Does a cortisone injection hurt?

The injection feels similar to having blood drawn, somewhat more noticeable depending on the body site. Usually a local anaesthetic is injected as well, so the moment is quite tolerable. A brief sensation of pressure during injection is normal.

How quickly does the injection work?

The anaesthetic works immediately but wears off after a few hours. The actual cortisone effect builds up over two to seven days. Before that, the pain may even temporarily be somewhat stronger — this is known and harmless.

How long does the effect last?

This varies greatly from person to person: from a few weeks to several months. The injection treats the inflammation, not the underlying cause — which is why it is often combined with physiotherapy or exercise.

How often can you have cortisone injections?

There is no rigid limit, but restraint is the rule: at the same joint, injections are usually repeated only a few times per year and with sufficient intervals. Your doctor weighs the benefits and risks anew each time.

Am I fit to drive afterwards?

Usually yes. However, if a leg was treated or a large amount of anaesthetic was used, the site may temporarily be numb or less able to bear weight — discuss this before the appointment, and if in doubt plan to have someone accompany you.

Cortisone Injection — Procedure, Preparation & Cost

During a cortisone injection, your doctor injects an anti-inflammatory medication directly at the site of your symptoms — for example into a joint, near an irritated tendon, or close to a compressed nerve root. The aim is to calm local inflammation and noticeably relieve pain for weeks to months. This often creates a window of time in which physiotherapy and movement become possible again.

Typical Areas of Use

Osteoarthritis flare-up in knee, hip or shoulder
Irritated tendons and bursae
Back pain with nerve root irritation (sciatica)
Inflammatory joint diseases
Entrapment syndromes such as carpal tunnel syndrome

How It Works

1Your doctor will discuss with you which site will be treated and will carefully disinfect the skin — you will be sitting or lying comfortably.
2Depending on the body site, the injection point is monitored with ultrasound or X-ray to ensure the medication reaches exactly where it needs to work.
3The actual injection takes only a few moments; usually the cortisone is combined with a local anaesthetic, which makes the injection milder.
4Afterwards, the site is covered with a plaster, and you remain in the practice for a short while for observation.

How to Prepare

Inform your doctor about blood thinners, allergies and any diabetes — the procedure will then be adjusted.
Wear clothing that provides easy access to the site being treated.
Contact the practice beforehand if you feel unwell or have a fever — in case of an infection, the injection is usually postponed.

Side Effects & Risks

Temporary pain intensification during the first one to two days (so-called cortisone flare)
Bruising or pressure sensation at the injection site
Rarely, infection of the joint — hence the strict hygiene rules
In diabetes, temporarily elevated blood sugar levels
With very frequent injections, possible weakening of tendon and cartilage tissue

Afterwards — and When to Seek Help

Rest the treated area on the day of the injection and avoid intensive sport for a few days; everyday movements are allowed. A slight pulling sensation or brief increase in pain during the first 48 hours is normal and will resolve on its own — cooling helps. Contact your doctor promptly if the site becomes increasingly painful, swollen, warm or red, or if fever develops: this could indicate an infection and needs to be examined immediately.

Cost & Insurance

Medically indicated cortisone injections performed by your doctor are usually covered by basic health insurance, including any imaging guidance with ultrasound or X-ray. The deductible and co-payment apply as usual. No special prescription is needed, as the treatment is performed directly by the doctor — if in doubt, check with your insurance.

Frequently Asked Questions

Does a cortisone injection hurt?: The injection feels similar to having blood drawn, somewhat more noticeable depending on the body site. Usually a local anaesthetic is injected as well, so the moment is quite tolerable. A brief sensation of pressure during injection is normal.
How quickly does the injection work?: The anaesthetic works immediately but wears off after a few hours. The actual cortisone effect builds up over two to seven days. Before that, the pain may even temporarily be somewhat stronger — this is known and harmless.
How long does the effect last?: This varies greatly from person to person: from a few weeks to several months. The injection treats the inflammation, not the underlying cause — which is why it is often combined with physiotherapy or exercise.
How often can you have cortisone injections?: There is no rigid limit, but restraint is the rule: at the same joint, injections are usually repeated only a few times per year and with sufficient intervals. Your doctor weighs the benefits and risks anew each time.
Am I fit to drive afterwards?: Usually yes. However, if a leg was treated or a large amount of anaesthetic was used, the site may temporarily be numb or less able to bear weight — discuss this before the appointment, and if in doubt plan to have someone accompany you.