This is a very important article about cortisone injections and I don’t know why it took me two years to find it.
What it says is that cortisone shots are overused, and they often slow healing. Yes, the cortisone can give quick relief, but over several months, the patient who get the cortisone injections, especially if they get more than one, tends to heal less completely and more slowly.
Why? The suspicion is that most of these tendon and joint injuries are not a true tendonitis, not truly inflamed. They are mostly tendonosis, a wear and tear gradual injury.
The best therapies for a tendonosis include the exact right amount and form of exercise; build it, don’t hurt or harm it. This is easy to say, but hard to do. We are very focused on guiding you in effective rehab, if you are willing to do the work. An additional therapy is Graston technique. We use Graston to stimulate healing of injured tendons that have stopped healing on their own. We usually know within two to three sessions whether this is working for your particular problem. If not, it’s back to the drawing board, figuring out what is the problem and what will work.
Sometimes you may need a stronger stimulus to heal, such as prolotherapy. Sometimes the problem may be upstream in the spine, and/or sometimes its nutritional or hormonal issues blocking healing.