Cortisone shots, also known as corticosteroid injections, can provide temporary relief from pain and inflammation associated with bone-on-bone knee pain, but they may not address the underlying cause of the pain. Bone-on-bone knee pain typically occurs when the protective cartilage cushioning the knee joint wears down, leading to increased friction between the bones and resulting in pain, stiffness, and reduced mobility.

Here are some key points to consider regarding cortisone shots for bone-on-bone knee pain…

1. Pain Relief – Cortisone injections can help alleviate pain and reduce inflammation in the knee joint, providing short-term relief from symptoms. Many people experience significant pain relief for several weeks to several months following a cortisone injection.
2. Temporary Solution – While cortisone shots can provide temporary relief, they do not address the underlying cause of bone-on-bone knee pain. The effects of cortisone injections typically diminish over time, and repeated injections may be necessary to maintain pain relief.
3. Potential Side Effects – Cortisone injections carry the risk of side effects, including temporary flare-ups of pain, infection at the injection site, thinning of the surrounding tissues (atrophy), and weakening of the ligaments or tendons in the knee joint. Repeated cortisone injections over time may increase the risk of cartilage damage and other long-term complications.
4. Limited Efficacy – Cortisone injections may be less effective in cases of advanced osteoarthritis where there is significant joint degeneration and bone-on-bone contact. In such cases, other treatment options, such as physical therapy, bracing, weight management, or surgical interventions like knee replacement surgery, may be more appropriate for managing symptoms and improving knee function.
5. Complementary Treatments – Cortisone injections may be used in conjunction with other treatments to manage bone-on-bone knee pain effectively. Physical therapy, exercise, weight management, and lifestyle modifications can help improve knee function, reduce pain, and slow the progression of osteoarthritis.

Before considering cortisone injections for bone-on-bone knee pain, it’s essential to consult with a healthcare professional, such as an orthopedic surgeon or a rheumatologist, to determine the most appropriate treatment approach based on your individual condition, symptoms, and medical history. They can help you weigh the potential benefits and risks of cortisone injections and develop a comprehensive treatment plan tailored to your needs and goals.