Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
191 Doctors are Online

Undergone sonographic paratenon stripping procedure for achilles problems. Alternative for cortisone?

User rating for this question
Very Good
Answered by

Orthopaedic Surgeon
Practicing since : 1994
Answered : 10447 Questions
I have achilles proble and due to have sonographic paratenon stripping procedure which uses cortisone in the injection. Is there any alternative to cortisone?
Posted Mon, 6 Aug 2012 in Bones, Muscles and Joints
Answered by Dr. Praveen Tayal 3 hours later
Thanks for posting your query.
In cases of achilles tendonitis, paratendon stripping is done under ultrasound guidance. The stripping of pathological vessels is done using saline and diluted steroids- cortisone. Sometimes local anaesthetic like lidocaine or bupivacaine are also injected to reduce the pain.
There is no other alternative which has an equal efficacy.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Praveen Tayal.
Above answer was peer-reviewed by
Follow-up: Undergone sonographic paratenon stripping procedure for achilles problems. Alternative for cortisone? 6 hours later
What are the ramifications of doing the procedure without the steroids or do you have any suggestions as to course of action. The cortisone boots up my sugar levels to unacceptable levels and when given this previously took 2-3 months to get the sugars under control.
Many thanks
Answered by Dr. Praveen Tayal 1 hour later
Thanks for writing again.
The local inflammation can only be controlled with local steroid injections. These are not likely to cause such a strong systemic effect so as to derange the blood glucose levels for 2-3 months. The steroids are used in dilute form.
In case you want to avoid steroids then conservative treatment with oral anti inflammatory drugs and hot fomentation will help you.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor