Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
I have had to cortizone injections in my arm for elbow pain and they have not worked. A kiropractor in Norwy Olso (where I live) said I should not have done this?? He recommended electtro shock treatment as a first step your thoughts would be most appreciated
I would like to know the diagnosis that your treatment doctor that did cortisone shots, gave you. I presume that it was epicondylitis either lateral (tennis elbow syndrome) or medial (golfer's elbow). Cortisone shots are indicated for both of them.
Personally, I like to discuss with the patient other treatment modalities such as non-steroidal anti-inflammatory drugs such as Ibuprofen using braces or tennis elbow straps and other physical therapy devices such as ultrasound and magnet therapy. This may take longer to heal. If the patient is not willing to wait and prefers a quicker result, then I would do 2 cortisone injections one week apart (explaning the risks of cortisone shots). When your chiropractor says electroshock, I suppose he meant electrotherapy (tens), because electroshock is used in psychiatry patients.
Depending on your time schedule that you want to spend with physical therapy it is not mistake to proceed with all the physical therapy appliances that I mention for 15 sessions. Then if no improvement you can do cortisone shots later. So I leave it up to the patient to decide if he wants to start with physical therapy first or cortisone shots first. It is not mistake either option.
Hope I have answered your query. Let me know if I can assist you further.
Regards, Dr. Edvin Selmani
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How To Treat Elbow Pain?
Hello, I would like to know the diagnosis that your treatment doctor that did cortisone shots, gave you. I presume that it was epicondylitis either lateral (tennis elbow syndrome) or medial (golfer s elbow). Cortisone shots are indicated for both of them. Personally, I like to discuss with the patient other treatment modalities such as non-steroidal anti-inflammatory drugs such as Ibuprofen using braces or tennis elbow straps and other physical therapy devices such as ultrasound and magnet therapy. This may take longer to heal. If the patient is not willing to wait and prefers a quicker result, then I would do 2 cortisone injections one week apart (explaning the risks of cortisone shots). When your chiropractor says electroshock, I suppose he meant electrotherapy (tens), because electroshock is used in psychiatry patients. Depending on your time schedule that you want to spend with physical therapy it is not mistake to proceed with all the physical therapy appliances that I mention for 15 sessions. Then if no improvement you can do cortisone shots later. So I leave it up to the patient to decide if he wants to start with physical therapy first or cortisone shots first. It is not mistake either option. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Edvin Selmani