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Lead Stories: Wednesday, November 19, 2008

ASK FLASH: “Get me to the starting line!” (Tapering and Cortisone Shots)

Posted April 2nd, 2007 at 3:00 PM by Joshua Flash Gordon

Section: Running & Training, Injury & Rehab, Columns, Training Tips, Ask Flash

Need advice? Injured? Confused? Overwhelmed? Bored? ASK FLASH!
ASK FLASH is a free advice column to help you with all of your running, fitness and nutrition inquiries. To ASK FLASH — simply fill out the form at the conclusion of the column.

Since the Boston Marathon is just around the corner (about two weeks), let’s deal with a couple of time-sensitive questions about getting to the starting line on the big day.

Q. I have been training for the Boston Marathon for the past few months and during a 20 mile run last week I developed pain on the inside of my right knee. I was diagnosed with Pes Anserine Bursitis and told to take anti-inflammatory medication, ice, and stretch. I was also offered a cortisone shot, but, did not get one because I don’t know too much about them. Could you please give me your opinion on cortisone shots? The marathon is in two weeks and I would love to run it pain free!
~ Just Shoot Me in Wounded Knee, South Dakota

cortisone shotsA. So, you got yourself a case of the Goosefoot Bursitis, huh? I must confess that in the past I have always refused offers for cortisone shots. So, I am probably a little biased against them. Maybe I’m just afraid of the needles.

Another concern that I have is the stated risk of weakening the tendon. However, many studies and articles seem to support cortisone shots as a safe and highly effective option for the type of inflammation that you are battling.
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