Hi
I am suffering from a chronic dull pain in my groin that moves around a bit. I have had mild pain since October last year. I have seen several specialists, but my MRI isn’t scheduled for another month. Last week my chiropractor used ultrasound and found bursitis in the iliopsoas bursa. On both sides. He also noticed some irritation and irregular tissue where the adductor longus or magnus attaches to the pubic bone.
Now, he won’t do anything until the MRI comes back, but if those pictures confirms the iliopsoas bursitis, and there is no other damage, he recommends a cortisone shot to the bursa. He will do this guided with ultrasound.
Does anyone have some positive or negative experience with this kind of treatment? After reading about cortisone around the web I am very skeptical. I have not found anyone getting a shot into the iliopsoas bursa, but others say that cortisone shots are just a temporary fix and afterwards it gets worse.
For Bursitis’s its good to settle the inflammation. You then need to eliminate the cause.
Generally no issues with synovial damage for a cortisone injection under ultrasound into a non comunicating bursa.
Definitely get it done with ultrasound. In OZ a radiologist will generally be who does it.
For issues outside of the bursitis or causing the bursitis, if they are not addressed expect a reoccurrence.
Did you get this shot into the iliopsoas bursa or somewhere else? How long ago? I have heard that surrounding tissue is weaker (and prone to injury) for a year after the injection.
I had pain similar to yours. Every time I ran I had groin pain. I went to different doctors who all said I was fine in their department. Finally one of them sent me to the orthopedic surgeon who took an xray that showed arthritis in my hip. I was really surprised, I never thought it would be arthritis. I got three cortisone injections over two years and it did take away the pain until it flaired up again. I also stopped running. The last injections were in both hips but only lasted for a week. In the end I had bilateral hip resurfacings and six months later I returned to running again pain free. I hope you don’t have to go that route but I think you need to see an orthopedic surgeon.
This sounds like general advice, and its how I hope it will be if i get the shot. Do you have personal positive experiences with cortisone injections? I have read so many negative experiences online, but so few positive ones, but I hope that is just because people like to complain when things don’t work.
I hear that there are studies that show few or no positive effects from cortisone. But since doctors still use them, I guess those studies must be controversial. How fast can one return to training after the shot? How does one figure out the cause of the bursitis? When is the surrounding tissue strong enough for exercises?
Among a host of other back and hip issues, I was also diagnosed with bursitis in the bursa of the trochanter. Instead of injection, which was one option, I opted for delivery of the corticosteroid (dex) via iontopatch. Much less invasive, and because that bursa is located so close to the sign surface, worked really well. Only took one application.
Well, I don’t think that its arthritis. But since you say we have similar pains I wanted to explain mine to see if they really are similar.
First off all, pain is not the right word. Mild burning, tightness and tenderness are more accurate. Its located in my right groin and hip. Primarily three places. It moves around a bit.
Last 3 months: mainly a mild burning where the adductor longus or magnus attaches to the pubic bone.
9 months: tenderness in illiopsoas bursa. this is not constant, but comes and goes. Last week I have felt this on both sides, but until now all symptoms have been on the right side only.
Tightness on the front of the thigh. This comes and goes from time to time.
sometimes there is also a dull pain on the outside of the thigh, but this goes away when i rub it hard.
Pain gets worse when biking, strengthening the core and the hip, and sometimes from running. but the pain never gets really bad. Physio, naprapat and chiropractor has tested me for a lot of things, and nothing causes real pain.
The doctor told me to stop running but that I only needed to take one day off from cycling after the injection. Cortisone doesn’t heal anything. It only takes away inflammation which makes you feel good until you tweak it again.
If you get the cortisone, you’ll feel better but you still have to deal with the cause of the problem before you can train like before.
If you get the cortisone, you’ll feel better but you still have to deal with the cause of the problem before you can train like before.
This.
Unfortunately, most people don’t do it. They feel better and say “Hooray! I’m healed!!” and don’t do the work to fully resolve the problem. had it twice for ITBS and t worked great. Injection went into the bursa sac. Didn’t do the necessary work the first time, which caused the ITBS to flare-up again once the injection wore off.
I agree, and I will definitely do whatever is necessary to rebuild myself.
But how long is that? How long did you rest before returning to training, how hard did you train in the beginning. When can you resume full load if you take the cortisone?