Cortisone (steroid) injections are a proven way to ease pain and inflammation in joints such as the knee, shoulder or hip. One of the most common questions people ask is: “Do I need to rest afterwards?”
Short answer: yes, it’s best to take it easy for the first 24-48 hours so the medicine can settle and reduce the chance of a flare-up. You don’t need bed rest, but you should avoid heavy or high-impact activity.
Why Rest Matters in the First 24-48 Hours
After a cortisone injection the medicine needs time to:
- Spread through the joint or bursa
- Calm inflammation
- Work without extra irritation from movement
If you do too much too soon, you can irritate the joint and delay relief.
What You Can Do Straight After the Injection
- ✅ OK: light walking, gentle movements, normal daily tasks
- 🚫 Avoid: gym, running, heavy lifting, kneeling or long walks for 24 hours
Can You Drive After a Cortisone Shot?
Most people can drive after a cortisone injection if they feel comfortable and can safely control the vehicle. Avoid driving if the injected leg feels weak or heavy, or if you received sedation.
Typical Rest Plan
Day 0 (Injection Day)
- Rest the joint
- Short walks only
- Apply ice for 10-15 minutes if sore
- No strenuous activity
Day 1-2
- Return to normal daily activity
- Avoid impact, running, squats or overhead work
Day 3 onwards
- Gradually return to exercise
- Start with low-impact options (cycling, swimming, light gym)
What Is a Cortisone Flare?
Occasionally, the joint feels more painful for 24-48 hours after injection.This is called a cortisone flare. It usually settles with rest, ice, and simple painkillers such as paracetamol or ibuprofen (if suitable).
If pain lasts more than a week, or the joint becomes hot, red, or swollen, contact your doctor.
Rest Advice by Joint
Knee Injection
Rest on the day and avoid stairs or long walks. Commonly used for arthritis or bursitis.
Shoulder Injection
Avoid overhead lifting or heavy pushing for 1-2 days, then resume light exercises.
Hip Injection
Take it easy on the day and avoid long walks. Gradually return to normal movement.
When to Call the Doctor
- The joint becomes very red, hot or swollen
- You feel feverish or unwell
- Pain worsens after 3-4 days rather than improving
- You cannot move or bear weight on the joint
Considering a Steroid or Gel Injection?
We offer private steroid injections and Durolane (hyaluronic acid) knee injections for arthritis and joint pain. Our GPs provide expert assessment, ultrasound guidance, and a personalised aftercare plan.
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