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December 2, 2014

Jonathan Tobin: Defending the Right to a Jewish State

Heather Hale: Compliment your kids without giving them big heads

Megan Shauri: 10 ways you are ruining your own happiness

Carolyn Bigda: 8 Best Dividend Stocks for 2015

Kiplinger's Personal Finance editors: 7 Things You Didn't Know About Paying Off Student Loans

Samantha Olson: The Crucial Mistake 55% Of Parents Are Making At Their Baby's Bedtime

Densie Well, Ph.D., R.D. Open your eyes to yellow vegetables

The Kosher Gourmet by Megan Gordon With its colorful cache of purples and oranges and reds, COLLARD GREEN SLAW is a marvelous mood booster --- not to mention just downright delish
April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Mayo Clinic Medical Edge: Too many cortisone injections?

Paul Carns, M.D.





JewishWorldReview.com | DEAR MAYO CLINIC: How do cortisone shots work to relieve pain? It appears that they only provide temporary relief and are often given multiple times. Is there a point at which frequent cortisone shots can be harmful to the body? How much is too much?

ANSWER: Injections of cortisone, or a similar corticosteroid, decrease inflammation in an injured part of the body. When body tissue is injured, a series of events occurs locally and within the bloodstream to promote healing. Inflammation can result from this healing process and, frequently, the inflammation causes pain. Injecting corticosteroids into the inflamed area helps to calm the inflammation. As the inflammation subsides, the pain does, too.

Cortisone is naturally produced in the body's adrenal glands. It was discovered in the 1940s by Mayo Clinic researchers Edward Kendall, Ph.D., and Philip Hench, M.D., who first used it to treat joint disorders. Its powerful anti-inflammatory effect produced such dramatic results in people with rheumatoid arthritis that it was hailed as a miracle drug. In 1950, Drs. Kendall and Hench were awarded the Nobel Prize in Medicine for the discovery of cortisone.

In current medical practice, corticosteroids are used to treat a variety of inflammatory diseases, including bursitis, carpal tunnel syndrome, rheumatoid arthritis, tendinitis and gout. Corticosteroids can be given by mouth or injected into affected joints, including the ankle, elbow, hip, knee, shoulder, hand and wrist. Injections near the spine are also common.


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You are correct that corticosteroid injections do not provide a permanent cure. However, pain relief from a corticosteroid injection may last from several weeks to several months, depending on the medical condition and the patient receiving it. Ideally, the relief provided by the injection decreases or eliminates pain long enough to allow the injury to completely heal. It is not uncommon, though, for repeat injections to be needed in patients experiencing chronic inflammatory conditions.

Corticosteroids cause a number of side effects which can be limited to the area injected or affect the entire body. Side effects increase with larger doses and repeated clinical use. For this reason, physicians may limit the number of injections and the cumulative amount of corticosteroid that is given. Typically, corticosteroid injections are not given more often than every six weeks, and usually not more than three or four times a year. But these are only guidelines. A patient's situation dictates the timing and frequency of treatment.

Side effects may include weakening of the joint, increased blood pressure, elevation of blood sugar, and decreased ability to fight infection. Evidence of these side effects should be reported to the doctor monitoring the condition.

Also important to note is that, although corticosteroid injections into a joint can relieve pain and restore mobility, in many cases they are combined with other medications and physical therapy to treat the underlying medical problem or injury. Physical therapy is particularly crucial because it can strengthen the muscles surrounding the injured area, so those muscles can provide proper joint support. This will increase the likelihood of long-term healing, as well as reduce the risk of repeat injury.

For most effective use, corticosteroid injections should be repeated only when they produce substantial pain relief that lasts several weeks to several months. A physician should closely supervise an individual's total dose of corticosteroid, monitor the patient's benefit, and check regularly for side effects. When used correctly, corticosteroid injections can be a useful part of therapy to treat the pain of acute and chronic inflammatory disease. -- Paul Carns, M.D., Anesthesiology, Mayo Clinic, Rochester, Minn.

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