The procedure usually begins one day before the actual treatment with a blood and urine examination. In particular, the blood cells, the erythrocyte sediment rate and the urine are examined for signs of infection. Since Cortisone weakens the immune system, it is very important to exclude possible infections beforehand.
In addition, medication for stomach protection and Heparin for thrombosis prophylaxis are often obtained before the start of treatment. These protective measures will continue for a few days beyond the treatment cycle.
Then cortisone for three to five days
Followed by three to five days with high-dose cortisone infusions. The infusions are usually administered in the morning. An infusion consists e.g. from 1000 mg of methylprednisolone (Urbason®). But it can also be selected other active ingredients, the dose varies depending on the potency.
The most common side effects of cortisone shock therapy are nausea and headache. The best way to avoid this is to lie down after the infusions and drink plenty of water.
All in all, the cortisone shock therapy is therefore no pleasure. But if it actually reduces the thrust or the pains, it may be worth it. But there are divided views among those affected. In the official therapy guidelines, however, it is admitted.
Author: Dr. med. Julia Hofmann