How Long Do Cortisone Shots Last? What to Expect Before and After
September 12, 2025
Cortisone shots are a common treatment for reducing inflammation and easing joint, muscle, and spine-related pain. They are often recommended for conditions such as arthritis, tendonitis, and back pain when conservative methods are not enough. While patients know cortisone injections can bring relief, many wonder how long the benefits last and what they should expect before, during, and after treatment. At Greater Austin Pain Center, we guide patients through every step so they can feel prepared and supported.
How Long Do Cortisone Shots Last
The amount of time cortisone shots provide relief depends on the individual. Some patients experience improvement for several weeks, while others enjoy benefits for months.
Factors That Influence Duration
- Condition treated: Joint arthritis, tendon inflammation, and spinal pain may respond differently.
- Severity of inflammation: Chronic or advanced damage often results in shorter periods of relief.
- Overall health: Age, immune system response, and physical activity all affect results.
- Treatment plan: Patients who combine cortisone injections with physical therapy and lifestyle adjustments often see longer-lasting outcomes.
Cortisone shots are not permanent, but they provide meaningful relief that allows patients to heal, regain mobility, and participate in rehabilitation.
What to Expect Before a Cortisone Shot
Initial Consultation
Before scheduling the injection, patients meet with a pain management specialist. During this visit, the doctor reviews medical history, current medications, and symptoms. Imaging, such as X-rays or MRI scans, may be recommended to identify the exact source of pain and the best injection site.
Preparation for the Day of the Procedure
Most cortisone injections do not require major preparation, but patients may be asked to:
- Avoid blood-thinning medications or supplements for a short period.
- Eat a light meal beforehand to prevent lightheadedness.
- Arrange transportation home if sedation will be used (though most injections do not require sedation).
Clear communication during this step ensures the patient feels informed and comfortable heading into the procedure.
What to Expect During the Procedure
The Injection Process
Cortisone injections are performed in an outpatient setting and usually take only 15 to 30 minutes. The steps include:
- Cleaning the site: The skin is sterilized to prevent infection.
- Numbing the area: A local anesthetic is applied so the patient feels little to no discomfort.
- Guided placement: The doctor may use ultrasound or fluoroscopy (real-time X-ray) to guide the needle for precise placement.
- Injection: The cortisone solution, often mixed with an anesthetic, is injected into the affected joint, tendon, or spine region.
Sensations During the Injection
Most patients feel only slight pressure or a pinching sensation. The anesthetic provides quick but temporary relief, while the cortisone takes several days to reduce inflammation.
Immediate After-Procedure Care
Once the injection is complete, the site may be covered with a small bandage. Patients are usually monitored for a short time to ensure they feel stable before going home.
What to Expect After a Cortisone Shot
Short-Term Recovery
It is normal to experience mild soreness or a temporary increase in pain for one to two days after the shot. This is sometimes called a "cortisone flare" and is not uncommon. Applying ice to the injection site, resting, and avoiding strenuous activity for 24 to 48 hours helps minimize discomfort.
When Relief Begins
Relief does not always occur immediately. Many patients notice improvement within three to five days, as the medication gradually reduces inflammation. In some cases, it can take up to a week for the full effect to be felt.
Duration of Pain Relief
For many patients, cortisone injections provide relief that lasts from several weeks to several months. The duration depends on the condition being treated, the severity of symptoms, and the body’s response to treatment.
Returning to Normal Activity
Patients can typically return to light activity within a day or two, but should avoid heavy lifting, intense exercise, or prolonged strain on the treated area until cleared by their doctor. A gradual return to physical activity is encouraged, especially if the injection is part of a rehabilitation plan.
Long-Term Considerations
Cortisone injections are often combined with physical therapy, stretching, or lifestyle adjustments for longer-lasting results. Patients may also require follow-up visits to evaluate progress. While multiple injections can be given, doctors typically limit the number per year to protect the joint or tissue.
Are Cortisone Shots Right for You?
Cortisone injections can be an effective option for patients dealing with pain caused by inflammation, but they are not the right solution for everyone. Those with certain medical conditions, like uncontrolled diabetes or infections, may not be ideal candidates. Consulting with a pain management specialist ensures the treatment is both safe and effective.
Learn More About Cortisone Injections & Their Benefits with Greater Austin Pain Center
Cortisone injections provide targeted relief for painful conditions by reducing inflammation where it matters most. While results vary, most patients can expect relief that lasts from several weeks to several months. By knowing what to expect before, during, and after the procedure, patients can feel confident and prepared.
Our experienced team is here to provide effective, personalized care that restores comfort and helps you get back to living your life. We proudly treat patients in Austin, Dripping Springs, San Marcos, Kyle, and the Greater Austin area with compassionate, expert care.
Call today or schedule your appointment online to start your journey toward pain relief.
