Cortisone Injections in Singapore: Pain Relief for Orthopaedic Injuries
Cortisone injections relieve inflammation in joints, tendons, and soft tissues. Dr Foo offers image-guided injections for precise relief and faster recovery with minimal discomfort.
MBBS (University of London) | MMed (Ortho) | FRCSEd (Ortho) | FAMS (Ortho)
What Is a Cortisone Injection?
A cortisone injection is a medical treatment that delivers corticosteroid medication
directly into an inflamed joint, tendon, or soft tissue to reduce inflammation and
alleviate pain.
This procedure is commonly used in orthopaedic care as one of
the pain management treatments for conditions such as arthritis, bursitis, and tendonitis,
especially in cases where other treatments do not provide sufficient pain relief.
How Does a Cortisone Injection Work?
The mechanism of action of cortisone injections involves mimicking the effects of cortisol, a
hormone naturally produced by the adrenal glands, to suppress the immune
response that causes inflammation. This helps decrease swelling, redness, and pain, allowing
the joint or tissue to move more freely.
While cortisone injections do not cure the underlying condition, they can provide significant
symptom relief.
Common Orthopaedic Conditions Treated With Cortisone Injections
1. Joint-Related Conditions
Joint inflammation often results from degenerative, inflammatory, or injury-related causes.
- Osteoarthritis – A gradual breakdown of cartilage between bones, causing pain, stiffness, and reduced mobility. It commonly affects the knees, hips, shoulders, spine, fingers, wrists, and big toe.
- Bursitis – Inflammation of the bursae, the fluid-filled sacs that cushion and protect joints. Common sites include the shoulder (subacromial bursitis), hip (trochanteric bursitis), and elbow (olecranon bursitis).
- Capsular and Synovial Joint Disorders (CSJD) – Involve inflammation, thickening, or tightening of the joint capsule or synovial membrane, causing stiffness and restricted movement. Examples include frozen shoulder (adhesive capsulitis), arthrofibrosis (joint stiffness syndrome), and synovitis.
2. Tendon-Related Conditions (Tendinopathies & Tears)
Tendons, which connect muscles to bones, can become inflamed, irritated, or partially torn due to repetitive use, trauma, or age-related degeneration.
- Tendonitis (Tendinitis) – Inflammation of a tendon, often caused by high-impact activities or repetitive motion. It commonly affects the rotator cuff (shoulder impingement syndrome), Achilles tendon (heel), patellar tendon (kneecap), posterior tibial tendon (ankle), and peroneal tendons (foot).
- Partial Tendon Tears – Partial tendon tears in areas like the rotator cuff (shoulder), Achilles tendon (heel), and patellar tendon (kneecap) may benefit from cortisone injections to manage inflammation and pain during healing or physical therapy. Cortisone injections are generally avoided in complete tendon tears due to the risk of further weakening.
3. Ligament and Fascia-Related Conditions
Ligaments connect bones to provide joint stability, while fascia supports muscles, organs, and other structures by reducing friction and distributing mechanical forces.
- Sprains – Occur when ligaments are overstretched or partially torn, causing pain, swelling, and joint instability. Common areas include the medial collateral ligament (MCL) (knee), anterior talofibular ligament (ATFL) (ankle sprains), and wrist.
- Partial Tears – Partial ligament tears can cause inflammation and pain, especially during rehabilitation. Commonly affected ligaments include the anterior cruciate ligament and posterior cruciate ligament in the knee, as well as the acromioclavicular ligament (shoulder) and deltoid ligament (ankle).
- Fascia-Related Conditions – Inflammation of fascia can cause chronic pain and functional limitations, such as plantar fasciitis (heel pain from plantar fascia inflammation) and iliotibial band syndrome (ITBS) (outer thigh pain from IT band irritation).
4. Nerve-Related Conditions (Compression Syndromes)
Nerve compression syndromes occur when surrounding tissues exert excessive pressure on nerves, causing pain, numbness, or tingling.
- Carpal Tunnel Syndrome – Compression of the median nerve in the wrist, causing hand numbness, tingling, and weakness.
- Tarsal Tunnel Syndrome – Compression of the tibial nerve near the ankle, resulting in foot pain, numbness, or burning sensations.
- Cubital Tunnel Syndrome – Compression of the ulnar nerve at the elbow, often resulting in numbness, tingling, and weakness in the ring and little fingers.
- Trigger Finger (Stenosing Tenosynovitis) – Occurs when the flexor tendons of the finger become inflamed, leading to stiffness or a locking sensation.
What to Expect During a Cortisone Injection Procedure
The cortisone injection procedure is typically straightforward and performed in a clinical setting:
- Preparation – The injection site is cleaned and sterilised. A local anaesthetic may be applied to numb the area and minimise discomfort.
- Injection – Using imaging guidance if necessary, such as ultrasound or fluoroscopy (live X-ray), your doctor will insert a thin needle to deliver the corticosteroid medication. The dosage varies depending on the condition treated, joint size, and medical history.
- Post-Injection Care – After the injection, you may experience temporary numbness or soreness. It’s usually recommended to rest the treated area for 24 to 48 hours to allow the medication to take full effect.
How Long Does It Take for a Cortisone Injection to Work?
Most patients begin to experience pain relief within 48 to 72 hours after receiving a cortisone injection. However, the exact timing can vary depending on the severity of the inflammation and how the body responds to the medication. In some cases, maximum relief may take up to a week.
How Long Does Cortisone Injection Pain Relief Last?
The duration of pain relief provided by a cortisone injection can last for several weeks or months, depending on several factors, including the treated condition and the individual’s response to the injection. However, cortisone injections are typically not administered more than three to four times per year in a single joint due to the risk of side effects with frequent use.
Potential Risks and Side Effects of Cortisone Injections
While cortisone injections are commonly used to treat orthopaedic conditions, they can cause side effects in some cases. Common side effects include:
- Temporary Pain Flare (Cortisone Flare) – A brief increase in pain within the first 24 to 48 hours, which usually resolves without intervention.
- Skin Changes – Thinning of the skin or discoloration at the injection site, which is more common with superficial injections.
- Long-Term Joint Damage – Repeated and frequent injections into the same joint may contribute to cartilage deterioration, accelerated osteoarthritis progression, and bone weakening over time, especially in weight-bearing joints.
However, seek prompt medical attention if you experience symptoms of an infection such as:
- Persistent redness, swelling, or warmth
- Severe or worsening pain
- Fever, chills, or flu-like symptoms
- Pus or unusual discharge
- Joint stiffness or locking (which may indicate joint effusion, a buildup of excess fluid in the joint often caused by inflammation or infection)
Who Should Avoid or Use Cortisone Injections With Caution?
Cortisone injections may not be suitable for individuals with certain conditions or risk factors, including:
- Uncontrolled diabetes or high blood pressure – Corticosteroids can raise blood sugar levels and, in some cases, increase blood pressure, making it harder to manage these conditions.
- Active infections or compromised immune function – Cortisone suppresses the immune system, which can worsen existing infections or increase the risk of developing new ones.
- Severe joint damage or osteoporosis – Corticosteroids can weaken cartilage and bone over time, potentially worsening joint deterioration or bone loss.
- Known allergies to corticosteroids – Individuals with corticosteroid allergies risk developing allergic reactions such as skin rashes, swelling, or breathing difficulties.
It is advisable to consult with your orthopaedic specialist, who can assess your condition and determine if this treatment is suitable for you.
Cortisone Injection Cost in Singapore
At Apex Sports Clinic, we offer cortisone injections to treat various orthopaedic conditions, with the pricing as follows:
| Treatment | Price* |
|---|---|
| Cortisone Injection / Shot | $300 – $1,000 |
*All prices are NETT.
Alternatives to Cortisone Injections
For individuals who cannot undergo cortisone injections or do not experience sufficient relief, alternative treatments include:
- Physical Therapy – A non-invasive approach that focuses on strengthening muscles, improving joint function, and enhancing mobility to alleviate pain.
- Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) – Oral or topical medications that reduce inflammation and relieve pain, though they work systemically, unlike cortisone injections, which target specific areas.
- Platelet-Rich Plasma (PRP) Injections – A treatment that uses concentrated growth factors from the patient’s blood to promote tissue healing and reduce inflammation.
- Hyaluronic Acid Injections – A gel-like substance injected into joints, primarily the knees, to improve lubrication and cushion the joint for better mobility and reduced pain.
Every patient deserves a treatment plan tailored to their needs. We start with non-surgical approaches before considering more invasive interventions.
Dr Foo Gen Lin
Where Can I Find an Orthopaedic Specialist in Singapore?
Apex Novena
admin@apexsportsclinic.sg
101 Irrawaddy Rd, #18-12 Royal Square Medical Centre, Singapore 329565
Nearest MRT: NS20 Novena
Apex East Coast
admin@apexsportsclinic.sg
112 E Coast Rd, #03-03/04 i12 Katong, Singapore 428802
Nearest MRT: TE26 Marine Parade
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Frequently Asked Questions (FAQs)
Cortisone injections may cause brief discomfort during the procedure, especially when the needle enters deeper tissues. Most patients report only mild pain, often comparable to a routine vaccination. A local anaesthetic is usually applied beforehand to minimise discomfort, and any post-injection soreness typically subsides within 24 to 48 hours.
You can usually walk after a cortisone injection in your foot, but it is advisable to limit weight-bearing activity for 24 to 48 hours. Resting the foot briefly allows the medication to take effect and may reduce the risk of a post-injection flare. Most people can resume light activities the same day. It is advisable to follow your doctor or specialist’s guidance regarding post-injection care.
The effects of a cortisone injection can last from several weeks to a few months, depending on the condition being treated and individual response. Some people experience significant relief, while others may find the duration shorter, particularly if inflammation recurs. It is advisable to consult a doctor to understand how cortisone may work for your specific condition and whether repeat treatment is appropriate.
It is common to experience mild soreness or a temporary increase in pain, known as a cortisone flare, within 24 to 48 hours after the injection. This usually resolves on its own. Applying ice and limiting activity can help manage symptoms during this short period. Significant or prolonged pain is uncommon and should be evaluated. It is advisable to consult a doctor or specialist regarding the effects of cortisone injections.
Cortisone injections are widely used to reduce inflammation and relieve pain in joints, tendons, and soft tissues, often providing rapid, localised relief. However, repeated use may lead to side effects such as cartilage thinning, tendon weakening, delayed healing, skin changes, or infection. Cortisone is typically used as part of a broader treatment plan. It is advisable to consult a doctor or specialist to determine if cortisone injections are appropriate for your orthopaedic condition.
If a cortisone injection does not provide relief, it may be because the underlying condition is not primarily inflammatory, the extent of tissue damage is more advanced, or the dose was not sufficient for the affected area. In such cases, further assessment by your doctor or specialist may help clarify the diagnosis or identify alternative treatment options.
Corticosteroids and NSAIDs both reduce inflammation and relieve pain, but they differ in how they work and how they are used. Corticosteroids mimic the hormone cortisol and broadly suppress the immune response, often used for local injections or systemic inflammatory conditions. NSAIDs reduce inflammation by blocking specific enzymes and are typically used for generalised pain and inflammation. Consulting a doctor or specialist can help determine which option is more appropriate for your condition.
At Apex Sports Clinic, a cortisone injection typically costs between $300 and $1,000 NETT, inclusive of consultation, medication, and procedural fees. The final cost may vary depending on factors such as the treatment area, type of steroid used, and whether imaging guidance is required.
You can usually shower after a cortisone injection, but it is advisable to avoid scrubbing or applying pressure around the injection site for 24 hours. This precaution helps minimise the risk of irritation or infection, particularly if a dressing was applied or the area was prepared using sterile techniques. It is advisable to follow your doctor or specialist’s aftercare instructions based on the injection site and your individual treatment.