Originally Posted by Big B
Damn, that sounds painful!!!
gotgame, doesn't cortisone weakens tendons, ligaments, etc after a few rounds of injections?
Thats only partially correct. If the injection goes where it is supposed to go then its contained by the capsule in larger joints and doesnt bathe any supporting structures and you can have as many as you want. If the underlying issue is OA then you can have as many as you want.
If the issue is something like synovitis and not OA then having a few injections is reasonable but if they arent working then you need to look for the underlying issue.
If you are doing it blindly and injecting into the soft tissues then yes you should only have a few injections. I do all my with x ray for ultrasound so i dont miss.
In joints such as shoulder or hips and a potential cuff tear then maybe you want to limit as it can weaken but again it matters what he underlying issue is.
In something like ankles, toes, small joints. ill inject them 50x and it wont make a difference.
So its not straight forward but if you inject where you are supposed to and dont do it blindly then you can have a ton in almost any joint.
I will say this again... things like synovisc and other cartilage type prep solutions are BS for cartilage healing and do not work. They can help with symptoms but dont make a difference on the cartilage level and i am citing myself for that using T1RHO imaging on 3T magnet