Steroid Injections
How Glucocorticosteroids Work
Glucocorticosteroids mimic the effects of hormones produced by the adrenal glands. By doing so, they play a crucial role in inhibiting the immune system’s inflammatory processes. Inflammation is a natural response to injury or infection, but when excessive or chronic, it can lead to tissue damage and pain. Glucocorticosteroids help to temper this response, reducing swelling, redness, and pain in the affected areas.
Methods of Administration
Steroids can be administered in several ways, but oral and injectable forms are the most common.
- Oral Steroids: When taken by mouth in tablet form, steroids are absorbed through the stomach and enter the bloodstream to reach the entire body. This method is beneficial for systemic inflammation or conditions affecting multiple areas. However, because the steroids are distributed throughout the body, the concentration reaching the specific area needing treatment is relatively low. This can lead to side effects, especially with long-term use, as the entire body is exposed to the medication.
- Steroid Injections: Injectable steroids deliver a high concentration of medication directly to the affected area, whether it be a joint, muscle, or around a nerve. This localized approach ensures that the target area receives a more significant dose of the medication, offering rapid and targeted relief from pain and inflammation with fewer systemic side effects. Injections can be administered in various settings, including joints (intra-articular), muscles (intramuscular), or around specific nerves (epidural or nerve block).
Cortisone Shots Benefit Many Conditions
Steroid injections for inflammation are employed in a wide array of conditions, including but not limited to:
- Rheumatoid arthritis
- Osteoarthritis
- Sciatica
- Back pain
- Bursitis
- Gout
- Plantar fasciitis
- Tendonitis
These conditions benefit from the potent anti-inflammatory properties of steroid injections, which can provide significant relief from pain and improve function.
Considerations and Potential Side Effects
While steroid injections for pain relief can be effective, they are not without risks. Cortisone shot side effects can include:
- Pain and swelling at the injection site
- Skin discoloration
- Allergic reactions
- Potential weakening of tendons or cartilage with repeated injections in the same area
- Elevated blood sugar levels, particularly of concern for diabetic patients