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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Cortisone Injection The Right Method Of Treatment For Shoulder Pain?

Hi I hurt my shoulder 8 weeks ago when I fell holding onto a hand rail and yanked it upwards. I have been doing physio and have not gotten any better, in fact a little bit worse. one of the doctors treating me is pushing hard for a cortisone shot but I am hesitant as my Mri I had 3 weeks ago showed no sign of bursitis or inflammation so I don t see what the point of a powerful anti inflammatory is and worried it will just mask the pain and they will not be as concerned with finding what the real problem is Thoughts? Is this not a redundant treatment
Mon, 18 Dec 2017
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Orthopaedic Surgeon,  's  Response
Dear patient
what is your mri report saying apart from no inflammation or bursitis? is there any tear in ligament or any other finding? intraarticular injection of corticosteroids is helpful for bursitis and inflammation. Though mri is highly sensitive and specific in diagnosis of soft tissue pathology but in early stages it may miss the diagnosis. clinical Examination is always of paramount importance in diagnosis. SINCE you are taking physiotherapy for 8 weeks and with no relief injection may be helpful. Your doctor must have examined you and he may have found signs of inflammation. Single injection is not harmful and can be taken. If still in doubt you should take opinion of other shoulder surgeon.
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Is Cortisone Injection The Right Method Of Treatment For Shoulder Pain?

Dear patient what is your mri report saying apart from no inflammation or bursitis? is there any tear in ligament or any other finding? intraarticular injection of corticosteroids is helpful for bursitis and inflammation. Though mri is highly sensitive and specific in diagnosis of soft tissue pathology but in early stages it may miss the diagnosis. clinical Examination is always of paramount importance in diagnosis. SINCE you are taking physiotherapy for 8 weeks and with no relief injection may be helpful. Your doctor must have examined you and he may have found signs of inflammation. Single injection is not harmful and can be taken. If still in doubt you should take opinion of other shoulder surgeon.