What are the alternatives to a cortisone injection?

A cortisone injection aims to reduce inflammation or pain in a targeted area. An alternative should address the reason for symptoms rather than simply replace the injection. Rest from a provoking task, ice or heat, guided strengthening, mobility work and gradual loading may help some problems. A clinician may also discuss pain relief medicines, a splint, taping or another procedure when appropriate.

The right option changes with the diagnosis. For example, treatment planning differs for hand or ankle arthritis, tendon irritation, bursitis and nerve compression. See [Cortisone Injection](/treatments/non-surgical-orthopedics/cortisone-injection/) for context, and explore [Hand Osteoarthritis](/conditions/hand-osteoarthritis/) or [Ankle Osteoarthritis](/conditions/ankle-osteoarthritis/) when those areas are involved.

Ask for a diagnosis before choosing an alternative, especially when pain has lasted or is affecting strength. Share your medicines, allergies, diabetes, blood-thinning treatment and previous injections. A physiotherapist can tailor loading and movement work; a doctor or pharmacist can check whether a medicine is suitable. Avoid repeatedly resting a joint completely unless advised, because gentle movement may preserve function. Condition pages such as [Bursitis](/conditions/bursitis/) and [Biceps Tendinitis](/conditions/biceps-tendinitis/) can help you prepare for that discussion.

Book an assessment for pain that persists, worsens, or restricts movement despite modifying the activity. Seek urgent care after a serious injury, or if a joint becomes hot, very swollen and difficult to move, particularly with fever. Sudden loss of strength, spreading numbness, a pale or cold limb, or inability to bear weight needs prompt medical evaluation.

What is causing the pain, and what is the treatment goal? Which option is safest with my medical history? Would physiotherapy or a brace address the underlying problem? How long should I try the plan before reassessment? Which changes in swelling, sensation or strength require urgent help?