Corisone Shots and High Blood Pressure

Question

is it safe to have cortisone shot with high blood pressure in the left shoulder. 2 times in 2 months my dad had this done both times he was in hospital with severe chest pains. and shoulder never stoped hurting.????

Answer

Injected corticosteroids have the potential to enter systemic circulation and increase blood pressure.  The effect is typically transient.  In general, the risk of raising blood pressure by giving a steroid injection has to be weighed against the anticipated benefit–realizing that shoulder pain will raise blood pressure as well.  If the injection did not help, then there would not appear to be much benefit to doing another.

Jon Giles, MD

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