Post cortisone shot training. What did it feel like?

After months of rest, strengthening, rolling and stretching (and yes, massage and ART.) My doc suggested a cortisone shot for my ITBS. 3 days later I was running without pain on flat surfaces. After 10 days I added a modest hill to my run (downhills were very tough on the IT band.) I experienced no real pain during the run, but afterwards, I'd swear that the area around the epicondyle was aggravated--almost as if it was jacked but the cortisone was blunting what would have been a very painful situation. Because I couldn't feel any pain, I could just be playing mind games with myself or it could just be normal soreness from not running for so long. I dunno.

Has anyone else had a similar experience? How'd it work out.

Cortisone doesn't "blunt" pain. When it is first injected, the painkillers it is mixed with might make it feel better for a matter of hours or days, but beyond that, any reduction in pain is from a reduction in inflammation, which means it is working. After a few weeks, the effect of the cortisone wears off and if it worked, the area has healed because you broke the cycle of inflammation. If the therapy didn't work, the inflammation returns and you are back where you started.

If your IT band is feeling better many days or weeks after the shot, it is working so far.

Also this would be an excellent question for your doctor. Most doctors now encourage patients to email for small clarifications like this. After my cortisone shot, my doctor told me to email him 2 weeks later and 4 weeks later with progress to decide if we needed a followup appointment to explore other options if the cortisone shot didn't help long term.

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