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Old 07-14-2012, 04:31 AM   #1
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Question Cortisone (steriod injection) into ankle

Howdy,

I've posted a separate thread about my history http://www.healthboards.com/boards/foot-problems/905250-severe-throbbing-after-ankle-arthroscopy-debridment.html

However as part of my post surgical management I'm now to have a cortisone injection into my ankle.

I'm two months post ankle arthroscopy and debridement and not progressing as well as expected.

Before surgery a different surgeon asked for an injection into the joint and rather than nothing happening or making it better, it made it far worse.

Some of the worse pain I've ever felt.

It was explained to me by my GP that there is "no spare room" in the ankle joint and any introduction or additional fluid can be problematic.

Just curious what other people's experiences have been?

I know many people that have had cortisone's and swear by them, but none into a weight bearing joint.

 
Old 07-14-2012, 06:23 PM   #2
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Re: Cortisone (steriod injection) into ankle

It's common to have some increase in pain for a couple days after the injection. It's called a "steroid flare," and even if this happens, the injection still might help a week or so later.

If you do get the injection, ice the site right after and twice more that day, 20 minutes at a time. Limit time on your feet right after the injection.

I had cortisone shots in my ankle before my debridement. They helped for a few weeks, then the swelling came back.

 
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Old 07-14-2012, 11:00 PM   #3
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Re: Cortisone (steriod injection) into ankle

Do these steroid injections go into the bone, or cartilage, or in between? I know you can't compress a liquid, so something has to give. I had just one of those injections and that was enough for me. It was extremely painful.

 
Old 07-15-2012, 09:36 AM   #4
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Re: Cortisone (steriod injection) into ankle

No, they go into the joint space between the bones. There's a little sac called the synovium around the joint and some fluid inside. When the amount of fluid changes, the synovium and your skin can stretch to accommodate it.

 
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Old 07-16-2012, 01:17 AM   #5
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Re: Cortisone (steriod injection) into ankle

I had a cortisone/lidocaine shot into the joint space. It was used partly to ease the pain and swelling and partly as a diagnosis tool. The day I had the shot, I kept my foot up and iced often. The swelling and pain subsided quickly and did not return for several months.

 
Old 07-17-2012, 02:19 AM   #6
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Re: Cortisone (steriod injection) into ankle

Thanks for the replies.

I visited my GP today and he is wanting me to go non weight bearing for a couple of days. My Physio ( Physical Therapist) isn't all that keen.

In all of this it's "within limits of pain" right now i'm counting down the minutes to when the four hours approaches so I can take more pain relief.

What I'm trying to work out now is how to reduce my workload so I can stay off my feet more, that's the tricky bit.

I'm going to wait until I see the radiologist on Friday this week who is the specialist and see what he says.

Either way, the foot will be kept elevated and I'll head back to regular icing on the day of injection and possibly the day after.

 
Old 07-23-2012, 06:32 AM   #7
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Re: Cortisone (steriod injection) into ankle

I had the injection intermedially I think you call it, on Friday afternoon.

One of the most painful experinces of my life.

Kept off my feet for the weekend and havn't noticed any improvment as yet.

Hopefully it will kick in soon, think I'm just expecting too much too soon!

Last edited by pilko; 07-24-2012 at 05:02 AM.

 
Old 07-23-2012, 07:09 PM   #8
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Re: Cortisone (steriod injection) into ankle

I had an appt with a foot/ankle specialist today. I realize now that there is a difference between a generic orthopedic doctor and a specialist/board certified.

At today's appt, the doctor gave me an injection in three locations, two in the calcaneocuboid and one in the talonavicular joints. He used a strange device to numb the areas prior to the injection; a metalic cylinder thing about an inch or an inch and a half in diameter and about 7 inches long with a lever on the side (i assume the lever was like the forestock on a bb air rifle), it pumped the unit and charged it for the injection to numb the site. of course, my nerves were shot by the time he pulled that device out, so my he time I got home from the appt I described it being the diameter of an old timey drink thermos, the kind with the glass inner liner, and about as long as my forearm (boy, do our imaginations run wild when we're stressed out...). lol

It's been about 5 hours since the injection, and I think I can actually feel less pain than prior to the injection. I'm hoping that's a sign of finding the right man for the job.

I have two weeks until my next appt with him, so I plan to pay close attention to how good or bad the areas feel in the meantime. I had a single injection in the calcaneocuboid joint about 15 years ago, and only saw a slight improvement. Maybe this time it'll work out better.

The first experience with this type of injection was a nightmare of pain, but this one makes me feel more confident in the doctor's skills. Don't let one instance decide for you. There are other factors to consider.

 
Old 07-23-2012, 07:13 PM   #9
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Wink Re: Cortisone (steriod injection) into ankle

I had an appt with a foot/ankle specialist today. I realize now that there is a difference between a generic orthopedic doctor and a specialist/board certified.

At today's appt, the doctor gave me an injection in three locations, two in the calcaneocuboid and one in the talonavicular joints. He used a strange device to numb the areas prior to the injection; a metalic cylinder thing about an inch or an inch and a half in diameter and about 7 inches long with a lever on the side (i assume the lever was like the forestock on a bb air rifle), it pumped the unit and charged it for the injection to numb the site. of course, my nerves were shot by the time he pulled that device out, so my he time I got home from the appt I described it being the diameter of an old timey drink thermos, the kind with the glass inner liner, and about as long as my forearm (boy, do our imaginations run wild when we're stressed out...). lol

It's been about 5 hours since the injection, and I think I can actually feel less pain than prior to the injection. I'm hoping that's a sign of finding the right man for the job.

I have two weeks until my next appt with him, so I plan to pay close attention to how good or bad the areas feel in the meantime. I had a single injection in the calcaneocuboid joint about 15 years ago, and only saw a slight improvement. Maybe this time it'll work out better.

The first experience with this type of injection was a nightmare of pain, but this one makes me feel more confident in the doctor's skills. Don't let one instance decide for you. There are other factors to consider.

 
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