Corticosteroids Injections Side Effects and Pitfalls
Corticosteroids Injections Side Effects are very common in sports injuries and are an addition for treating sport related injuries and inflammation. It is essential to understand that these agents are not without side effects. Today, cortisone therapy is used to manage injuries, arthritis and other related inflammatory conditions. One misunderstanding is that intra-articular corticosteroids, when injected into the joints, are poorly absorbed. The opposite is actually true. Research on corticosteroids injections side effects has shown that the body’s normal cortisol levels were suppressed when injected with corticosteroids. There is a hypothalamic-pituitary-adrenal axis suppression of cortisol that may continue for 7 days depending on the dosage and continued use of corticosteroids. Long-term or regular administration of corticosteroids have caused some cases of Cushing’s syndrome where the adrenal glands produce too much cortisone. Other corticosteroids injections side effects include adverse gastrointestinal effects, mood alteration, facial flushing, and fluid retention. Chronic use of corticosteroids may also be associated with systemic effects that include proximal myopathy, osteoporosis, cataracts, glaucoma or osteonecrosis.
Corticosteroids Injections Side Effects in Sports Injuries
Local adverse effects happen much more frequently than systemic adverse effects. Corticosteroids injections side effects may create adverse changes in cartilage, ligaments, and tendons. “Gilsanz and Beernstein found in a study that 20 of 39 patients who had received corticosteroid injections for rheumatoid arthritis had calcifications in the joint.” These calcifications may have potential to cause inflammatory arthritis. Noyes found that direct injections decreased the tensile strength of the collateral ligaments making them more prone to injury. Several studies have shown that those tendons that are used to generate large forces may rupture after receiving corticosteroid injections. The Achilles, patellar, and biceps tendons have historically fallen into this group. Skin pigmentation changes and atrophy of lipid material may cause skin dimpling. Patients have also noted having a “steroid flare” reaction. This is and intense, almost immediate immune response to injected steroids where the joint becomes red, hot, and very painful 4-24 hours after an injection. There may be a relationship to corticosteroid injections and Achilles tendon rupture. In 1976 Kennedy and Willis demonstrated weakening of tendon strength after corticosteroid injections. There is evidence that conservative treatment should be employed initially because corticosteroids injections side effects may place a perosn at risk of rupture after receiving corticosteroid injections, especially for Achilles tendonitis,, peritendinitis, or tendinosis. Corticosteroids injections side effects treating with acupuncture as a chiropractor in phoenix.
this article on corticosteroids injections side effects is informational and not to be used to diagnose or treat any medical condition