1

Cortisone shot for inflammation - experiences to share? (Read 70 times)

    I've had inflammation in my lower glute area - pain when I lift my leg. I've had it for 3 months and originally was diagnosed as hip capsulitis with tight hip flexor and piriformis, but chiropractic and physiotherapy treatments have not relieved the pain. Today an ultrasound on the hamstring revealed scar tissue (assuming a small healing tear) and lots of inflammation.

     

    Doc has suggested a cortisone shot into the area to reduce the inflammation. Anyone had any experience with that? I think the hamstring problem is likely weak core / hips / glutes etc, which I'm working on.

    Suffering Benefiting from mature onset exercise addiction and low aerobic endorphin release threshold. Hoping there is no cure.

    darkwave


      I had a cortisone injection into that rough area (right at the crease of my butt/thigh, if that makes sense.  2 months later I had a torn hamstring tendon at the insertion point - not far from where I got the injection.  I don't know if it was the cortisone weakening the tendon, or just the cortisone hiding something that turned out to be a major injury when the cortisone wore off.  Either way, I'd never do cortisone ANYwhere close to a tendon again.

       

      Just one person's anecdotal experience.

      Everyone's gotta running blog; I'm the only one with a POOL-RUNNING blog.

        I had a cortisone injection into that rough area (right at the crease of my butt/thigh, if that makes sense.  2 months later I had a torn hamstring tendon at the insertion point - not far from where I got the injection.  I don't know if it was the cortisone weakening the tendon, or just the cortisone hiding something that turned out to be a major injury when the cortisone wore off.  Either way, I'd never do cortisone ANYwhere close to a tendon again.

         

        Just one person's anecdotal experience.

         

        Sure seems these upper hamstring/butt injuries are becoming more and more common.  Last August I developed severe hamstring pain not necessarily up high, but it hurt like hell in the butt insertion point to stretch that area.  After a few months of PT and not getting better, an MRI reveal upper hamstring tendonosis and a fractured sit bone (ischial tuberosity). A cortisone shot would have not helped one bit.

         

        Given all the side affects of cortisone shots, I doubt I'll ever get one.  However if you do get one just be prepared to take it easy for a while so you don't rupture the tendon. You'll be worse off.

         

        There are some things you can do on your own to help the area. One great exercise is to lay on your back, with the good leg flat on the floor. Clasp the bad leg right behind the knee and try to hold it at a 90 degree angle to the floor. While holding the quad portion of the leg still, straighten the leg as much as possible. You'll probably feel some shooting pain in the hamstring and glute area.  Try to do 3 sets of 10 to 20 reps on both legs.  I also do this exercise while not clasping the back of the knee, but rather massage the hamstring while I'm straightening the leg. If I find a tender spot, I really press on it. This is my own form of ART that the chiropractor does.

         

        You could try a supplement from Standard Process called Ligaplex I.

         

        Btw, my hamstring started to heal faster when I cut out the NSAIDs.  In fact, it seems the inflammation didn't go away until I cut them out completely.

           

          Sure seems these upper hamstring/butt injuries are becoming more and more common.  Last August I developed severe hamstring pain not necessarily up high, but it hurt like hell in the butt insertion point to stretch that area.  After a few months of PT and not getting better, an MRI reveal upper hamstring tendonosis and a fractured sit bone (ischial tuberosity). A cortisone shot would have not helped one bit.

           

          Given all the side affects of cortisone shots, I doubt I'll ever get one.  However if you do get one just be prepared to take it easy for a while so you don't rupture the tendon. You'll be worse off.

           

          There are some things you can do on your own to help the area. One great exercise is to lay on your back, with the good leg flat on the floor. Clasp the bad leg right behind the knee and try to hold it at a 90 degree angle to the floor. While holding the quad portion of the leg still, straighten the leg as much as possible. You'll probably feel some shooting pain in the hamstring and glute area.  Try to do 3 sets of 10 to 20 reps on both legs.  I also do this exercise while not clasping the back of the knee, but rather massage the hamstring while I'm straightening the leg. If I find a tender spot, I really press on it. This is my own form of ART that the chiropractor does.

           

          You could try a supplement from Standard Process called Ligaplex I.

           

          Btw, my hamstring started to heal faster when I cut out the NSAIDs.  In fact, it seems the inflammation didn't go away until I cut them out completely.

          I am worried about the ischial tuberosity situation and I'd really like an MRI, but I'm in Canada and they are scarce. I've had upper hamstring tendonosis before on the other leg and had physio on it and it did resolve. My recent treatments focused on piriformis and hip flexors Maybe with the right diagnosis, it will resolve. I have very compromised flexibility on my right side vs the left. I don't trust the cortisone shots either, hence this post.

           

          But I have been in awful pain - especially in the torture chamber formerly known as the car - for months now and I'm feeling desperate. I did ask for some Tylenol 3's - maybe taking something like that will relax me so I rest properly and do the strengthening exercises.

           

          With regard to that stretch, that reminded me that I need to go find my instructions from the previous hamstring recovery......

           

          Thanks for your help. I know these posts are anecdotal, but it does gjve some perspective.

          Suffering Benefiting from mature onset exercise addiction and low aerobic endorphin release threshold. Hoping there is no cure.


          Feeling the growl again

            Your issue sounds very similar to mine...right down to the pain sitting in the car.  I pretty much lost all of 2013's running to this injury.  I did not get a cortisone injection and don't regret it.  It's not a cure for the root of the problem...it can cause tendon weakening and/or cause you to over-work the injury because you don't feel it and work it harder.

             

            Find the root cause.  If you read around on here you will find there are quite a few different things that can lead to very similar symptoms, from a torn labrum to piriformis issues to hip/hip flexor imbalances to torn hamstring tendons.

            "If you want to be a bad a$s, then do what a bad a$s does.  There's your pep talk for today.  Go Run." -- Slo_Hand

             

               

              Find the root cause.  If you read around on here you will find there are quite a few different things that can lead to very similar symptoms, from a torn labrum to piriformis issues to hip/hip flexor imbalances to torn hamstring tendons.

               

              I have 5 days to make a decision and I will see how it goes. I am pretty sure that the root cause (which my physiotherapist is aligned with) is hip/hip flexor / glute strength imbalances. I have re-started pilates and glute / hip flexor strengthening exercises. I just have to start realizing that if I want to continue to experience the enormous joy I get from running, I must maintain this aging body!!

              Suffering Benefiting from mature onset exercise addiction and low aerobic endorphin release threshold. Hoping there is no cure.

                 

                 

                But I have been in awful pain - especially in the torture chamber formerly known as the car - for months now and I'm feeling desperate. I did ask for some Tylenol 3's - maybe taking something like that will relax me so I rest properly and do the strengthening exercises.

                 

                 

                 

                I had that severe pain while sitting/driving too. For relief I rolled up a pair of socks and put it under my upper hamstring so that side of the butt wasn't under as much pressure. It took a while (months) before the pain subsided to where I didn't need the sock. FWIW, I'm going on 11 months and I still have some pain, but at least I'm able to run. Someday I might even be running w/out pain :-)

                 

                Good luck!


                Feeling the growl again

                   

                   if I want to continue to experience the enormous joy I get from running, I must maintain this aging body!!

                   

                  You're telling me....I'm 36... Sad

                  "If you want to be a bad a$s, then do what a bad a$s does.  There's your pep talk for today.  Go Run." -- Slo_Hand