Body

  • Rock Climbing Injury: Broken Hand
  • Rock Climbing Injury: Hydrocele, Spermatocele and Strained Groin
  • Rock Climbing Injury: Hand: Arthritis
  • Rock Climbing Injury: NSAIDS: To Use or Not to Use
  • Rock Climbing Injury: Open-Heart Surgery
  • Rock Climbing Injury: Osteopenia and Increasing Bone Density
  • Rock Climbing Injury: Body: Pain Meds vs Sex
  • Rock Climbing Injury: Appendectomy and Climbing Training
  • Rock Climbing Injury: Body: Injury Truths
  • Rock Climbing Injury: Body: BPA and Waterbottles
  • Rock Climbing Injury: Body: Bouldering for Bone Density
  • Rock Climbing Injury: Body: Chronic Injury
  • Rock Climbing Injury: Body: Bouldering for the Bones
  • Rock Climbing Injury: Body: Antibiotics and Tendon Damage
  • Back

  • Rock Climbing Injury: Lumbar Bone Spurs
  • Rock Climbing Injury: Back: Spinal Fracture
  • Back: Preventing Hunchback
  • Back: Herniated Disc
  • Abdomen

  • Rock Climbing Injury: Abdomen: Muscle Tear/Hernia
  • Arm

    No items found.

    Shoulder

  • Rock climbing Injury: Shoulder Pain
  • Rock Climbing Injury: Thoracic Musculature Tightness
  • Rock Climbing Injury: Chronic Posterior Shoulder Pain
  • Rock Climbing Injury: Chronic Shoulder Pain
  • Rock Climbing Injury: Supraspinatus and Labral Tears
  • Rock Climbing Injury: Shoulder Pain
  • Rock Climbing Injury: Shoulder Replacement
  • Rock Climbing Injury: Exploding Shoulder
  • Rock Climbing Injury: Shoulder: Thoracic Outlet Syndrome
  • Rock Climbing Injury: Shoulder: SLAP Lesion and Cortisone
  • Rock Climbing Injury: Shoulder: Frozen Shoulder
  • Rock Climbing Injury: Shoulder: Torn Labrum, SLAP Lesion
  • Rock Climbing Injury: Shoulder: Separation
  • Rock Climbing Injury: Shoulder: Pain and Virus
  • Biceps

  • Rock Climbing Injury: Bursting Biceps
  • Elbow

  • Rock Climbing Injury: Golfer's Elbow
  • Rock Climbing Injury: Elbow: Brachioradialis Pain
  • Rock Climbing Injury: Tennis Elbow
  • Rock Climbing Injury: Medial Epicondylosis Tendonitis
  • Rock Climbing Injury: Dodgy Elbows Revisited
  • Rock Climbing Injury: Synovial Chips
  • Rock Climbing Injury: Quack Elbow Treatments to Avoid
  • Rock Climbing Injury: Do Compression Sleeves Work?
  • Rock Climbing Injury: Elbow: Tennis Elbow
  • Rock Climbing Injury: Elbow: Medial Tendonosis
  • Rock Climbing Injury: Elbow: Elbow Pain and Dodgy Elbows
  • Rock Climbing Injury: Elbow: Tendonosis
  • Rock Climbing Injury: Elbow: Medial Epicondylosis and Taping
  • Rock Climbing Injury: Elbow: Tingling and Numbness
  • Rock Climbing Injury: Elbows: Minimizing Fingerboard Injuries
  • Rock Climbing Injury: Elbow: Medial Epicondyle Tendonosis
  • Rock Climbing Injury: Elbow: Stress Fracture
  • Rock Climbing Injury: Elbow: Pain and Hangboarding
  • Wrist

  • Rock Climbing Injury: TFCC Tear
  • Rock Climbing Injury: Wrist: Klienbock's Disease
  • Rock Climbing Injury: Wrist: Ruptured Tendon
  • Rock Climbing Injury: Snap, Crackle, Wrist
  • Rock Climbing Injury: Wrist: Fractured Scaphoid
  • Rock Climbing Injury: Wrist: Instability
  • Hand

  • Rock Climbing Injury: Broken Hand
  • Rock Climbing Injury: Left Hand: Hook of the Hamate Fracture
  • Rock Climbing Injury: Fingers: Everything You Need to Know About Finger Stress
  • Rock Climbing Injury: Hands: Dupuytren's Disease (lump in palm)
  • Rock Climbing Injury: Hands: Numbness and Carpal Tunnel Syndrome
  • Fingers

  • Rock Climbing Injury: Avulsion Fracture
  • Rock Climbing Injury: Pinky Numbness
  • Rock Climbing Injury: Swollen Right Index Finger
  • Rock Climbing Injury: Finger Numbness
  • Rock Climbing Injury: Alternative to Pulley Taping
  • Rock Climbing Injury: Hand: Arthritis
  • Rock Climbing Injury: Fourth Metacarpal Break
  • Rock Climbing Injury: First Pulley Strain
  • Rock Climbing Injury: Freezing Fingers Today, Benefit Tomorrow?
  • Rock Climbing Injury: Cysts in Fingers
  • Rock Climbing Injury: Ruptured Finger Pulley
  • Rock Climbing Injury: Fingers: What To Do with a Ruptured Flexor Digitorum Superficialis
  • Rock Climbing Injury: Fingers: Everything You Need to Know About Finger Stress
  • Rock Climbing Injury: Fingers: Hyper-extended
  • Rock Climbing Injury: Fingers: Cysts and Pain
  • Rock Climbing Injury: Fingers: Cracked Fingertips
  • Rock Climbing Injury: Fingers: De Quervain's Tenosynovitis
  • Rock Climbing Injury: Fingers: NSAID Treatment
  • Rock Climbing Injury: Fingers: Torn A2 Pulley
  • Rock Climbing Injury: Fingers: Trigger Thumb Syndrome
  • Rock Climbing Injury: Fingers: Stiffness, Soreness
  • Rock Climbing Injury: Fingers: Grip Position and Injury
  • Rock Climbing Injury: Fingers: Pinky Finger Pain
  • Rock Climbing Injury: Fingers: Electrostimulation
  • Rock Climbing Injury:Fingers: Cortisone for Tendon Injuries
  • Rock Climbing Injury: Hands: Numbness and Carpal Tunnel Syndrome
  • Rock Climbing Injury: Fingers: Taping Truths
  • Rock Climbing Injury: Fingers: Flappers
  • Rock Climbing Injury: Fingers: Trigger-Finger Syndrome
  • Rock Climbing Injury: Fingers: Torn A3 and A4 Pulleys
  • Rock Climbing Injury: Fingers: Cysts
  • Rock Climbing Injury: Fingers: Arthritis
  • Rock Climbing Injury: Fingers: Numbness
  • Rock Climbing Injury: Fingers: Blown Tendons
  • Leg

  • Rock Climbing Injury: Leg: Achilles Tendonitis
  • Rock Climbing Injury: Leg and Knee: Broken Femur and Shattered Kneecap
  • Rock Climbing Injury: Leg: Pulled Hamstring
  • Rock Climbing Injury: Leg: Fracture
  • Knee

  • Rock Climbing Injury: Blown Knees
  • Rock Climbing Injury: MCL Injury
  • Rock Climbing Injury: Outside Knee Pain: Tibiofibular Joint
  • Rock Climbing Injury: Knee Tendonitis after Ankle Fusion
  • Rock Climbing Injury: Meniscal Tear on a Drop Knee
  • Rock Climbing Injury: Knee: Rockfall Causes Lump
  • Rock Climbing Injury: Knee: Chondral Injury of the Lateral Tibial Plateau
  • Rock Climbing Injury: Leg and Knee: Broken Femur and Shattered Kneecap
  • Rock Climbing Injury: Knee: Ruptured ACL
  • Rock Climbing Injury: Knee: Ruptured Ligament and Meniscus
  • Rock Climbing Injury: Knee: Synovial Cartilage Damage
  • Ankle

  • Rock Climbing Injury: Osteochondral Talus Fracture
  • Rock Climbing Injury: Knee Tendonitis after Ankle Fusion
  • Rock Climbing Injury: Snapped ankle tendon
  • Rock Climbing Injury: Possible Death of the Talus Bone
  • Rock Climbing Injury: Broken Talus Bone
  • America's Best Climbing Area: Red River Gorge
  • Rock Climbing Injury: Ankle: Loud Pop Ankle Roll
  • Feet

  • Rock Climbing Injury: Bunions
  • Ice Climbing Injury: Toenail Pressure
  • Rock Climbing Injury: Feet: Broken Foot
  • Rock Climbing Injury: Feet: Gout and Pseudogout
  • Rock Climbing Injury: Feet: Toe Fracture
  •  
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    Fingers: Cortisone for Tendon Injuries

    29-Jan-2010
    By

    I recently had a cortisone shot in the tendon of my middle finger to burst some type of cyst that formed after an injury. It feels much better now and I am climbing after a three-week rest, but I am curious if the tendon will return to full strength?

    ERIC PATRICK | Austin, TX

    Cortisone is the cocaine of modern athletes, though much less fun (I wouldn't know, I didn't inhale). Many sporty people seem to feel they need a regular shot and advertise it like a badge of honor. Cortisone is probably the most over prescribed drug in modern medicine outside of all the others.

    A metabolite of the catabolic steroid hormone cortisol, cortisone is involved in stress response. In the sporting domain, cortisone is predominantly used as a pain killer and anti-inflammatory (read: Band-Aid therapy). It is not so much the side effects that get my goat, but rather the complete lack of therapy that an injection entails. Cortisone is seldom a solution.

    I think the majority of consultations follow this simple sequence:

    Patient: I have blah-blah problem.

    Doctor: There's nothing I can do about that. But we could give you a cortisone shot if you like.

    What the doctor does not say is that the inflammation is not the cause of your problem, it's a symptom. CAN ANYONE HEAR ME?

    For the most part, athletes are dealing with potential side effects from single doses rather than chronic use. Though side effects are typically minimal in the short term, cortisone does weaken tendons at the site of injection, and ruptures have been reported.

    Though recurrence is disappointingly common, injecting cysts with cortisone can be helpful. In the instance that the cyst does not return, tendon strength should return within several months. Be very careful about excessively loading the tendon early on (at about three to four weeks). Not only will the cyst have weakened the tendon, the cortisone will be whipping up a catabolic hurricane: brief but furious.

    Cortisone is a very common active ingredient in dermatitis medication. The irony that corticosteroids (of which cortisone is one) were voted Allergen of the Year by the American Contact Dermatitis Society is testament that not everybody agrees with its widespread use.

     

    RELATED ARTICLES

    Arthritis

    Blown Tendons

    Cracked Fingertips

    Finger Cysts

    Finger Cysts and Pain

    De Quervains Tenosynovitis

    Finger Electrostimulation

    Flappers

    Grip Position and Injury

    Hyper-Extended Finger

    NSAID Treatment

    Finger Numbness

    Pinky Finger Pain

    Finger Stiffness and Soreness

    Finger Taping Truths

    Torn A2 Finger Pulley

    Torn A3 and A4 Finger Pulleys

    Trigger Thumb Syndrome

    Trigger Finger Syndrome 

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