Cortisone injections (also called corticosteroid injections) are a non-surgical treatment option used to help reduce pain and inflammation in joints, tendons, and surrounding soft tissues. They are commonly used in conditions such as arthritis, bursitis, tendon irritation, and joint inflammation following injury.
Dr Darren Paterson offers cortisone injections for suitable patients across the North Shore, Northern Beaches, Tamworth, and Central Coast NSW, often as part of a broader treatment plan that may also include physiotherapy, activity modification, and medication.
How cortisone injections work
Cortisone is a powerful anti-inflammatory medication. When injected directly into the affected joint or tissue, it can help:
- Reduce inflammation
- Relieve pain
- Improve movement and function
While cortisone does not “cure” the underlying cause, it can provide relief that allows patients to participate more effectively in rehabilitation or return to daily activities with less discomfort.
When cortisone injections may be considered
Cortisone injections may be recommended if you have:
- Persistent joint pain or swelling that has not improved with rest, physiotherapy, or oral medication
- Arthritis-related pain affecting the hip, knee, or shoulder
- Tendon irritation or bursitis that limits movement
- Inflammation after injury or surgery
They may also be used to help manage symptoms while waiting for surgery or during recovery.
The cortisone procedure
- Assessment – Dr Paterson will review your medical history, symptoms, and imaging to ensure a cortisone injection is suitable.
- Preparation – The skin is cleaned, and local anaesthetic may be used to minimise discomfort.
- Injection – Cortisone is injected directly into the joint or targeted tissue, often under imaging guidance for accuracy.
- Aftercare – You may notice some relief within a few days, although the full effect can take up to a week.
The Cortisone procedure
1. Assessment
Dr Paterson will confirm your diagnosis and ensure the injection is appropriate for your condition.
2. Preparation
The skin is cleaned, and local anaesthetic may be used to minimise discomfort.
Injection
Hyaluronic acid is injected directly into the knee joint, often in a single treatment (depending on the product used).
4. Aftercare
You may notice some relief within a few days, although the full effect can take up to a week.
Expected benefits and duration of relief
- Relief can last from several weeks to several months, depending on the condition and individual response.
- For some patients, a single injection provides significant benefit, while others may require repeat injections as part of their management plan.
- There are limits on how often cortisone can be used in the same area to protect joint and tissue health.
Risks and considerations
While generally safe when performed appropriately, cortisone injections carry some potential risks, including:
- Temporary increase in pain after the injection (“flare”)
- Skin thinning or colour change at the injection site
- Infection (rare)
- Tendon weakening if injected into certain areas repeatedly
- Short-term rise in blood sugar levels in people with diabetes
Dr Paterson will discuss these risks with you before proceeding.
Cost of cortisone injections
The cost of a cortisone injection with Dr Paterson typically includes:
- Consultation fee – Standard consultation fee applies for assessment and treatment planning
- Injection fee – The injection itself is billed separately; part of this cost is usually covered by Medicare if performed during a consultation
- Imaging guidance fee (if required) – If ultrasound or X-ray guidance is needed, this is performed at an imaging clinic and may be partly covered by Medicare
Most patients pay $150-$350 out-of-pocket for the injection itself, including the consultation fee (after Medicare rebate) however costs vary depending on whether imaging guidance is required and the joint being treated. Heather can provide an accurate cost estimate when you book your appointment.
Is a cortisone injection right for you?
Cortisone injections are not suitable for everyone and are usually considered after other non-invasive measures have been trialled. During your consultation, Dr Paterson will review your diagnosis, discuss the potential benefits and limitations, and outline alternative treatments if a cortisone injection is not appropriate.