Its been 1.5 month and haven’t been able to have a proper night of sleep since i got the injection. I have terrible hot flashes day and night but more specifically at night, insomnia, weird heart palpitations (chest pain), dizziness, it has affected my vision and speech (forget words) The first few days i had terrible nightmares and hallucinations (that i had fleas)… they never warned me of anything before getting the injection and they didn’t give any info. It has clearly fucked up my system. My knee and tibia still hurt like crazy. I cannot walk more then 15 minutes. Don’t get this injection
What I like best about the shots I get is when the Dr needs to move the needle around while it's inside an already very painful place...😮
My doctor did the injection without lidocaine. I didn't see him aspirate. But when he put it in I screamed like a banshee never felt anything like that before. I have sciatica is done nothing for the sciatica I don't know why he did the knee. Because the knee was affected by sciatica the back of the knee the back of the leg the back of the calf my hip the front of the knee did not hurt. I'm pissed. I won't have him do my lumbar injections. And when he took the needle out it was bleeding all over the place
Best thing I’ve had done 👍🏻 recommend knee injections.
Sound scary I don't want it
Discussion of side effects starts at 3:40 and doesn't go into detail. Not that useful.
Do you gain weight while getting a Cortizone shot?
Well I don't care about the side effects can't walk around aching and in pain all day, the side effect from knee pain is limping
Hiccups as a side effect? That is my experience and an internet search suggest I am not alone.
Side effects at 3:52
Do Prolotherapy.Not Cortizone.
Cute couple😃
I don't trust this presentation. Why? It did not deliver any information at all about Cortisone shots causing liver damage. I'm more concerned about liver damage than all these other side effects they mentioned (skin tone etc) But I've seen this before. I haven't found ANYONE on RUclips that HAS addressed this issue. It's almost as if it is a part of some agenda or something? It's like they won't let you on RUclips if you talk about it. And liver damage is a serious side effect. I've heard about it, but I want to know more.
I know someone that took the shot and they have slight dizziness. What should they do?
yep it's a conspiracy, they're all part of the world-wide cortisone cabal.
Why all of the laughing in discussing a medical issue? If you want to be taken seriously don't sit on your couch.
He thinks it’s funny I guess 🥹
Worst experience ever! I had injections in the past so I asked my rheumatologist to do both knees. My knees were numb for 2 days. I reported it and they said that can happen, to let them know if it didn't get better. 10 days later, lower half of knees numb and it felt like I had rubber bands on my knees. I had many Kaiser (uggg) diagnostic tests including nerve conduction on one leg, x-ray and m. r. i.
Three months of not being able to walk well made leg muscles weak. It's been 11 weeks and I have not recovered. Never again!
You don't know how long as you haven't had it so why listen to you?
Awesome video, but you both need more sleep 😴 yours faces looks tired
Among patients with symptomatic knee osteoarthritis, 2 years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain. These findings do not support this treatment for patients with symptomatic knee osteoarthritis. JAMA
. 2017 May 16;317(19):1967-1975. doi: 10.1001/jama.2017.5283.
Long-term affects are nnot mentioned...and seem to be SIGNIFICANT! Reports are that cortisone actually ACCELERATES joint deterioration. Why is that not mentioned in your warnings?