As you know, we here at Pain Free Posture MN are in the pain relief and posture correction business without the use of medications, manipulations or surgery.
Very often I am asked my opinion regarding the use of cortisone injections as a tool for pain-relief. Professionally and personally, I am not a fan, simply because a cortisone shot is in my opinion a temporary and symptomatically focused solution to a whole body problem. While the concept of the injection is to alleviate pain by addressing inflammation around the affected tissues, the efficacy is not always proven, and does absolutely nothing to deal with the reasons why the inflammation is there in the first place.
It is my experience a very high majority of chronic muscle and joint pain can successfully be addressed through the implementation of a well designed corrective exercise program.
I would not encourage the use of a cortisone injection as first attempt at dealing with inflammation and chronic pain when there are many alternative methods available to try first. Now to be clear, I'm not telling my readership not to get them, I am just sharing my opinion. I believe that before an individual undergoes this option, you should be fully informed as to what a cortisone injection can provide, what the risks are, and what it doesn't do.
And with that said, I want to share some highly compelling information from from author and fellow Corrective Exercise educator, Anthony Carey [Function First, San Diego, CA] regarding the use of epidural cortisone injections. I received this message yesterday, and am sharing it in it's entirety:
Many of you, or someone you care about, have experienced or considered the use of epidural injections of corticosteroids for neck, back, or limb pain. A warning from the FDA just came out last week as reported in the Journal of the American Medical Association (JAMA). I wanted to share with you so that you can make informed decisions. To my surprise, these injections are NOT FDA approved!
You can see the press release here.
"Patients receiving epidural injections of corticosteroids for neck, back, or limb pain are at risk of rare but serious adverse events, including blindness, stroke, paralysis, and death, according to a US Food and Drug Administration (FDA) warning.
Epidural injections of corticosteroids are a common treatment offered to patients who experience back pain, neck pain, or pain that radiates to the arms and legs. However, such injections are not FDA approved, and there is limited evidence backing their safety or effectiveness, according to the agency. A review of data from the FDA Adverse Event Reporting System found cases of death, spinal cord infarction, paraplegia, quadriplegia, cortical blindness, stroke, seizures, nerve injury, and brain swelling in patients who had received epidural steroid injections. These events occurred within minutes to 2 days after injection. According to the FDA, many of the patients did not recover from these injuries."
Thank you for alerting us all Anthony!
I welcome your feedback and healthy discussion on the topic. Remember, you're body CAN heal if given half a chance (Pete Egoscue). If you're not sure what to do, or how to begin to bring balance back to your body and help it heal, please find a Certified Corrective Exercise or Posture Alignment Specialist in your area.
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Head Photo Credit: Ruby and Roxy Photography
Author: Deb Preachuk is a Corrective Exercise Specialist and the founder/owner of Pain Free Posture MN. Follow Deb on Facebook, Twitter, Google+, and LinkedIn, or subscribe to her YouTube, Pinterest or Instagram pages.
With over 25 years in the health and wellness field, Deb helps real people transform real-world chronic pain challenges into achievable results. Deb infuses her teaching with an honest, open and down-to-earth mix of chronic pain relief therapeutic modalities training techniques to make the concepts of pain relief and body/mind transformation accessible and achievable!