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Shoulder arthritis pain: cortisone injection

Posted on 6/10/25 at 5:28 am
Posted by CharlesLSU
Member since Jan 2007
33240 posts
Posted on 6/10/25 at 5:28 am
Whelp. It finally caught up.

Years of abuse and I’m left with a single pain-mitigating option: replacement

Not enough cartilage for any other treatments. No stem cells, gel injections, etc., but he wants me to be closer to 60yo. I’m mid 50s.

He said the cortisone is not good to do too much as it compromises the tissues and is temporary. I’ve read benefits from 6 weeks to 6 months. Anyone have experience with them?

Don’t want to overdo NSAIDS…..
Posted by LemmyLives
Texas
Member since Mar 2019
13273 posts
Posted on 6/10/25 at 6:25 am to
Cotisone lasts for a while, meanwhile you're pretending there's no pain there, grinding and tearing. Then you get your next shot. Rinse repeat. The joint does not fix itself, no matter what your pain level tells you. I went about every four months for a cortisone shot in my shoulder for about a year and a half, and elected for surgery ~35. Never had a problem since.

You may want to get a second opinion. A doctor telling you to deal with pain potentially for 3-5 years seems odd, especially as you're sort of in the prime of getting older. What does he think you're going to be doing with your shoulder at 70 where he really wants the repair to "last?" Not to mention, at least hip and knee replacements last longer than their organic hosts these days. You could probably dig up my grandmother, pull a few joints out, rinse 'em off, and use them again. ETA: close friend got a knee replacement, and all he says is that he wishes he'd done it sooner.

Maybe try cryo therapy? NSAIDS on the daily for years doesn't seem like it's going to do your liver and your kidneys any favors.
This post was edited on 6/10/25 at 6:26 am
Posted by tmadere
Indianapolis
Member since Jul 2009
40 posts
Posted on 6/10/25 at 7:02 am to
I had tendinitis in my rotator cuff. Steroid injections 4 times. Wore off after 1-2 months each time. MRI showed no tears. Not improving with PT. Elected for arthroscopic surgery and had a significant labrum tear. Only regret was waiting to elect for surgery and not mess with steroids for 2-3 years of no improvement. I’m late 30s.
Posted by LemmyLives
Texas
Member since Mar 2019
13273 posts
Posted on 6/10/25 at 7:12 am to
quote:

significant labrum tear. Only regret was waiting to elect for surgery and not mess with steroids for 2-3 years


Did they do a no-contrast MRI? I had an arthroscopic SLAP repair in a similar situation, but the MRI (contrast injection was the worst) clearly showed the tear.
Posted by LEASTBAY
Member since Aug 2007
16316 posts
Posted on 6/10/25 at 1:13 pm to
If you can get a shoulder MRI on a 3T magnet at a reputable place that does tests on athletes you can like do that instead of an arthrogram and it should show the tears. I'm actually going through this now. The steroid injection was my first step and now PT. Opted for not doing the MRI yet as the Dr said let's see how PT and injection works.
Posted by CharlesLSU
Member since Jan 2007
33240 posts
Posted on 6/10/25 at 2:37 pm to
Well, he was more about dealing with it until it’s a quality of life level.

Guy is one of the best in Houston and has worked wonders with my wife’s surgeries.

There’s no way I’m hitting 60 honestly.

Posted by mchias1
Member since Dec 2009
950 posts
Posted on 6/10/25 at 3:32 pm to
Probably depends on how bad the arthritis is.

I had it in my knee where something kept snagging when I walked up stairs. It also hurt to push off with the leg while playing hockey. I got a cortisone shot and was better with in a week. Haven't received anymore shots.
Posted by GatorPA84
PNW
Member since Sep 2016
5821 posts
Posted on 6/10/25 at 9:33 pm to
The reason he said for you to wait till your 60 is doing a joint replacement in a middle age person is risky as that would mean you likely would need a revision at some point in the future. It’s a mechanical joint and parts wear out after 10-15 years.

Revision shoulder replacement is tricky as when replacing implants you can run into situations of bone loss as well.

I would do the injections until they become ineffective.

-orthopedic shoulder PA

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