By amarnath Cortisone injections are a common treatment for reducing inflammation and pain in joints and soft tissues. Whether you’re dealing with arthritis, bursitis, tendinitis, or a pinched nerve, cortisone injections can provide significant relief by addressing the underlying inflammation. However, understanding what to expect after the procedure is crucial for a smooth recovery. Dr. Gautam Arora, an expert in pain management at the Neurology and Pain Management Clinic (NPMC), explains the process of rest and recovery following a cortisone shot, and how to maximize its effectiveness.
How Do Cortisone Injections Work?
Cortisone, a type of corticosteroid, is a powerful anti-inflammatory medication. When injected into an inflamed area, it reduces swelling, decreases pain, and allows the affected tissue to heal. The injection typically includes a local anaesthetic to provide immediate pain relief, while the corticosteroid begins to take effect over the next few days.
Immediate post-injection Effects
1. Local Anesthetic Effects: The local anaesthetic included in the injection may provide almost instant relief, which can last for a few hours. This initial relief, however, is temporary, and some patients may experience a return of pain once the anaesthetic wears off.
2. Cortisone Flare: Some patients may experience a “cortisone flare” within the first 24 to 48 hours after the injection. This flare-up occurs when the corticosteroid crystallizes at the injection site, causing temporary discomfort. Symptoms may include increased pain and swelling before the cortisone begins to work. Dr. Arora suggests using ice packs during this period to reduce any discomfort.
3. Delayed Relief: Cortisone typically takes 3 to 5 days to start reducing inflammation. During this time, it’s normal for patients to feel some lingering pain as the medication takes effect.
Resting After a Cortisone Injection
1. Immediate Rest: After the injection, it’s essential to rest the treated area for the remainder of the day. While there is no need for complete bed rest, Dr Arora recommends avoiding strenuous activity or placing excessive stress on the treated joint or tissue. This helps the medication settle and prevents irritation at the injection site.
2. Activity Modification: Over the next few days, patients should continue to avoid heavy lifting, repetitive movements, or high-impact activities. For example, if the injection was in your knee or hip, avoid prolonged standing, running, or jumping. For shoulder injections, limit overhead movements and avoid carrying heavy objects.
3. Resume Normal Activities Gradually: After the first 48 hours, most patients can gradually resume their regular activities. However, it’s important to listen to your body and ease back into exercise or physical tasks. If your joint or muscle feels sore, take it slow and give yourself time to heal fully.
Recovery Timeline and Long-Term Effects
1. Full Effect of the Injection: The maximum benefits of a cortisone injection are usually felt within one to two weeks after the procedure. At this point, patients typically experience significant pain reduction and improved mobility.
2. How Long Relief Lasts: The duration of relief varies depending on the condition being treated. For some, a single cortisone injection can provide relief for several weeks or even months. In cases of chronic conditions like arthritis, additional injections may be needed over time.
3. Combining with Physical Therapy: Cortisone injections are often used in conjunction with physical therapy. Once the initial pain has subsided, physical therapy can help strengthen the muscles around the affected area, improve flexibility, and prevent future flare-ups. Dr. Arora emphasizes that cortisone injections should be part of a broader treatment plan that includes exercise, lifestyle modifications, and sometimes additional therapies.
Potential Side Effects and Risks
While cortisone injections are generally safe, some patients may experience side effects or complications:
- Skin Changes: In rare cases, patients may notice lightening or thinning of the skin around the injection site.
- Infection: Though uncommon, infection is a risk with any injection. Dr. Arora advises monitoring the injection site for redness, swelling, or warmth and contacting your doctor if you notice these symptoms.
- Tendon Weakening: Repeated cortisone injections in the same area can weaken tendons over time, which is why it’s important to follow your doctor’s guidance on the frequency of treatments.
Post-Injection Care Tips
Dr. Arora offers the following tips to ensure the best possible outcome after a cortisone injection:
- Ice the Injection Site: If you experience soreness or swelling, apply an ice pack to the area for 15-20 minutes every few hours. Avoid applying heat for the first 24-48 hours, as this can increase inflammation.
- Avoid Strenuous Activity: For the first 24-48 hours, limit physical activities, especially those that involve the treated joint or tissue.
- Take Pain Medication as Needed: Over-the-counter pain relievers, like ibuprofen or acetaminophen, can be used to manage any discomfort following the injection.
- Follow Up with Your Doctor: Keep in touch with your healthcare provider to monitor your progress, especially if you have chronic pain. They can recommend additional treatments or adjustments to your care plan if needed.
When to Contact Your Doctor
While most cortisone injections are well-tolerated, you should reach out to your doctor if you experience any of the following:
- Persistent or worsening pain beyond 48 hours
- Signs of infection, such as fever, redness, swelling, or warmth at the injection site
- Numbness or tingling that doesn’t go away
- Unusual weakness in the treated area
Final Thoughts
Cortisone injections can be an effective way to manage inflammation and pain, providing relief for a variety of conditions, from arthritis to sciatica. By following the recommended rest and recovery guidelines, you can maximize the benefits of the treatment and ensure a smooth healing process. Dr. Gautam Arora and the team at NPMC are dedicated to helping patients find relief through personalized care plans, including cortisone injections as part of comprehensive pain management strategies.
If you’re considering a cortisone injection or have questions about your recovery process, consult Dr. Arora to get expert advice and tailored treatment.
