As stated above, cortisone is highly catabolic, but also a very effective steroidial anti inflamitory. Its affects on reducing chronic pain are profound, but still temporery in most cases. I trained a lady that got 8 shots in one year in the back of her knee from several doctors( doctors are only suppose to give i believe a max of 3 a year). Long story short her calf muscle attrified so bad it looked like a shark took a bit out of her leg, leaving nothing but bone and skin. My addvice get one if u really need it, it's just sythetic cortsol. The shit that negates our goal in BB anyway. I would use HGH and deca first, If that doesn't help go for the shot. Deca will lub the joints and GH will help regenerate micro teers in the damaged tissue. It healed my rotator cuff and torn bicept in a couple of months, along with my tendonitis.