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One reason is that cortisone in high doses (and a typical injection by the doctor is considered a high dose) can weaken joint cartilage and tendons

Studied exclusively in preclinical animal models in the context of gut, joint, connective tissue, and inflammatory processes.* 1-8

This is particularly relevant in chronic tendinopathy, where the local repair response has stalled

While it can take anywhere from five to 30 seconds with an IM needle, youll need to be very patient with a SubQ needle

The pill or injection is preferred

Examination of voluntary forward flexion and abduction revealed an absence of contractility in the anterior and medial heads of the deltoid, both through observation and palpation