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My Knee, I've had a cortisone injection and still in pain

15 replies

audreyandaubrey · 09/02/2025 12:55

I've had bad knee for about 3 months and it's got progressively worse to the point of me hobbling and limping around. I've had a cortisone injection from my GP last week and it's still painful, it doesn't feel much better. It seems most painful at the back and side of my knee.

What else can I do? I've tried paracetamol, hot and cold pads, knee supports, resting it, trying to walk through it.

OP posts:
Boope · 09/02/2025 13:08

My GP warned me off cortisone injections because it's notoriously difficult to hit exactly the right spot.
Diclofenic gel is useful when I have one joint bothering me (I have RA and OA).
Plus all the things you mention.

Ilovelowry · 09/02/2025 13:10

What sort of physio have you done OP? I have awful knee pain from the tendons becoming inflamed by my hypermobile patella.

Was your cortisone ultrasound guided?

audreyandaubrey · 09/02/2025 13:19

Thanks @Boope @Ilovelowry the injection was just straight in without any ultrasound. I've some physio exercises the GP gave me but I've not seen a physiotherapist that might be the next thing

OP posts:
Ilovelowry · 09/02/2025 13:21

I would highly recommend finding a good physio or osteopath.

My knee pain is really easing off now I am doing the physio every day.

Also I've had cortisone injections into nerves between my toes privately in hospital and you need the ultrasound to workout where the needle should go.

What did the GP say? Bursitis/ arthritis/patella issues?

Mindymomo · 09/02/2025 13:25

How long did the GP say it would start to work, I understand it is gradual improvement.

Greybeardy · 09/02/2025 13:27

you're almost certainly talking about different types of injections, hence the difference in ultrasound use.

AppropriateAdult · 09/02/2025 13:28

It's probably still too early to say whether the steroid injection is going to help - it takes a bit of time to have an effect.

BarneyRonson · 09/02/2025 13:30

Bob and Brad on YT are very helpful for knee pain support tips. Infra red knee pad and strong hemp cream helps.

audreyandaubrey · 09/02/2025 13:34

I realise it might take time for the injection to work - it started to feel a bit better the evening after I had it done, so I'm wondering if it's some kind of residual pain or that my muscles and tendons are strained from the months of hobbling around

It's osteoarthritis apparently.

OP posts:
LeroyJenkinssss · 09/02/2025 13:34

You certainly don’t need an US to do an injection within the knee - it’s an easily accessed joint.

there are a number of issues for which injections don’t work - tears within the shock absorbers (menisci) aren’t reliably improved for one.

did you have a twisting injury at all? Does the knee give way or feel like it is going to give way? Is the pain worse on squatting or going up or down stairs? Do you have any night time pain?

audreyandaubrey · 09/02/2025 14:11

@LeroyJenkinssss I twisted my knee years ago going down a hill but didn't get any treatment for it. It is worse when I get up after sitting and when I try to sit down and going up and down stairs - it's not too bad at night

OP posts:
tipsyraven · 09/02/2025 14:27

Give it a bit longer. You can get what is known as a steroid flare after an injection, meaning it can become more painful before it gets better.

audreyandaubrey · 09/02/2025 14:42

@tipsyraven thank you I'll try to to be more patient

OP posts:
audreyandaubrey · 11/02/2025 17:06

It's nearly a week since I had the cortisone injection and there's not much improvement- I'm still hobbling and in pain. Any ideas what I can do?

OP posts:
Boope · 11/02/2025 17:49

If it's definitely osteoarthritis there isn't a cure. It's pain management and potentially eventually joint replacement.
Physio might help as movement is good, as is strengthening the surrounding muscles.

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