Skin and Subcutaneous Fat Atrophy Post Cortisone Shot: Typically a Reversible Complication

Every now and again, a cortisone shot can cause skin and subQ atrophy. I noticeable indent is noted at the site of the injection. I was just asked in an email if this was reversible, and I have always seen it almost completely reverse itself. I have told my patients around 9 months, and this article says 6 months to 2 years.

See the post shot discoloration on the right foot

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3903862/

Cortisone Shots: Avoid Too Close to the Skin

When giving cortisone shots near the skin, it is important to avoid long acting Cortisone which can weaken the skin and soft tissue for up to 9 months. Here a shot into the plantar fascia 2 months prior left some skin breakdown which will  need some time to heal. Protective covering along with daily softening cream should be used until the skin becomes healthy again.