Steroid shot in knee side effects

Kenalog in blood - Derby et al. "Size and aggregation of corticosteroids used for epidural injections"

  • Depo-Medrol also formed large aggregations in the study by Tiso et al [6]
  • Celestone Soluspan formed large aggregations only in the Derby et al study  [7 ]
  • It is speculated that these large aggregates occlude smaller vessels, and thus lead to infarction .
  • Injection of methylprednisolone vs dexamethasone vs prednisolone into the vertebral artery of pigs – see summary of study here

    The benefits from the first shot only lasted 2 weeks. The second and third set of injections lasted about 90 days. In November, I was ready to have surgery. My EMG and nerve conduction tests proved that the nerves were "sleeping" before I was. After another MRI, the neurosurgeon said I was a candidate for surgery but I was not able to get the endoscopic type surgery that is less invasive. I would have an incision about 6-8" long. Along with removing the herniation, they would have to increase the size of the hole where the nerve roots were going through.

    Once I have all the above information I put together a differential diagnosis and present it to the patient.  Like I mentioned at the top, sometimes the problem is simply being incompletely healed and more time is needed.  Other possibilities include poor rehabilitation, cartilage defects, sub chondral edema from degeneration/arthritis (common), poor patella mechanics, poor range of motion, AVN (rare), IT band syndrome, pes bursitis, intra-articular ganglions, plica bands/synovitis, persistent tear that was incompletely treated (unusual).  Other problems that I also think about include rheumatoid disease, hip arthritis, and neurological disease such as a L4 radiculopathy.   I then spend a few minutes writing down my diagnostic plan and the treatment plan.  Patients appreciate it when you write down the plan as well as “the next step”.   For example I might say “lets try a steroid injection today, more therapy aimed at improving quad flexibility and 10 days of NSAIDs.  If this does not work in 6 weeks I will recommend hyaluronate injections”

    I have a torn meniscus , and arthritis in my knee so I had a cortisone injection yesterday, the 27 of July. The injection site was sore, but not anything I couldn't handle. I did however have a headache all night, couldn't sleep, and my blood pressure was high. I take medicines for high blood pressure , but it didn't help much. I felt achy all over, and had hot flashes so bad that I had to have a fan blowing directly on me all night. Today I feel somewhat better. Knee isn't as sore, blood pressure is ok, and I am not as hot as I was last night. I did take a nap today, and felt like eating. Headache is slight, and less pain in my knee. Not sure if I will have another shot or not because of the side effects, but depends on how much I can endure with the pain in my knee.

    Steroid shot in knee side effects

    steroid shot in knee side effects

    I have a torn meniscus , and arthritis in my knee so I had a cortisone injection yesterday, the 27 of July. The injection site was sore, but not anything I couldn't handle. I did however have a headache all night, couldn't sleep, and my blood pressure was high. I take medicines for high blood pressure , but it didn't help much. I felt achy all over, and had hot flashes so bad that I had to have a fan blowing directly on me all night. Today I feel somewhat better. Knee isn't as sore, blood pressure is ok, and I am not as hot as I was last night. I did take a nap today, and felt like eating. Headache is slight, and less pain in my knee. Not sure if I will have another shot or not because of the side effects, but depends on how much I can endure with the pain in my knee.

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