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04 Apr 2006

CORTISONE INJECTION SPRAINED ANKLE
MY ORTHO HAS GIVEN ME 2 CORTISONE(CELESTONE) INJECTIONS IN THE LAST 2 WEEKS AS I AM REALLY STRUGGLING WITH A SPRAINED ANKLE + TARSAL TUNNEL SYNDROME.
IS THIS THE WAY TO GO?
IS CORTISONE SAFE? MY ANKLE HAS BLUISH BRUISES WHERE HE INJECTED AND I FIND THAT MY FACIAL SKIN BECOMES VERY DRY , RED AND IRRITATED.
HOW LONG DOES CORTISONE TAKE TO EXIT YOUR BODY AND WILL THE SIDE EFFECTS GO AWAY?
ORTHO SAID I SHOULD GO BACK IN A MONTH'S TIME - DO YOU PERHAPS KNOW WHY?


Answer 9,335 views
Expert
rehabilitation after injury

01 Jan 0001

Cortizone is safe, as long as it is injected by a qualified practitioner under hygienic conditions. As long as it is not used on a continuous basis, it can be extremely useful to break the cycle of inflammation, to aid when rehabilitation is inhibited by symptoms reduce pain and friction in cases of impingement. Practitioners usually only advise cortisone if alternative methods of treatment have not been successful, or a short term relief is required. Many of the recommendations for the use of local corticosteroid injections are based on anecdote. Generally it is not advised to have more than 3 injections in the same area and do not repeat if two injections do not provide at least 4 weeks' relief. Using anti-inflammatories as a method of treatment however may not cure the ultimate cause of the pain/inflammation such as in the condition of tarsal tunnel syndrome. A possible negative effect of the anti-inflammatory is a weakening of the tendons due to overuse of the drug. Other commonly reported side effects include tissue atrophy, facial flushing, postinjection flare and rarely, possible infection. You will probably need to start working on exercises designed to strengthen the muscles around the ankle joint, to support the joint and assist the weakened tendons. You will need to also work on your proprioception, to strengthen the neural pathways and communication between your brain and the muscles around your ankles. This is so that this joint can have improved kinesthetic awareness and reaction time, and be able to adjust to different environments and surfaces effectively, to prevent further damage. Drugs have different potency and solubility, and solubility is inversely correlated with the duration of action There are few data on the absorption of corticosteroids from injections, research shows the substance will remain in the plasma for a mean of 16 days for example after a periarticular injection. The bruising should heal as long as you assume relative rest for at least 2 weeks after injection and avoid heavy loading for 6 weeks. Take note that if there is any sign of infection or other serious adverse event to inform the doctor immediately.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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