Tymlos might help your pain- or not. It helped me. Are you sure that a cortisone shot is the best treatment? What is the cause of your back pain?

Endocrinologists get very worried by the slightest steroid exposure but I am not sure if it is a valid worry. Longer term high dose use, yes, definitely a problem.

Can you try lidocaine injections instead? My docs do that. I also see a PT who does manual therapy (massage) and ultrasound.

I have 7 spinal fractures, scoliosis and both cervical and lumbar stenosis, and spinal cord damage in neck. Tai chi has helped me, when I am able.

I don't know the answer about steroid shot before Tymlos and can't think of a reason why you can't. Do you know of one? What does your doctor say? At the same time, I wonder what the root cause of your pain is and if it can be addressed.