Corticosteroid drugs
are used to reduce inflammation, usually
as a result of an injury. They work by blocking
a chemical in the body called prostaglandin
that causes inflammation.
The use of
corticosteroids is viewed with some controversy.
While it is generally accepted that corticosteroid
drugs are very helpful in treating inflammation
and preventing scar formation, they may
weaken body tissue and leave muscles, tendons
and ligaments vulnerable to tears or ruptures.
For the treatment
of sports injuries, corticosteroids are
usually administered by injection (cortisone
injections). The injection should be given
in the area around the muscle or tendon,
not directly into it as this may cause weakening
and further injury. The area may be painful
for up to 48 hours after the injection and
your doctor may recommend that you avoid
sports for between one and two weeks after
treatment. Your doctor may also prescribe
pain relief drugs during this period.
Although
corticosteroid drugs are not completely
banned in competitive sports, their use
is restricted to local, rather than general,
use. Sports organisations have banned the
use of corticosteroids if they are taken
by mouth, but local injection is allowed
with the prior written notice of a doctor.
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