In cases of osteoarthritis of the elbow, cortisone injections have been found
to temporarily help ease the pain and swelling. Corticosteroids, also known as
glucocorticoids, refer to a group of naturally occurring human hormones. These
hormones, often referred to as "cortisone", can be artificially produced in the
laboratory and purified for injection into inflamed or arthritic joints,
resulting from rheumatoid arthritis, osteoarthritis, or trauma. For
osteoarthritis of the elbow, a cortisone injection can help reduce the
inflammation for as long as 2-3 months. Before administering the injection of a
corticosteroid, your doctor may try to remove fluid from the elbow by inserting
a needle into the joint and pulling the fluid out.
Following the injection of cortisone into the elbow, there may occasionally
be increased pain secondary to an inflammatory reaction to the injected
medication. These reactions usually occur within the first 24 to 48 hours after
the injection; ice, elevation, and analgesic medications usually lead to
improvement. Post injection pain greater than expected, swelling and/or redness
of the area around the elbow or the development of a fever should raise concerns
about an infection and be reported immediately to your doctor. Rapid diagnosis
and treatment is essential to the effective management of an infected elbow.
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