Cortisone (Corticosteroid) Injections at MSK Quebec

Cortisone injections are a treatment option offered at MSK Québec in the Quebec region to alleviate pain and enhance short-term joint, tendon, and ligament function. The synthetic cortisone used acts as a potent anti-inflammatory.

What Are Cortisone Injections?

Corticosteroids are natural hormones produced by the human body. In musculoskeletal medicine, synthetic cortisone, which is created in a laboratory and resembles natural cortisone, is injected directly into the injury site to alleviate pain.

Who Should Not Receive Cortisone Injections

Cortisone injections may not be suitable for individuals with:

• Uncontrolled diabetes
• Pregnancy (first trimester)
• Infection at the injection site

Treatment Objectives

• Pain relief and improved function: The primary goal is to achieve short-term pain relief and enhance the function of joints, tendons, and ligaments.
• Onset of effects: Some patients may experience relief within two days, though it may take up to two weeks for the full effect to occur.
• Duration of effects: The relief typically lasts around three months, although this can vary among individuals.

Side Effects

• • Pain: Increased pain may occur for 48 hours after the injection. This can be managed with ice (10 minutes per hour) or acetaminophen.
  • Flushing: Temporary redness of the cheeks and neck that typically resolves within 48-72 hours.
  • Vaginal bleeding: Individuals with a uterus (even post-menopausal) may experience light bleeding similar to menstruation in the week following the injection. This hormonal effect is rare and should not be of concern. Some women may also notice changes in their menstrual cycle (longer cycle and/or heavier bleeding).
  • Increased blood sugar: Individuals with diabetes may experience an increase in blood sugar levels for 24-72 hours after the injection. Monitoring and adjustment of insulin dosage may be necessary.
  • Depigmentation: Rarely, a small area of depigmentation may appear on the skin near the injection site. This risk can be minimized by selecting the appropriate cortisone type for the specific location.

Recommendations

Reduced limb use: Limit the use of the injected limb for the first 48 hours.
Lifestyle: Opt for showers instead of baths, and avoid swimming pools and hot tubs to prevent infection at the injection site.

Conclusion

The cortisone injections offered at MSK Québec effectively manage pain and improve musculoskeletal function in the short term.

To learn more about our services and to schedule an appointment with our experienced team of therapists, please contact us at MSK Québec.