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I am a Chicken....

Posted by Carol C on 8/25/01 at 21:17 (057982)

Ok---It is getting close to my next visit to my Orthopedist...I already
know his plan is to inject my foot/ankle (I assume with cortisone).
This is the most dreaded part of my diagnosis/treatment for the TTS
so far. I would almost rather just have the surgery than to have the
injection. Is there anything I can do to alleviate the pain of the
injection prior to going in for this visit. Would it help to ice the
foot down immediatelty prior to this visit, or would that only prevent
to absorbtion of the medication in a timely manner?
I am sure I am being a baby about this, but I have heard that these
injections are extremely painful and I don't want to do this....but he
has already told me that he has to do it on the nest visit.
Any suggestions??????

Re: I am a Chicken....

Mike M on 8/26/01 at 01:10 (057990)

Have you had cortisone shots before?
I had a total of five, two in one visit. One in the heel and one in the ankle.
Actually yeah they hurt a bit, but I didnt think they were all that bad.
Now the last one I had, right in the surgery site, while having scar tissue problems (it was for temp relief before surgery) that HURT.
I guess the incision caused it to be harder to inject. And I know it took alot longer for him to do it.
But as for the ones I had before surgery, I didnt think they were that bad.
Hope this helps you.

Re: I am a Chicken....

eileenc on 8/26/01 at 08:39 (058005)

I had several before and after my surgery and they were not too bad at all.

Re: I am a Chicken....

wendyn on 8/26/01 at 10:11 (058012)

Carol - if you REALLY don't want the injection and you are having this much discomfort thinking about it...NO ONE can force you to have it. There are always risks and benefits to a medical procedure. Sit down and talk them ALL over with your doctor. If you aren't comfortable - then don't do it. No one ever died from a lack of cortisone in their body.

If your doctor won't sit down and discuss pros and cons with you - find another doctor.

It's your body.

Re: I am a Chicken....

Tammie on 8/26/01 at 12:32 (058023)

Dear Carol,
I am with you I am chicken!!! I had a couple done in my heel which were not to bad had one on side of heel did not like that one to well but still livable, but the two I have had in ankle area were not pleasant as he was doing I could feel the jolting right in my big toe one he gets the first numbing stuff it settles somewhat but for me It started a whole new set of trouble in my foot and leg it felt like all the nerves got angry and were attacking, I am telling you this NOT to scare you but also let you know so you can talk with your Dr. first and ask him what you can do if it should. I had my injections toward evening once and by nightime it was very late and I was afraid and hurting and afraid to call the Dr. at night. I think if you talk with him and tell him of your fear maybe he will be especially more gentle and caring ! Some give good shots some do not . I dont want you to be so afraid I really understand your fear the first shot i ever had I cryed when he said that he wanted to , he seen the fear and he sat back down and said he promised me he would be as gentle as he could and I could tell him to stop and he would. That was the first and best shot I had! So I think it can be done! Good luck to you and will say a little prayer for you that it goes very well for you! A good name you have that is my moms name to !

Re: I am a Chicken....

Pauline on 8/26/01 at 14:21 (058038)

Carol,
As Wendyn points out you have the right to refuse to have the injection.
For now take a deep breath and think about something else. When you get to the doctors discuss your fears and ask him what he does for patients that have this degree of fear of injections. See what he says. Sometimes our anxiety causes us more pain than the injection. I'm sure you'll make the right decision.

Re: well, maybe you are

elliott on 8/26/01 at 21:48 (058059)

If a cortisone shot avoids surgery, you don't know how lucky you'd be to just get the shot, even if you would be in pain for some time. You don't really want surgery rather than the shot; just think where many here are holding after surgery.

I don't think the shots are that painful at all (maybe there's some killer pods and orthos out there who aren't injecting it right); regardless, it's only temporary pain. I'm not insensitive to yours or others' plights and have suffered much of the same pain myself, but I'm trying to offer good advice without emotions interfering. If you suffer for a week and then are cured, you are one of the lucky ones.

As wendyn said, there may be some reasons not to have a cortisone shot aside from (the fear of) temporary pain. It can thin tissue and do other damage (but so can surgery). In my mind, a cortisone shot is more warranted if your pain or pains are very localized, for then a shot or two might just cure you and avoid surgery. OTOH, if you have nerve pain running all along your leg and can't place the source(s), chances of success from cortisone are much lower that it might pay to forget it (the literature, vague as it is to start with, seems to back up this localized pain rule). Good luck whatever you do.

----------

Re: well, maybe you are

wendyn on 8/26/01 at 23:16 (058067)

Elliot - thank you for clarifying that for me....there is a difference between avoiding a procedure because you 'are afraid' and avoiding a procedure because of your discomfort with the risks.

For example - when it comes to procedures...while it may be okay to avoid an epidural during labor because of the risk involved with the epidural itself - it is not okay to avoid a pap test just because you're shy.

In each case you really have to do your homework, talk to your doctor and then decide what's best for you.

Re: I am a Chicken....

chris on 8/27/01 at 07:29 (058080)

I'm with you! I thought the injections hurt, esp my first one! When I was refered to a specialist and found out I was going to have another one...I cried like a baby! I think the podiatrist thought I was one insane woman!!! They sprayed this very cold numbing stuff on the injection site and it helped tremendously! I don't know what it is called but I asked for it every time I had to have another injection!
Good Luck
Chris

Re: I am a Chicken....

Carol C on 8/27/01 at 19:56 (058153)

So---I guess it boils down to the individual receiving the injection and the physician administering it..... I am 100% confident in my physician.
I have used him for 20 years for various Orthopedic needs and feel competley confident in his skills. It is my own fear that I am having to
deal with. I have always had a fairly high level of pain tolerance. I have
even been told so by physicians who have performed surgery on me in the past. I have been provided Morphine IV through the patient controlled
pain pumps(in hospital/post-operatively) and have rarely ever used them even with physician encouragement. I find that if the 'Problem' if fixed,
I can deal with the pain. I suppose that I have just allowed this thing
to torture me in my own mind and HOPEFULLY after it is over, I will find
that it is not as bad as I had expected. I will know on September 5th.
And very soon after that, I will know if I will be having the TTS surgery.
Thanks for the support everyone......

Re: I am a Chicken....

Ed Davis, DPM on 8/27/01 at 22:59 (058191)

The amount of pain in any injection is, for the most part, dpendent on the technique of the individual performing the injection. The end result of the injection may be similar but the experience can be different.
Ed

Re: I am a Chicken....

Kate W on 8/30/01 at 22:00 (058537)

Don't know if this reply is too late and you've already had your appt--hope not.

I had a very bad first experience with a cortisone shot for PF. So when I developed TTS and my pod suggested a cortisone shot, I switched pods!

My 2nd tried lots of other conservative measures, but finally told me he really thought I should have a cortisone shot and I was feeling desperate, so I went ahead and did it.

It was a totally different experience than my first shot! Here's why: my new pod knew I was very aprehensive about having the shot because I'd told him about my prior experience. He was very understanding and suggested I bring a friend, take the day off--he even offered a bit of Valium if I needed it.

Here is what he did: he squirted some of that cold liquid stuff on the site to get it numb, then he gave me a shot of anesthetic (which was the only part that was at all uncomfortable and it was a short prick) That made almost my entire foot completely numb--I could not feel a thing! Then, he had me look away and gave me the cortisone. I didn't believe he had actually done it cause it was totally painless and I didn't feel it.

Then I went home and put my foot up for the rest of the day.

My advice: if your doc doesn't take your reluctance to get a shot seriously, and discuss with you the pros and cons, or promises you that it won't hurt at all and that you can proceed to walk around on it all day after the shot (as my first pod did) FIND ANOTHER POD.

Hope this helps--I wish I'd known before I went through my horrible first experience.

Kate W

Re: I am a Chicken....

Mike M on 8/26/01 at 01:10 (057990)

Have you had cortisone shots before?
I had a total of five, two in one visit. One in the heel and one in the ankle.
Actually yeah they hurt a bit, but I didnt think they were all that bad.
Now the last one I had, right in the surgery site, while having scar tissue problems (it was for temp relief before surgery) that HURT.
I guess the incision caused it to be harder to inject. And I know it took alot longer for him to do it.
But as for the ones I had before surgery, I didnt think they were that bad.
Hope this helps you.

Re: I am a Chicken....

eileenc on 8/26/01 at 08:39 (058005)

I had several before and after my surgery and they were not too bad at all.

Re: I am a Chicken....

wendyn on 8/26/01 at 10:11 (058012)

Carol - if you REALLY don't want the injection and you are having this much discomfort thinking about it...NO ONE can force you to have it. There are always risks and benefits to a medical procedure. Sit down and talk them ALL over with your doctor. If you aren't comfortable - then don't do it. No one ever died from a lack of cortisone in their body.

If your doctor won't sit down and discuss pros and cons with you - find another doctor.

It's your body.

Re: I am a Chicken....

Tammie on 8/26/01 at 12:32 (058023)

Dear Carol,
I am with you I am chicken!!! I had a couple done in my heel which were not to bad had one on side of heel did not like that one to well but still livable, but the two I have had in ankle area were not pleasant as he was doing I could feel the jolting right in my big toe one he gets the first numbing stuff it settles somewhat but for me It started a whole new set of trouble in my foot and leg it felt like all the nerves got angry and were attacking, I am telling you this NOT to scare you but also let you know so you can talk with your Dr. first and ask him what you can do if it should. I had my injections toward evening once and by nightime it was very late and I was afraid and hurting and afraid to call the Dr. at night. I think if you talk with him and tell him of your fear maybe he will be especially more gentle and caring ! Some give good shots some do not . I dont want you to be so afraid I really understand your fear the first shot i ever had I cryed when he said that he wanted to , he seen the fear and he sat back down and said he promised me he would be as gentle as he could and I could tell him to stop and he would. That was the first and best shot I had! So I think it can be done! Good luck to you and will say a little prayer for you that it goes very well for you! A good name you have that is my moms name to !

Re: I am a Chicken....

Pauline on 8/26/01 at 14:21 (058038)

Carol,
As Wendyn points out you have the right to refuse to have the injection.
For now take a deep breath and think about something else. When you get to the doctors discuss your fears and ask him what he does for patients that have this degree of fear of injections. See what he says. Sometimes our anxiety causes us more pain than the injection. I'm sure you'll make the right decision.

Re: well, maybe you are

elliott on 8/26/01 at 21:48 (058059)

If a cortisone shot avoids surgery, you don't know how lucky you'd be to just get the shot, even if you would be in pain for some time. You don't really want surgery rather than the shot; just think where many here are holding after surgery.

I don't think the shots are that painful at all (maybe there's some killer pods and orthos out there who aren't injecting it right); regardless, it's only temporary pain. I'm not insensitive to yours or others' plights and have suffered much of the same pain myself, but I'm trying to offer good advice without emotions interfering. If you suffer for a week and then are cured, you are one of the lucky ones.

As wendyn said, there may be some reasons not to have a cortisone shot aside from (the fear of) temporary pain. It can thin tissue and do other damage (but so can surgery). In my mind, a cortisone shot is more warranted if your pain or pains are very localized, for then a shot or two might just cure you and avoid surgery. OTOH, if you have nerve pain running all along your leg and can't place the source(s), chances of success from cortisone are much lower that it might pay to forget it (the literature, vague as it is to start with, seems to back up this localized pain rule). Good luck whatever you do.

----------

Re: well, maybe you are

wendyn on 8/26/01 at 23:16 (058067)

Elliot - thank you for clarifying that for me....there is a difference between avoiding a procedure because you 'are afraid' and avoiding a procedure because of your discomfort with the risks.

For example - when it comes to procedures...while it may be okay to avoid an epidural during labor because of the risk involved with the epidural itself - it is not okay to avoid a pap test just because you're shy.

In each case you really have to do your homework, talk to your doctor and then decide what's best for you.

Re: I am a Chicken....

chris on 8/27/01 at 07:29 (058080)

I'm with you! I thought the injections hurt, esp my first one! When I was refered to a specialist and found out I was going to have another one...I cried like a baby! I think the podiatrist thought I was one insane woman!!! They sprayed this very cold numbing stuff on the injection site and it helped tremendously! I don't know what it is called but I asked for it every time I had to have another injection!
Good Luck
Chris

Re: I am a Chicken....

Carol C on 8/27/01 at 19:56 (058153)

So---I guess it boils down to the individual receiving the injection and the physician administering it..... I am 100% confident in my physician.
I have used him for 20 years for various Orthopedic needs and feel competley confident in his skills. It is my own fear that I am having to
deal with. I have always had a fairly high level of pain tolerance. I have
even been told so by physicians who have performed surgery on me in the past. I have been provided Morphine IV through the patient controlled
pain pumps(in hospital/post-operatively) and have rarely ever used them even with physician encouragement. I find that if the 'Problem' if fixed,
I can deal with the pain. I suppose that I have just allowed this thing
to torture me in my own mind and HOPEFULLY after it is over, I will find
that it is not as bad as I had expected. I will know on September 5th.
And very soon after that, I will know if I will be having the TTS surgery.
Thanks for the support everyone......

Re: I am a Chicken....

Ed Davis, DPM on 8/27/01 at 22:59 (058191)

The amount of pain in any injection is, for the most part, dpendent on the technique of the individual performing the injection. The end result of the injection may be similar but the experience can be different.
Ed

Re: I am a Chicken....

Kate W on 8/30/01 at 22:00 (058537)

Don't know if this reply is too late and you've already had your appt--hope not.

I had a very bad first experience with a cortisone shot for PF. So when I developed TTS and my pod suggested a cortisone shot, I switched pods!

My 2nd tried lots of other conservative measures, but finally told me he really thought I should have a cortisone shot and I was feeling desperate, so I went ahead and did it.

It was a totally different experience than my first shot! Here's why: my new pod knew I was very aprehensive about having the shot because I'd told him about my prior experience. He was very understanding and suggested I bring a friend, take the day off--he even offered a bit of Valium if I needed it.

Here is what he did: he squirted some of that cold liquid stuff on the site to get it numb, then he gave me a shot of anesthetic (which was the only part that was at all uncomfortable and it was a short prick) That made almost my entire foot completely numb--I could not feel a thing! Then, he had me look away and gave me the cortisone. I didn't believe he had actually done it cause it was totally painless and I didn't feel it.

Then I went home and put my foot up for the rest of the day.

My advice: if your doc doesn't take your reluctance to get a shot seriously, and discuss with you the pros and cons, or promises you that it won't hurt at all and that you can proceed to walk around on it all day after the shot (as my first pod did) FIND ANOTHER POD.

Hope this helps--I wish I'd known before I went through my horrible first experience.

Kate W