My MRI results
I talked to the radiologist told me one of the 4 rotator muscles or supraspinatus was like a rope and frayed?
I can't even find an ortho doc to give me a single cortisone shot!
I remember 16 yr old girls getting in high school I'm mid 30's and still have never had 1 shot to elevate swelling and pain to allow healing processes to occur, they all say its to catabolic when I seen guys get one yrs ago and no problems since and others get every 2 months.
Some of my research on my problem..
Actually cortisone does help in round-about sort of way. The specific compounds made by the body that accompany the inflammatory process are catabolic to the tissues that are trying to be rebuilt by the healing process. It's a vicious cycle. Inflammation is geared to the immediate survival of the organism, not necessarily long-term healing of the damaged area.
The cortisone shot rids you of the inflammation, and allows the healing process to occur as it is supposed to.
Additionally, the pressure in the joint resulting from the inflammation can make tissues pinches even more which can lead to friction type breakdown.
In my case, the inflammation around the supraspinatus pushes the supraspinatus in closer to the proximity to the acromion which runs underneath. When I raise my arm to certain positions, it pinches and wears thin the supraspinatus muscle belly.
Perhaps the warning you're trying to give me is about the catabolic properties of cortisone alone itself. Repeated cortisone treatment tends to also be catabolic to the joint, which theoretically leads to decreased cartridge/bone integrity. A one time shot, however, will do way more towards proper healing than it will hurt.
I have done research on my problem..