Cortisone Shots Need to Know Effects. Short Term Fix. Long Term Damage.

Описание: Cortisone Shots: Short-Term Pain Relief vs. Long-Term Damage

Millions receive cortisone injections annually for joint pain, injuries, arthritis, and post-surgical inflammation. While they provide temporary relief, corticosteroid injections have documented catabolic effects, promoting tissue breakdown, reduced healing, and increased risk of further injury, particularly in tendons, ligaments, and cartilage.

This video examines the science behind these risks, including studies showing elevated tendon rupture rates and accelerated osteoarthritis progression, especially in load-bearing joints like the knees. It also covers evidence-based alternatives that support long-term function and recovery.

Timestamps
0:00 – Introduction: widespread use of cortisone shots and associated risks
0:45 – Mechanism of action: synthetic cortisol, effects, and catabolic properties
1:45 – Impact on tendons and ligaments: avascular tissue, inhibited healing, cytotoxicity to tenocytes
2:35 – Effects on articular cartilage: nutrient deprivation, chondrocyte apoptosis, accelerated degeneration
3:23 – Evidence from studies: increased tendon rupture risk, rotator cuff tears post-injection
4:30 – Short-term benefits contrasted with long-term consequences for osteoarthritis
5:06 – Superior outcomes from physical therapy: improved function, range of motion, and pain reduction
6:10 – Role of movement and loading: enhancing synovial fluid diffusion and nutrient delivery to cartilage
7:00 – Practical recommendations: resistance training, avoiding inactivity, nutrition considerations
7:48 – Alternative: Platelet-Rich Plasma (PRP) injections for promoting healing and growth factors
8:35 – Emerging option: stem cell approaches, including bone marrow stimulation for cartilage regeneration
9:41 – Additional factors: weight management, alcohol's dehydrating effects on synovial fluid
10:23 – Recap: weighing cortisone risks against regenerative and conservative alternatives
11:09 – Conclusion and explore long-term solutions

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