Tuesday, June 10, 2025

Cortisone

I had some Cortisone injections in the 1990s for issues I was having with my right elbow. Overuse and abuse caused it. The cortisone shots were extremely painful and in the end did not do squat for the pain. I decided Cortisone was way overrated, deciding I wouldn't go through that ever again.

Flash forward to my burgeoning Old Fart career in the present. I have enjoyed overwhelming pain in my knees for at least the last 5 years. At first I thought I could tough it out. After all, toughing it out had a damn good track record. Ignore it and eventually it will go away.

That was before I had accepted being an old man who now realizes that any new pains are likely to move in for the duration and if I am really lucky , they will drag along some of their distant pain relatives to move in also. I accept now, there is pain and discomfort that is most likely payment extracted by my body for taking it for granted for so many years.

I was called into my doctor's office a couple of weeks ago. He was concerned about a blood test I had just had. I went in for the meet. He told I had tested positive for Hepatitis B. He quizzed me hard. Had I been engaging in dangerous behaviors with drugs or , Gasp, sexually? I assured him I had not. But being a smart ass, I said something to effect of , "Well, I saw a monkey the other day that I knew wanted me. And I almost caved. But no Doc, we did not hook up. My wife frowns on that behavior. I always come home with banana breath."

The look on his face was hard to read. He ignored my pitiful play for some humor and said, "Well, it must be a false positive then, The only way to tell is to order up another blood test, but a test specific to Hepatitis, and not a general wider range generic blood test."

I said okay and then asked, "Are we Done?" His only interest at that point seemed to see me out the door. Then he asked, " Any other issue, complaints, questions?"

It was a generic covering bases kind of question. I looked at him. "Yeah , my knees. They are driving me bonkers. I don't walk anymore if I can sit and even sitting hurts".

The Doc asked me to walk down the hall, turn around and return. I did my best, but it was more of a gimpy limp than a walk. He reckoned it was finally time for me to see an orthopedist and why hadn't I taken his advice the first time he mentioned it 2 years ago? I had no good answer. I just glared at him and mumbled, "Yeah I was a bonehead, but if all he wants to do is cut into me, I'm outta there."

Doctor A didn't say anything. He looked at my chart on his computer screen. He then told me he had not even brought up knee replacement, he just wanted me to see an orthopedist, nothing else. He followed up with, "It looks like you may have bone on bone arthritis. Cortisone shots might help. If nothing else, I am scheduling  X-rays and once that is done, someone will contact you. ...... Now, get out of my office.

He smiled. I smiled. I left.

On the way home, my attention was taken up by the positive result for Hep B blood test. I stopped thinking of x-rays and bone doctors. A day or so later, I received a text setting up the X-rays for my knees. I soon had an appointment on the following Friday with an Orthopedist over to Saco, about an hour away. 

The next Friday, I found the Orthopedic offices in a industrial park behind a scrape yard in Saco, Maine. Not the usual medical office set up. When I went in, there was no one in the waiting room. I signed in, sat down, and cursed myself because I had not brought my phone in ....Before I could finish chastising myself, a nurse type woman dressed in appropriate nurse type garb asked me to follow her. 

I had spoken with the Orthopedist as he poked my knees and looked at my X-rays. He agreed with Dr. A's diagnosis and asked what I wanted to do. It was indeed bone on bone arthritis. He advised cortisone shots in the beginning with some Physical Therapy. He never mentioned knee replacement. I nodded and said let's try it. His assistant already had 2 syringes ready and waiting. Bing Bang Boom, before I could catch my breath he was finishing applying the 2nd band aid. He shook my hand and left the room. The whole visit lasted less than 10 minutes when I found myself outside walking , not gimping back to my car. 

What just happened?

The shots were not painful, not really. I barely noticed them. This happened last Friday. I have been almost totally pain free since. I have gone for a walk, worked in the yard, and shook my money maker to a Youtube playlist while I cleaned up the kitchen.

Just when I have decided the Medical Industry is only good for picking my pocket, something comes along that makes me eat crow. 

Maybe now I can stay ahead of the pain by not being so sedentary. Maybe even attempt riding my bikes. Nothing would make me happier.

Keep it 'tween the ditches ...............................

AND a BIG BTW - the original positive test for Hep B was indeed a False Positive. Hallelujah !

______________________________

I figured the song I danced to in the kitchen would be an appropriate symbol of how much better my knees feel now.

Here is Gangsta Grass, a group who really can't be pigeonholed cleanly. Please enjoy "Nickel and Dime Blues". Play it loud and don't try to ignore the urge to tap your feet or even better, do some shit kicking, heels up dancing wherever you might happen to be.

4 comments:

Kulkuri said...

I had cortisone shots in my knees when they first started hurting. I guess there is a limit on how many times you can get cortisone shots. For the last several years I've gotten artificial lube injected into my knees. At first it was every 6 months, but now it's about once a year that I make an appointment for a "lube job"!!

peppylady (Dora) said...

I had one Cortisone shot.

MRMacrum said...

Kulkiri - Yeah, the estimate for how long and how effective the shots are good for is all over the place. One friend claimed her shots lasted a couple of months. Another friend said he got 6 months. All I know is I wish I had done this 4 or 5 years ago.

Kulkuri said...

MRMacrum I was told you had to wait 3 months between cortisone shots. A friend said he had reached the limit on the shots, he was getting them for his shoulder. I was told you had to wait 6 months between "lube jobs".