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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Long-term Implications Of Steroid Injections?

I have has 7 steroid injections-, 2 lumbar spine, 3 hip, 1 knne &1 thumb.- since 11/10. I am 64 yrs old,5 & weight 150 lbs. My mother died of ca of the crtex of the adrenal gland. Only the dr who injected my back is concerned, the others tell me it stays where you inject it, I am starting to be concerned. Should I be?
Tue, 11 Apr 2023
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General & Family Physician 's  Response
Hi,

Steroid injections are commonly used to treat a variety of conditions, including arthritis, bursitis, tendonitis, and other inflammatory conditions. While they can be effective in reducing pain and inflammation in the short term, there are potential long-term implications that should be considered.

One concern is that repeated steroid injections may weaken the surrounding tissues and increase the risk of injury or further damage. For example, repeated injections in the hip joint may lead to degeneration of the cartilage and increase the risk of developing osteoarthritis.

Another potential concern is that long-term use of steroids can lead to systemic side effects, such as weight gain, high blood pressure, diabetes, osteoporosis, and increased risk of infections. However, the risk of these side effects is generally considered to be low with occasional steroid injections.

The risk of developing adrenal suppression, which is a reduction in the production of natural steroids by the adrenal gland, is also a potential concern. However, this is more likely to occur with long-term use of oral steroids rather than occasional injections.

It is important to discuss any concerns you have about the use of steroid injections with your healthcare provider. They can help weigh the potential benefits and risks based on your circumstances and medical history. Additionally, it may be helpful to explore alternative treatments for your condition, such as physical therapy, acupuncture, or other non-invasive therapies.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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What Are The Long-term Implications Of Steroid Injections?

Hi, Steroid injections are commonly used to treat a variety of conditions, including arthritis, bursitis, tendonitis, and other inflammatory conditions. While they can be effective in reducing pain and inflammation in the short term, there are potential long-term implications that should be considered. One concern is that repeated steroid injections may weaken the surrounding tissues and increase the risk of injury or further damage. For example, repeated injections in the hip joint may lead to degeneration of the cartilage and increase the risk of developing osteoarthritis. Another potential concern is that long-term use of steroids can lead to systemic side effects, such as weight gain, high blood pressure, diabetes, osteoporosis, and increased risk of infections. However, the risk of these side effects is generally considered to be low with occasional steroid injections. The risk of developing adrenal suppression, which is a reduction in the production of natural steroids by the adrenal gland, is also a potential concern. However, this is more likely to occur with long-term use of oral steroids rather than occasional injections. It is important to discuss any concerns you have about the use of steroid injections with your healthcare provider. They can help weigh the potential benefits and risks based on your circumstances and medical history. Additionally, it may be helpful to explore alternative treatments for your condition, such as physical therapy, acupuncture, or other non-invasive therapies. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician