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Can I get a cortisone shot in the shoulder if I have osteoporosis?

Reply from: garagecapital
Date: 02 Dec 2007, 06:22
Can I get a cortisone shot in the shoulder if I have osteoporosis?

I play a bit of tennis and have developed frozen shoulder apparently,
and I just have to wait it out for it to go away. But a cortisone shot
will help with the pain, I am told. I told my docs I was diagnoses
with osteoporosis about two years ago at age 50 (and a male -- it is
apparently ideopathic). They said two shots a year won't be bad. I am
skeptical, though from all that I read about steroids and
osteoporosis. Or will one or two shots be fine, and in the shoulder?
Thoughts?

Reply from: Juhana Harju
Date: 02 Dec 2007, 09:01
Re: Can I get a cortisone shot in the shoulder if I have osteoporosis?

garagecapital wrote:
> I play a bit of tennis and have developed frozen shoulder apparently,
> and I just have to wait it out for it to go away. But a cortisone shot
> will help with the pain, I am told. I told my docs I was diagnoses
> with osteoporosis about two years ago at age 50 (and a male -- it is
> apparently ideopathic). They said two shots a year won't be bad. I am
> skeptical, though from all that I read about steroids and
> osteoporosis. Or will one or two shots be fine, and in the shoulder?
> Thoughts?

I had a frozen shoulder couple of years ago. I was given a cortisone shot
but it did not help me at all. Although one or two shots of cortisone are
not likely to worsen your osteoporosis much, those shots are probably not
helpful either. So, my advise is not to take them.

An antinflammatory diet can probably hasten the recovery slightly in
addition to antiinflammatory drugs.

http :// atvb.ahajournals.org/cgi/content/full/26/5/995?ck=nck#TBL2

I am not a physician.

--
Juhana


Reply from: garagecapital
Date: 02 Dec 2007, 21:17
Re: Can I get a cortisone shot in the shoulder if I have osteoporosis?

On Dec 2, 7:01 pm, "Juhana Harju" <n...@mail.fi> wrote:
> garagecapital wrote:
> > I play a bit of tennis and have developed frozen shoulder apparently,
> > and I just have to wait it out for it to go away. But a cortisone shot
> > will help with the pain, I am told. I told my docs I was diagnoses
> > with osteoporosis about two years ago at age 50 (and a male -- it is
> > apparently ideopathic). They said two shots a year won't be bad. I am
> > skeptical, though from all that I read about steroids and
> > osteoporosis. Or will one or two shots be fine, and in the shoulder?
> > Thoughts?
>
> I had a frozen shoulder couple of years ago. I was given a cortisone shot
> but it did not help me at all. Although one or two shots of cortisone are
> not likely to worsen your osteoporosis much, those shots are probably not
> helpful either. So, my advise is not to take them.
>
> An antinflammatory diet can probably hasten the recovery slightly in
> addition to antiinflammatory drugs.
>
> http :// atvb.ahajournals.org/cgi/content/full/26/5/995?ck=nck#TBL2
>
> I am not a physician.
>
> --
> Juhana

What I found was that it did not help the mobility/stiffness, but it
did relieve a lot of the pain. Unfortunately, it can also mask pain so
well you continue to injure the frozen shoulder, so it's a bit of a
Catch 22.

Reply from: Larry
Date: 02 Dec 2007, 23:38
Re: Can I get a cortisone shot in the shoulder if I have osteoporosis?

Are you being treated for the osteoporosis? If you are being treated
with a bisphosphonate, I wonder whether it isn't possible that the
treatment is causing your frozen shoulder.

garagecapital wrote:
> I play a bit of tennis and have developed frozen shoulder apparently,
> and I just have to wait it out for it to go away. But a cortisone shot
> will help with the pain, I am told. I told my docs I was diagnoses
> with osteoporosis about two years ago at age 50 (and a male -- it is
> apparently ideopathic). They said two shots a year won't be bad. I am
> skeptical, though from all that I read about steroids and
> osteoporosis. Or will one or two shots be fine, and in the shoulder?
> Thoughts?

Reply from: garagecapital
Date: 03 Dec 2007, 11:48
Re: Can I get a cortisone shot in the shoulder if I have osteoporosis?

On Dec 3, 9:38 am, Larry <la...@nospam,net > wrote:
> Are you being treated for the osteoporosis? If you are being treated
> with a bisphosphonate, I wonder whether it isn't possible that the
> treatment is causing your frozen shoulder.
>
> garagecapital wrote:
> > I play a bit of tennis and have developed frozen shoulder apparently,
> > and I just have to wait it out for it to go away. But a cortisone shot
> > will help with the pain, I am told. I told my docs I was diagnoses
> > with osteoporosis about two years ago at age 50 (and a male -- it is
> > apparently ideopathic). They said two shots a year won't be bad. I am
> > skeptical, though from all that I read about steroids and
> > osteoporosis. Or will one or two shots be fine, and in the shoulder?
> > Thoughts?

Interesting .... theory. The frozen shoulder started a few months
after treatment began. Do you know of any studies that say this is a
risk or Fosamax or Boniva? I presumed my FS was from tendonitis I
didn't let heal.


Reply from: Larry
Date: 03 Dec 2007, 15:21
Re: Can I get a cortisone shot in the shoulder if I have osteoporosis?

Frozen Bone Syndrome is a possible side effect of bisphosphonate
treatment ... although much more common with iv bisphosphonates than
oral bisphosphonates. To some extent, there is debate about it in the
medical community, but there have been many more cases in recent years.
It happens when the dosage of bisphosphonates is too high given the
level of bone turnover in one's body.

http :// en.wikipedia.org/wiki/NTx
http :// www .hss.edu/professional-conditions_13389.asp?refName=Osteoporosis&refUrl=professional-conditions_9837.asp
http :// www .associatedcontent,com /article/53244/bisphosphonates_osteonecrosis_of_the.html
http :// www .nature,com /ncponc/journal/v4/n1/full/ncponc0688.html
http :// www .iccpe.ie/index.cfm/loc/2/pt/0/spid/BC3EB5B4-6FE0-442E-B32FB8F2D2B9A75D.htm
http :// clincancerres.aacrjournals.org/cgi/content/full/12/20/6258s

Like I said, it's much less likely with oral bisphosphonates, but still
a possibility.

garagecapital wrote:
> On Dec 3, 9:38 am, Larry <la...@nospam,net > wrote:
>
>>Are you being treated for the osteoporosis? If you are being treated
>>with a bisphosphonate, I wonder whether it isn't possible that the
>>treatment is causing your frozen shoulder.
>>
>>garagecapital wrote:
>>
>>>I play a bit of tennis and have developed frozen shoulder apparently,
>>>and I just have to wait it out for it to go away. But a cortisone shot
>>>will help with the pain, I am told. I told my docs I was diagnoses
>>>with osteoporosis about two years ago at age 50 (and a male -- it is
>>>apparently ideopathic). They said two shots a year won't be bad. I am
>>>skeptical, though from all that I read about steroids and
>>>osteoporosis. Or will one or two shots be fine, and in the shoulder?
>>>Thoughts?
>
>
> Interesting .... theory. The frozen shoulder started a few months
> after treatment began. Do you know of any studies that say this is a
> risk or Fosamax or Boniva? I presumed my FS was from tendonitis I
> didn't let heal.
>

Reply from: garagecapital
Date: 04 Dec 2007, 04:23
Re: Can I get a cortisone shot in the shoulder if I have osteoporosis?

On Dec 4, 1:21 am, Larry <la...@nospam,net > wrote:
> Frozen Bone Syndrome is a possible side effect of bisphosphonate
> treatment ... although much more common with iv bisphosphonates than
> oral bisphosphonates. To some extent, there is debate about it in the
> medical community, but there have been many more cases in recent years.
> It happens when the dosage of bisphosphonates is too high given the
> level of bone turnover in one's body.
>
> http :// en.wikipedia.org/wiki/NTx http :// www .hss.edu/professional-conditions 13389.asp?refName=Osteopor... http :// www .associatedcontent,com /article/53244/bisphosphonates osteon... http :// www .nature,com /ncponc/journal/v4/n1/full/ncponc0688.html http :// www .iccpe.ie/index.cfm/loc/2/pt/0/spid/BC3EB5B4-6FE0-442E-B32F... http :// clincancerres.aacrjournals.org/cgi/content/full/12/20/6258s
>
> Like I said, it's much less likely with oral bisphosphonates, but still
> a possibility.
>
> garagecapital wrote:
> > On Dec 3, 9:38 am, Larry <la...@nospam,net > wrote:
>
> >>Are you being treated for the osteoporosis? If you are being treated
> >>with a bisphosphonate, I wonder whether it isn't possible that the
> >>treatment is causing your frozen shoulder.
>
> >>garagecapital wrote:
>
> >>>I play a bit of tennis and have developed frozen shoulder apparently,
> >>>and I just have to wait it out for it to go away. But a cortisone shot
> >>>will help with the pain, I am told. I told my docs I was diagnoses
> >>>with osteoporosis about two years ago at age 50 (and a male -- it is
> >>>apparently ideopathic). They said two shots a year won't be bad. I am
> >>>skeptical, though from all that I read about steroids and
> >>>osteoporosis. Or will one or two shots be fine, and in the shoulder?
> >>>Thoughts?
>
> > Interesting .... theory. The frozen shoulder started a few months
> > after treatment began. Do you know of any studies that say this is a
> > risk or Fosamax or Boniva? I presumed my FS was from tendonitis I
> > didn't let heal.

Yeah, highly unlikely from what I read, but good info on bone markers,
which I'll inquire about with my physician.




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