Steroid Injection

Steroid or corticosteroid injections are used to reduce pain and inflammation in conditions like arthritis, sciatica, bursitis, gout, plantar fasciitis, tendinitis, and reactive arthritis. Some of the risk factors are joint infections, nerve damage, osteoporosis, and osteonecrosis.

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Please help me deal with sciatica in both my legs.

Query: Hi doctor,I am dealing with sciatica in both legs. I have a burning sensation with tingling and sharp shooting pain in both legs. I am feeling hard to stand for a long time. I got a sciatic flareup due to a slip in a fall accident. It happened six years back. I was diagnosed with lumbar facet syndro...  Read Full »


Dr. Santosh-kumar Bashyal

Orthopaedician And Traumatologist

Answer: Hi, Welcome to icliniq.com. You need to understand the physiology of facet joints. It helps to have healthy movement and intervertebral disc provides stability for each motion segment. Aging, osteoporosis, and traumatic injury can damage facet joints and it is the leading cause of back pain. It is...  Read Full »

Do intratympanic steroids help severe tinnitus?

Query: Hi doctor,I am 25 years old. I have severe tinnitus due to initial noise trauma for a month. Nobody in the emergency helped me. Can I have intratympanic steroids? I was prescribed Prednisone and Lorazepam. After tapering Prednisone, I hear the noise louder.  Read Full »


Dr. Sandeep Shrestha

ENT Otolaryngologist

Answer: Hi, Welcome to icliniq.com. As per the concern, tinnitus is a perception of a ringing sound. It is of two types. They are subjective and objective. Subjective tinnitus is heard only in patients. The objective tinnitus is heard by both doctor and patient. Tinnitus is not a disease but a symptom of ...  Read Full »

How to treat inflammatory arthritis with multiple joints involvement?

Query: Hello doctor, I have recurrent inflammatory arthritis with significant pain, tenderness, and restricted ROM on my right shoulder. The ortho gave steroid injections with minimal response. MRI of R shoulder shows AC inflammatory joint arthritis. I also have a TMJ problem with severe headaches. Occipi...  Read Full »


Dr. Nagaraj Patil

General Medicine Physician, General Practitioner, Internal Medicine Physician, Diabetologist

Answer: Hello, Welcome to icliniq.com. Based on the information and history provided, you have inflammatory arthritis of multiple joints with neural involvement. I could see that you have the involvement of cartilages as well. Investigations suggest you have positive RF (rheumatic factor). There are a fe...  Read Full »

How long after a Cortisone shot can I have surgery?

Query: Hello doctor, I had a Cortisone shot 10 days ago. It did not help. I will most likely be undergoing surgery for a hip arthroscopy and/or sports hernia. How long do I have to wait after the cortisone shot to have surgery to not risk infection? Also, I take 500 mg turmeric, a multivitamin, 2400 mg vi...  Read Full »


Dr. Sumit Chawla

Orthopaedician And Traumatologist

Answer: Hello, Welcome to icliniq.com. There are two schools of thought regarding the risk of infection in total knee/hip replacement after local steroid injections. As the causes of infection are multifactorial, results favoring both schools of thought are seen. Since you are only undergoing arthroscopy ...  Read Full »

Is getting steroid injection before ablation for neck pain better?

Query: Hi doctor, I have had right-sided chronic cervical neck pain for the past six months. My MRI revealed the following. Bulging discs, C6-C7 and C5-C6 osteophytes and severe bilateral stenosis and typical degenerative disc disease. I visited a pain doctor hoping for a cervical steroid procedure, but in...  Read Full »


Dr. J Mariano Anto Bruno Mascarenhas

Family Physician, General Practitioner, Neuro Surgeon, Neurologist, Spine Health Specialist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. You have had the same condition four years ago and treated with cervical steroid injections (three) and pain disappeared. Now, the pain has reappeared. Hence, steroids may...  Read Full »

Does Cissus extract promote tendon healing?

Query: Hi doctor, My father is suffering from shoulder stiffness, especially in the evening and at night. As he gets pain with some physical activities, he is avoiding most of the physical activities. Even 3 hours of car travelling will result in shoulder pain. He had an MRI scan and I have attached the re...  Read Full »


Dr. Lokesh

General Practitioner, Orthopaedician And Traumatologist, Spine Health Specialist, Spine Surgeon, Family Physician

Answer: Hi, Welcome to icliniq.com. Cissus quandrangularis extract will not help much for the tendon as such, but you can continue that for the bones. I suggest tablet Tendocare (combination of Collagen peptide, Sodium hyaluronate, Chondroitin sodium sulfate and vitamin C) thrice daily for three months befo...  Read Full »

Please give a diagnosis and treatment plan based on my MRI.

Query: Hi doctor, I am suffering from acute lower back pain for the last five days. Now I am getting better with medications and bed rest. This severe and acute pain happens every six to nine months since the last four years. It knocks me out for three to four days. On a regular basis, I have lower back st...  Read Full »


Dr. Sumit Chawla

Orthopaedician And Traumatologist

Answer: Hi, Welcome to icliniq.com. I have read your MRI report (attachment removed to protect patient identity). You have disc prolapse at two levels which is causing compression of nerves at those levels resulting in pain and recurrence of symptoms every few months. More than the report, MRI images are re...  Read Full »

How to know the reason for my big toe pain?

Query: Hi doctor, I have been suffering lately from pain in my big toe joint. It is very severe that I could not sleep two nights when I ran out of painkillers. I thought it might be a gout attack. Because I do have gout. Though my uric acid levels are mostly high, I do not really watch what I eat. My tr...  Read Full »


Dr. Atul Prakash

Fitness Expert, Orthopaedician And Traumatologist, Physiotherapist, Spine Health Specialist

Answer: Hello, Welcome to icliniq.com. From your detailed description, it is gout unless proven otherwise. The reason I say this is your past medical history of gout. Swelling of the great toe and adjoining area with excruciating pain is called podagra. It is the most common presentation of gout. Even nor...  Read Full »

Is it safe to restart Prednisone?

Query: Hi doctor, I was diagnosed with gout in left foot. It has been bothering me for a couple of weeks. Last month, I had issue with my elbow and took Prednisone. Recently, doctor said I cannot take Prednisone again so soon and was essentially screwed. Are there any other treatment options or drugs? How ...  Read Full »


Dr. Atul Prakash

Fitness Expert, Orthopaedician And Traumatologist, Physiotherapist, Spine Health Specialist

Answer: Hi, Welcome to icliniq.com. No, there is no such restriction about restarting Prednisone. As long as there is a clinical need and we have exhausted other options then there is no contraindication to restart steroids. Surely, NSAIDS (non-steroidal anti-inflammatory drugs) should be tried be...  Read Full »

Can liver problem be caused by reducing the dose of Dexamethasone?

Query: Hi doctor, Almost 5 years back, my father had an operation for a brain tumor in the left tempero-parietal region. He had Dexamethasone injections 12 mg and radiation on a linear accelerator 51 and 45. After two years, he had a CT and everything was fine. He even walked. But, when we started lowerin...  Read Full »


Dr. Swaraj S W

Diabetologist, Endocrinologist

Answer: Hi, Welcome to icliniq.com. I would like to know a few things very clear here. From your history, I gather that he had surgery on the brain and was on steroids post-op. And also he received radiotherapy. For what condition the brain surgery was done? He might be having what is called as steroid-...  Read Full »

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