Side effect of steroid injection in knee

Corticosteroid myopathy presents as weakness and wasting of the proximal limb and girdle muscles and is generally reversible following cessation of therapy.

Corticosteroids inhibit intestinal calcium absorption and increase urinary calcium excretion leading to bone resorption and bone loss. Bone loss of 3% over one year has been demonstrated with prednisolone 10 mg per day. Postmenopausal females are particularly at risk for loss of bone density. Sixteen percent of elderly patients treated with corticosteroids for 5 years may experience vertebral compression fractures. One author reported measurable bone loss over two years in women on concomitant therapy with prednisolone mg per day and tamoxifen . [ Ref ]

This is exactly what happened to me. I had perfectly healthy 18 year old cartilage in my 50s. I went to my orthopedic doctor for a patellar tracking problem in both knees that could be corrected with simple exercise. But in the meantime my doctor gave me many cortisone injections. 2 years later I was bone on bone. I was and am still absolutely horrified as I have no knee damage history. I became a cripple overnight. I pursued legal action against the drug company who makes the cortisone but it couldn’t be proven unfortunately. Regenexx has helped tremendously to get my life back! I am back to hiking 3 days a week. Thank you Regenexx. You are a God send!!

Glucocorticoids are potent anti-inflammatories, regardless of the inflammation's cause; their primary anti-inflammatory mechanism is lipocortin-1 (annexin-1) synthesis. Lipocortin-1 both suppresses phospholipase A2 , thereby blocking eicosanoid production, and inhibits various leukocyte inflammatory events ( epithelial adhesion , emigration , chemotaxis , phagocytosis , respiratory burst , etc.). In other words, glucocorticoids not only suppress immune response, but also inhibit the two main products of inflammation, prostaglandins and leukotrienes . They inhibit prostaglandin synthesis at the level of phospholipase A2 as well as at the level of cyclooxygenase /PGE isomerase (COX-1 and COX-2), [29] the latter effect being much like that of NSAIDs , potentiating the anti-inflammatory effect.

Another side effect that is occasionally seen in dogs taking steroids for various health concerns is changes in behavior. It's not uncommon to see your pet become suddenly more aggressive or anxious after giving him steroids. Dogs that were otherwise very mild mannered and well behaved may begin to run around or bark. In more extreme cases, you may need to be careful about the possibility of your dog biting or harming someone. Mood changes can also make your pet more sedate and depressed as well, so it's important to also be on the lookout for other types of adjustments in behavior.

Side effect of steroid injection in knee

side effect of steroid injection in knee

Another side effect that is occasionally seen in dogs taking steroids for various health concerns is changes in behavior. It's not uncommon to see your pet become suddenly more aggressive or anxious after giving him steroids. Dogs that were otherwise very mild mannered and well behaved may begin to run around or bark. In more extreme cases, you may need to be careful about the possibility of your dog biting or harming someone. Mood changes can also make your pet more sedate and depressed as well, so it's important to also be on the lookout for other types of adjustments in behavior.

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