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Zilreta, time release. Came out in 2017 for knees. However, it works for other applications as well. One injection, need to take it easy for 24hrs so it can establish itself in your muscles. Great stuff, not cheap. $2200 a shot but you only need one.

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I have arthritis all thru my body. About every major joint,hands ,neck and up and down the spine, and plantar faciitus in my feet. Two spinal surgeries, one replaced shoulder and many steroid injections, plus chemical and electric de-nervation of nerves in my lower back.I have come to the conclusion that these damn doctors only guess at what they think will work.They will do a ct scan and MRI and only look at one thing.

As stated the steroid injections to arthritic joints only last about three weeks and it needs to be right in the area of inflammation. It does travel thru out the body, but with limited help.

Since elk season my right knee has been swollen ans sore.Steroid injection between ML season and rifle season but it wore off in three weeks

To get thru it I have been using Sombra Cool Therapy cream mixed with CBD oil twice a day

Last edited by saddlesore; 12/25/19.

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Meloxicam is a great NSAID. Went from a dozen ADVILs a day to 1 Meloxicam.



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I have used Meloxicam for years.

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Originally Posted by saddlesore
I have arthritis all thru my body. About every major joint,hands ,neck and up and down the spine, and plantar faciitus in my feet. Two spinal surgeries, one replaced shoulder and many steroid injections, plus chemical and electric de-nervation of nerves in my lower back.I have come to the conclusion that these damn doctors only guess at what they think will work.They will do a ct scan and MRI and only look at one thing.

As stated the steroid injections to arthritic joints only last about three weeks and it needs to be right in the area of inflammation. It does travel thru out the body, but with limited help.

Since elk season my right knee has been swollen ans sore.Steroid injection between ML season and rifle season but it wore off in three weeks

To get thru it I have been using Sombra Cool Therapy cream mixed with CBD oil twice a day


Vince, have you tried Voltaren gel? Works pretty good, the generic is called diclofenac. I used a lot of it on my ankle and have a metric ton left over.



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Good video.

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Originally Posted by smokepole


Vince, have you tried Voltaren gel? Works pretty good, the generic is called diclofenac. I used a lot of it on my ankle and have a metric ton left over.



They took that off the market here.I tried it but didn't have much success.They took the oral capsules off the market before the gel.


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Originally Posted by saddlesore
I have arthritis all thru my body. About every major joint,hands ,neck and up and down the spine, and plantar faciitus in my feet. Two spinal surgeries, one replaced shoulder and many steroid injections, plus chemical and electric de-nervation of nerves in my lower back.I have come to the conclusion that these damn doctors only guess at what they think will work.They will do a ct scan and MRI and only look at one thing.

As stated the steroid injections to arthritic joints only last about three weeks and it needs to be right in the area of inflammation. It does travel thru out the body, but with limited help.

Since elk season my right knee has been swollen ans sore.Steroid injection between ML season and rifle season but it wore off in three weeks

To get thru it I have been using Sombra Cool Therapy cream mixed with CBD oil twice a day


friend of mine swears by the cbd oil, you really think it's helpful?


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[quote=RoninPhx
friend of mine swears by the cbd oil, you really think it's helpful?[/quote]

Don't want to hijack this thread but,

Yes, I do. BUT you have to be very careful of what product you buy and how much it has in it.Some brands sold have none in it.

I use CBD oil on my knee mixed with Sombra ( Try that You can buy on Amazon, Miracle stuff) and a CBD cream every night before I go to bed on my hands. It doesn't cut the pain 100% but sure takes the edge off. Also helps me sleep. When my back acts up, I use it there also. It definitely helps that.

In the morning I also stick my hands in a paraffin bath. These can be bought at Bed Bath and Beyond for about $30. It is an electric heated plastic pot that the paraffin melts in.You dip you hands in it about 6 times and let it on until it cools.Helps get rid of that stiff feeling when it feels like your hands are encased in green rawhide that cured.


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Might try some Turmeric/Circumin.
Get the capsules that have 1200mg/100mg of both.
The brand we use is made by Vimerson Health and costs about 21 bucks off Amazon.

I have arthritis bad in my hands and had to quit working on guns and other small stuff.

My regular doc when asked told me to ask the pain specialist when i saw him a day later.

I showed my newest medical charts after having my gut redone and he wrote it down.

It took 2 days for the swelling to go down and in 4 days i was able to work on small stuff again.

The wife works sitting most times but when she has to get up and help folks she had to stand for a minute before her knees to work right and not hurt.

The instructions say to take 2 but after being re done i just take 1 and it has worked for about a year.

It won't make you have the runs or drive you the other way.
Just take them when you eat lunch.

I don't own a part of this company and had never heard ot this stuff till that day.
Give it a try.

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I am family friends with my doc. He has gave me a bunch of injections in my shoulder so i can keep working. last time he told me its time to get it fixed. Winter this year cause he wasnt doing it anymore.

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Originally Posted by rufous

Anyway I wonder if this is standard practice for doctors to not care so much about injecting the exact worst area of pain. Does the steroid truly migrate adequately throughout the entire muscle so that it does not matter?


The Docs only do this stuff for a living. what the hell do they know?

There are reasons for particular injection sites. Perhaps they want to avoid a nerve. Stick a needle in one and you will wish they chose another location and they do extensively study such things. Or perhaps a vein that should be avoided. A muscle is usually the best place in that they usually have a decent blood supply which allows the drug to circulate quickly. 3 inches from the spot of pain is center punch.

Last edited by battue; 12/26/19.

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Originally Posted by rufous
I do not know everything so I am looking for some input from hopefully an expert- Medical Doctor well versed in giving steroid injections.

I have had pain in my left shoulder area for about 12 years after a slip and fall on ice in which I landed on my back. I braced the fall some with my left elbow which jammed my shoulder somewhat.

I have also had pain in my right hip/rump area for 19 years. I do not recall any specific injury but I was doing a lot of scouting and bear hunting in the mountains that spring. I am 55 years old now.

I had surgery on my left shoulder late June of this year. The MRI before the surgery revealed a torn rotator cuff, damaged biceps tendon and arthritis in my collar bone area so the surgeon fixed those 3 things. The area of pain that sent me to seek help had no obvious surgical fix, no damage in that area was indicated by the MRI.

I have had a lot of physical therapy this year for the shoulder and hip area and none of that has seemed to help the unresolved pain in those areas but it has of course helped me to recover from the shoulder surgery.

So 6 months after the surgery I was still having pain in that same area (basically where the Teres Minor muscle attaches to the humerus). Maybe a bit higher where the Infraspinatus attaches? I met with the surgeon and he suggested a steroid injection into that area as well as in my Piriformis. I told him that it has been a bit difficult to get the therapists to find the sore areas as they are kind of deep and that it requires digging in their with a thumb or elbow to really find the sweet spot. He said that I should share that with the other doctor in their practice who would be doing the injections at a later date.

So I went to get the shoulder injection and just before the doctor injected me he was pushing on my shoulder area to identify the location of the Teres Minor and I told him that I was not sure that he was actually on the really painful spot yet. He said that he did not care where I hurt most, he was just going to inject the spot that the shoulder surgeon told him to. What could I do but hope for the best? Hope that they both knew what they were doing? Well it did seem to help for about a week but the pain is coming back in that same area. I can't help but wonder if he had taken the time to inject the sweet spot it might have been more effective.

A week later (Monday of this week) the same doctor (not the shoulder surgeon but the injection doctor) injected my right Piriformis muscle. Again as he was starting I mentioned that he was setting up to inject an area that was removed from the most painful area and asked if the steroid would migrate through the whole muscle. He said yes. Still I can't help but wonder if it would be more effective to inject the sweet spot. The injection sight is 3" removed from the worst spot. So it is closer to the crack of my butt than where the muscle attaches to the leg bone.

I think the pain in my rump is less but it still hurts. Maybe it will improve? Anyway I wonder if this is standard practice for doctors to not care so much about injecting the exact worst area of pain. Does the steroid truly migrate adequately throughout the entire muscle so that it does not matter?

I have tried some dry needling in the shoulder and rump area this year as well as the physical therapy and that did not seem to help.

I am really frustrated. My sleep is negatively affected. I have had 75 therapy visits this year between my shoulder, hip/rump and thumb surgery repairs and still hurt in all areas. God help me!!!


I had (have) similar pain in my right shoulder. My Dr, first said it was just from working hard, then he said I needed meds, then he said I needed PT, then he said I needed more meds, then he said I should find another line of work, then he said I needed injections in my shoulder.

At the time my wife was the manager of the Neurological dept and one of the local hospitals. She got me an appointment with the Dr she trusted the most.

Turns out that there was nothing wrong with my shoulder and all this pain through all these years was(is) caused by stenosis and arthritis in my Cervical spine. Now I take injections for my shoulder pain in my cervical spine, works wonders.

You might want to get a second opinion on those bulged disks as well. If I was a betting man I would bet that your Dr is mistaken and your back problems are indeed the cause of your butt pain.


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I thought I had a torn rotor cuff, and a really good doctor gave me steroid shots. It felt worse for a few days, the cleared up like magic. That was over a year ago and everything healed up. I thought it was amazing.

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They dont hurt that bad , but feel really strange going in .

My doc says 3 per calander year total dont matter if its is back and neck.
3 total.

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I thought I would provide an update. I had another doctor within the same group inject my hamstring muscle where it attaches to the Ischial Tuberosity area of the pelvis. Additionally I started seeing a different chiropractor. That chiropractor took X-rays of my full spine and pelvis. It turns out I have scoliosis and my spine is twisted to some extent and my pelvis is tipped such that the right side is lower than the left side. The chiropractor recommended that I get a heel lift (a wedge to put under my heel) to try to even out the tilted pelvis. I am starting with 1/8" lift and my work up to a 1/4".

The steroid shot in my hamstring has definitely helped. I am hoping that the heel lift will also help.

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PM Sent


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My training was specialized to the spine but also included muscle “trigger point” injections. For the latter, you injected the exact location of the pain after localizing it by palpation. At face value there is no good reason I can think of right offhand to inject just within inches of the inflammatory locus unless there was an infection is the same area. In which case one wouldn’t inject at all.

Besides the steroid (mixed together usually) would also inject a long acting local anesthetic like Marcaine to give instant relief to maybe bridge the time it took the steroid to kick in which could be a couple days.

Like in all human endeavors not all “pain guys” are equal in training or ability.

As far as the spine being the source of pain, numbness, or tingling (radiculopathies), the most common source is the lumbar spine and it’s exiting nerve roots L1, L2, L3, L4, L5, which mostly form the femoral nerve (front) and the sciatic nerve (back) and can cause pain, numbness, or paresthesias (tingling) etc from the seat of your pants to your toes. The sacral nerve roots can be involved also.

Second, statically, is problems from the shoulder to the hands which can (not necessarily) emanate from the Cervical spine nerve roots, C1-C7.

Most radiculopathies, other than from trauma, originating from the lumbar and cervical spines are caused at least to some extent by bulging or herniated disks impinging on the nerve roots or even just crowding them. Of course trauma can bulge a disk out also. In older folks with just normal “wear and tear” we often see DDD (age-related degenerative disk disease) wherein the disk have just flattened out causing crowding of nerve roots.

Your middle, the thoracic spine is not often the source these kinds of problems with the exception and unrelated problem of shingles wherein the result is the painful rash usually hemi-laterally around the side of the rib cage.

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You never mentioned which steroid. I am assuming ti is cortisone. If so, every time it is injected (to reduce swelling and increase blood flow for repair) it does damage. The site will be damaged due to the shot. They forget to tell you that. Look it up.


COrtisone shots are over prescribed and should be mainly for someone training who has to 'get in the game' or temp relief for someon who will be getting surgery at a later date.

Its a stop gap, and as many have posted, not a particularly great one.

Best of luck with the rest of your medical advice from the 'fire.


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Quit giving in inch by inch then looking back to lament the mile behind ya and wonder how to preserve those few feet left in front of ya. They'll never stop until they're stopped. That's a fact.
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I can't help but wonder if he had taken the time to inject the sweet spot it might have been more effective.


Probably..My doctor did the same thing and did not give the shot until he new where the pain was,then he put the needle into that spot and everything has been great, since November...No pain hardly at all every since..I do have to be careful because the lack of pain is having me use that shoulder more than I should be..Man,I truly recommend those shots..He wanted me to do therapy and I said NO and I have been great every since the shot..

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