athlete0185 said:
i can say that a cortison shot is the best thing i did for my shoulder. i seperated it and it was absolutely horrible. the doc gave me i think a total of 3 shots over a 3 month period and it helped it heal tremondously. i did a lot of exercises for it like PT and worked my back back up in the gym. sure it hurt for a bit, but by the time the shots wore off my shoulder felt like it was getting back to normal. i was playing a sport so there would be times where i would get hit and reinjure it. i dont think the cortisone masks the pain all that much to be honest. if you re hurt it while you got a shot, youll know it for sure. then you know just to lay off. it will never be 100% but my shoulder is now stronger than it ever was. the shots...oh man they were probably the most painful thing ive experienced with a needle. it burns like a mother f'er.
Your right, cortisone doesnt mask the pain, it eliminates inflamation and in turn nearly eliminates pain. Do cortisone shorts hurt? Sure they do, ive had them in the eye socket(long story, they sting like a bitch). Do they reduce the pain? They sure do and they do it so well that you sacrifice the longevity of the joint and recovery.
Cortisone is CLINICALLY PROVEN to inhibit proliferation. Injuries are common place among athletic people and it seems that those here who are so eager to blow off the claims of modern medicine practitioners when their veiws dont coincide with their own, I find it extremely ironic how many of these same people flock to the doc and blindly follow their advice in regards to injuries.
Since people generally dont read this kind of stuff until injured I will cover the basics once again. Connective tissue cells have a turnover rate of 300-500 days under normal conditions. That means if an injury occurs and you do things to prevent or slow down the healing process if could be a year to a year and a half for the injury to be addressed. Everybody is on an anti-inflamatory kick and view inflamation is the bad guy. Granted in the case of an alergic reaction it can be a dangerous or deadly thing, but when its related to fibroblasts and chrondrocytes the inflamatory response is directly linked to the process of repair. When the cells walls break/rupture due to an injury arachidonic acid is released (along with other factors like glycosylated proteins) which atracts granulocytes and fibroblasts. Granulocytes include macrophages and neutrophils which clean up damaged debris at the injury(ie chemotaxis).
Shortly after the injury and cleanup of debris the healing actually begins and cell proliferation takes place. Its this cascade of events that causes the injury to heal and taking anti-inflamatories, using ice and worst of all cortisone injections greatly reduce or prevent proper healing leaving you in a weakened state and more likely to reinjure the same area. This is where the downward spiral begins because upon reinjury most will likely follow the same old methods and leave themselves further weakened.
You are probably correct though, with the method you chose your injury probably never will be 100%, especially if its an old one, but it could have been.