Cortisone shots to prolong the surgery for hip replacement

Posted by nursnis @nursnis, Mar 5, 2019

Has anyone had any experience with cortisone shots to hold off on having their hip replaced? Pros and Cons please.

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@marthaellen

Hello Mary I'm I have had the cortisone shots in my hip plus soon afterwards, bone marrow aspirate injection, neither were effective. Everyone responds differently. Soon I am to have a Conformis Hip, after a year of waiting

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What is the Conformis Hip that you speak of?

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Yes, I Just had one on Wednesday. It was painful but not unbearable. I am having quite a bit of pain afterwards though, I didn't rest like I should have and went to work after. Please rest after you have had it!

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@rocksee8119

Yes, I Just had one on Wednesday. It was painful but not unbearable. I am having quite a bit of pain afterwards though, I didn't rest like I should have and went to work after. Please rest after you have had it!

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Hello, and welcome to Mayo Connect. We are a community of people living with a variety of health issues, who help each other through their journeys. We are not care providers, so we don't provide medical advice, just share our own experiences.

I had numerous cortisone injections beginning around age 50 while trying to delay total hip replacements, which I finally gave in and had done at age 54. If you don't feel any relief after 7 days, talk to the doc. Even if you weren't a "good patient" who rested, if the cortisone is going to work for you, you will feel it by then.

For the curious among you, I will add that I am now 69 and easily able to run and play with my young grandchildren, garden, walk, dance and pretty much do everything except jump, in spite of worsening arthritis. If I had not listened to the doc, and had the hips replaced when he said "Now it's time" the damage would have been so extensive that it couldn't be done at all. So, by all means, try the injections, but if they don't work, it's time for surgery. (PS My still working 66 yo brother had his done so he could continue to waterski with his grandkids. He says he should have done it 5 years earlier because constant pain is so wearing)

Good luck.
Sue

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Thank -you for your response! I have pretty much decided to go ahead with the replacement, wish I had not taken that last Cortisone injection. I'm being told I have to wait 3 months now! Is that absolutely written in stone? If so, I will do it. So happy to hear your positive results.

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@rocksee8119

Thank -you for your response! I have pretty much decided to go ahead with the replacement, wish I had not taken that last Cortisone injection. I'm being told I have to wait 3 months now! Is that absolutely written in stone? If so, I will do it. So happy to hear your positive results.

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I had a cortisone shot in my knee in December which did not work and then had to wait 3 months to schedule knee replacement surgery. Coronavirus postponed it further but yes, you have to wait at least 3 months after any cortisone injection before having surgery because of the increased risk of infection.

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@rocksee8119

Thank -you for your response! I have pretty much decided to go ahead with the replacement, wish I had not taken that last Cortisone injection. I'm being told I have to wait 3 months now! Is that absolutely written in stone? If so, I will do it. So happy to hear your positive results.

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@rocksee8119 I too was told I had to wait 3 months after a cortisone injection to have a knee replacement. That's apparently standard.
JK

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@rocksee8119

Thank -you for your response! I have pretty much decided to go ahead with the replacement, wish I had not taken that last Cortisone injection. I'm being told I have to wait 3 months now! Is that absolutely written in stone? If so, I will do it. So happy to hear your positive results.

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The presence of steroids in your tissue inhibits healing. In an emergency, like a fracture, they will do surgery earlier, but the preference is to wait at least 3 months. This is especially true in a larger joint like a hip, where the amount of steroid is greater than in a hand or wrist.
Sue

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Anyone know how a steroid shot will do with Osteoporosis I'm to get a shot Wednesday

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@lioness

Anyone know how a steroid shot will do with Osteoporosis I'm to get a shot Wednesday

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It depends. In many, osteoporosis is only in some bones. If the injection is in a different area, not a problem. Steroids have an effect over time, not immediately, so one or two injections might be okay.
Sue

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@sueinmn

It depends. In many, osteoporosis is only in some bones. If the injection is in a different area, not a problem. Steroids have an effect over time, not immediately, so one or two injections might be okay.
Sue

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@sueinmn Thanks I have appt We'd so will talk with Dr first

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