Cortisone injections reduce inflammation and pain, commonly used for conditions like arthritis, tendinitis, or bursitis. A frequent concern for patients is whether it is safe to drive afterward. The decision depends on several individual and procedural factors.
Immediate Post-Injection Considerations
A local anesthetic is often mixed with cortisone, causing temporary numbness or weakness around the injection site. These effects typically last for a few hours. This temporary alteration can impact safe vehicle control.
Following the anesthetic, some individuals may experience a temporary increase in pain, known as a “cortisone flare.” This reaction occurs as the body responds to the medication before its anti-inflammatory effects begin. A flare-up can cause discomfort, swelling, or tenderness at the injection site, usually lasting 24 to 48 hours. Such pain could distract a driver or limit their ability to perform maneuvers.
If pre-medication or mild sedatives were administered before the injection, driving is generally prohibited for at least 24 hours or until the effects have completely worn off. These medications impair reaction time, judgment, and coordination. Always confirm with the medical team if any such medications were given.
Factors Influencing Driving Safety
The injection’s location plays a role in driving safety. An injection into the knee or foot might affect a person’s ability to manipulate accelerator or brake pedals. Similarly, an injection in the hip or lower back could impact leg movement or shifting positions while driving.
Injections in the neck or spine, like epidurals, have additional considerations due to nerve proximity. These could lead to temporary changes in sensation, strength, or reflexes in the limbs, compromising driving control. Even a shoulder injection, if it causes discomfort or limits arm movement, could interfere with steering or controls.
Underlying medical conditions also influence driving readiness. Pre-existing severe pain or mobility limitations might still affect driving even as the cortisone begins to work. For example, a person with severe hip arthritis might still struggle with car entry and exit or prolonged sitting, regardless of the injection’s immediate effect.
Individual reactions vary. Some experience side effects like dizziness, lightheadedness, or nausea following the procedure. These reactions can impair concentration and reaction time while driving. Such symptoms require rest and observation before driving.
General Guidelines and When to Avoid Driving
It is recommended to have someone else drive you home after a cortisone injection. This is especially true for a first injection, as your body’s reaction is unknown. A pre-arranged ride ensures safety and peace of mind, allowing focus on recovery.
Avoid driving if you experience numbness, weakness, or increased pain that impairs your ability to safely operate a vehicle. Any dizziness, lightheadedness, nausea, or other side effects that compromise focus or reaction time also mean you should not drive.
Always adhere to your doctor’s post-injection instructions. Medical professionals provide tailored advice based on the injection site, medications, and your health profile.
If uncertain about your readiness to drive, err on the side of caution. Arranging alternative transportation, like a friend, ride-sharing, or public transport, is a prudent choice. Prioritizing safety prevents accidents and allows for smoother recovery.