Healthy Habits for Bonsall & Fallbrook Folks: Cortisone is the anti-agent

The number of people receiving cortisone injections is on the rise. This hormone is produced in the adrenal gland and is also synthetically produced and readily used in the medical field.

It's not just taken by injection but also in hydrocortisone cream. There are so many conditions this potent steroid treats.

Here are the most common uses for its injection: inflammation of specific joints or tendons, plantar fasciitis, tendinitis, rheumatoid arthritis and asthma. Here are the most common topical uses: skin conditions like insect bites, eczema, poison ivy and different types of allergies.

For shoulders, knees, aches, pains, itches, rashes and more, cortisone is the anti-agent that reduces pain by preventing the release of substances in the body that cause inflammation.

The body naturally releases cortisone when under stress; however, inflamed areas may need an extra dose. But it isn't to say that this product is freely up for grabs and the answer to all life's pains. Most doctors limit their use to every six weeks at most, but ideally no more than three to four times per year. Possible side effects include deterioration of cartilage at the joints or nerve damage, so it is a quick fix and not a permanent solution.

Over time, the shots don't have the same impact, not because a tolerance is built in the body, but rather because the joint has been worn down. It can be an alternative that puts off surgery in many cases, however. Physical therapy and lifestyle changes such as exercise and nutrition, are quality long-term approaches to avoiding surgery as well.

Topical uses suppress the body's immune response to the type of skin condition. They are classified by potency level, which influences their availability over the counter or by prescription.

Typically, within three to five days, the positive effects kick in, but results vary person to person. This steroid stays potent in the body anywhere from six weeks to six months. The debate lies in the "cover-up" effect. If a shoulder injury is causing chronic pain, does having a cortisone shot and going right back to activity, create a cycle of shot taking instead of addressing the real problem. It does avoid the shoulder being immobile for some time following surgery; there are risks and benefits to the decision to use cortisone or having surgery. Steroid use is not meant to be a solution.

Patients should go back to the original definition in which cortisone is a hormone naturally produced in the body. If the body is not naturally performing its functions, then it is a red flag.

Megan Johnson McCullough holds a master's degree in physical education and health science, is a candidate for her doctorate, is a professional natural bodybuilder and is a National Academy of Sports Medicine master trainer.