Cortisone injections are deleterious for tendons
Current medical literature indicates that cortisone injections can have deleterious effects on tendons, ranging from increased risks of revision surgery to rare instances of tendon rupture and soft tissue damage.
Both retrieved papers provide evidence supporting the claim that cortisone injections can negatively impact tendon health, showing risks such as revision surgery, infection, and tendon rupture. There are no papers refuting the claim.
Richard N. Puzzitiello, Bhavik H. Patel, Benedict U. Nwachukwu, Answorth A. Allen, Brian Forsythe, Matthew J. Salzler. Adverse Impact of Corticosteroid Injection on Rotator Cuff Tendon Health and Repair: A Systematic Review. 2019. https://doi.org/10.1016/j.arthro.2019.12.006
This systematic review demonstrates that corticosteroid injections are associated with increased risks of tendon complications, including higher rates of revision surgery and postoperative infections in a dose- and time-dependent manner.
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Breanna Caywood, Andrew Schannen. Common extensor tendon rupture following a corticosteroid injection and olympic weightlifting: A case report, management, and outcome. 2026. https://doi.org/10.5348/101540z01bc2026cr
This case report documents a severe tendon rupture and soft tissue atrophy following a corticosteroid injection and weightlifting, illustrating the potential adverse mechanical impacts of injections on tendons.
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