For myofascial problems, in a word, ‘yes’! Cortisone is ineffective for these conditions and can be harmful.

Yet, today cortisone shots remain a standard, much-requested treatment for tennis elbow and other tendon problems. Cortisone is a powerful anti-inflammatory. However, the nature of myofascial pain, taut band development, trigger point formation and referral is much more complex than localized inflammation.

Cortisone will not provide lasting relief of ‘tendinitis’ in your shoulder, Achilles tendon, elbow – or anywhere else. It cannot and does not work as many believe it does. Cortisone should never be used in trigger point injections directly into muscles.

Cortisone has no legitimate use in the treatment of tendonopathies or other myofascial problems.