Dr. Yang Waikiki Provides the Best Pain Management Treatment for Arthritis, Bursitis and Tendinitis

Dr. Sung Yang Honolulu Hawaii

November 15, 2020

Dr. Yang Waikiki

Dr. Yang Waikiki recommends cortisone injections for pain relief in patients suffering from arthritis, bursitis, and tendinitis. This treatment is good for a variety of joints including the shoulders, hips, knees, ankles, and wrists.

Dr. Yang, Waikiki’s premier doctor for pain management, believes that a small amount of cortisone injected into the joint (or bursa/tendon) is an effective pain management treatment. Cortisone is an anti-inflammatory medication that can reduce inflammation (which includes pain, swelling, redness, and blood flow changes) when directly injected into the joint or the surrounding structures. This treatment can also help patients recover their function of the joint or the affected structure and prevent the progression of the inflammation that can lead to disability.


Dr. Yang Waikiki Discusses the Conditions that Respond to Cortisone Injections

According to Dr. Yang Waikiki patients respond well to cortisone injections for the following conditions:

  • Shoulder rotator cuff tendinitis
  • Knee joint arthritis
  • Elbow bursitis/tendinitis, also called tennis or golfer’s elbow
  • Sciatica due to herniated disc

Dr. Yang Waikiki also uses these injections for a variety of conditions that affect the joint, muscle, tendon, bursa, and even discs. According to cortisone injections can be given directly to the site of the injury or inflammation if the site is easily and safely accessible without damaging other vital structures, i.e. cortisone injection into knee joint or rotator cuff tendons.   Also, cortisone injections can be given indirectly or distant from the site of the injury of inflammation if the site is located too deep and close to vital structures, i.e. cortisone injection into the muscle or skin area that shares the sensory nerves of the spinal discs.   This type of indirect injection is also called Trigger Point Injection, according to Dr. Yang Waikiki 

When preparing the cortisone injection, a doctor should be very familiar and experienced with the anatomy at and around the site of the injury or inflammation.   If you take warfarin or another blood-thinning medication, the doctor will need to ensure that you can safely receive a cortisone injection that can cause some bleeding.  Also, a doctor should determine the dosage of cortisone that should be used depending on the severity of the problem.

Dr. Yang Waikiki explains where the cortisone shot is injected, citing the following examples:

  • an injection directly into the joint
  • an injection directly into a fluid-filled sac or bursa related to the joint
  • an injection directly into the tendon or muscle
  • an injection indirectly or distant from the site of the injury or inflammation that is too difficult and unsafe to reach

Typically, according to Dr. Yang of Waikiki, patients go home directly after the injection but should rest the area for a couple of days. Cortisone shots do not affect other medications. However, since cortisone medication can increase blood sugar levels and blood pressure patients with diabetes or high blood pressure need to monitor their sugars and blood pressure for at least 3 days after the injection and increased the dose of their medication as needed.

Dr. Yang Discusses What to Expect After the Shot

Dr. Yang, Waikiki believes that it’s important for patients to understand what to expect after receiving the cortisone injection. It may take up to 3 days to feel the response.   However, some patients notice immediate improvement.

Because the procedure includes a local anesthetic (a numbing medication), patients can experience more pain after the anesthetic wears off after a few hours.  However, at that time cortisone should take its effect.

For acute pain or accidental injury, cortisone provides a quick and temporary relief that makes you feel less pain, sleep better, and return to normal activities.  Also, chronic pain can also prevent the progression of the inflammation that can cause significant damage to the joints, tendons, and discs.  For patients with chronic pain, they may experience the return of their symptoms and may require another cortisone injection in 2 to 3 months.

Dr. Yang, Waikiki recommends regular cortisone injections for patients with chronic pain or diseases such as knee arthritis or lumbar herniated disc. The treatment can reduce pain for months and slow down the progression of these chronic diseases.  These patients can really benefit from cortisone injections every 3 months.