by Dr. Peter Braglia
A major article review published in The Lancet in 2010 revealed what many in the natural health profession have suspected for a long time. The review examined the results of over 41 randomized trials and over 2500 patients with tendon injuries. The reviewers found that cortisone injections did in fact provide fast and significant pain relief compared with doing nothing or partaking in physical therapy. However, cortisone shots did not heal the structural damage underlying the pain. Instead, they actually hindered the structural healing, and in 1 case caused tendon rupture.
While at times its tempting to go for the quick fix, in this case it can actually result in a longer healing time. There are in fact over two dozen adverse health effects associated with steroid injections in the medical literature. Conservative treatment should always be first (Chiropractic, Physical Therapy, Nutritional Supplements), when that fails, then its time to explore the more invasive options. Unfortunately, in reality it’s usually the other way around – we see patients who have tried everything – pain meds, cortisone shots, surgery- before visiting us as a “last resort”. Hopefully more studies like this will begin to change that.