Hello doctor, I had a Cortisone shot 10 days ago. It did not help. I will most likely be undergoing surgery for a hip arthroscopy and/or sports hernia. How long do I have to wait after the cortisone shot to have surgery to not risk infection? Also, I take 500 mg turmeric, a multivitamin, 2400 mg vitamin D and 1200 (900 mg omega 3) mg fish oil. How long before surgery should I stop taking those supplements?
Hello. There are two schools of thought regarding the risk of infection in total knee/hip replacement after local steroid injections. As the causes of infection are multifactorial, results favoring both schools of thought are seen. Since you are only undergoing arthroscopy or hernia repair, the duration of surgery, soft tissue handling, the absence of prosthesis all favor very low risk of infection. You can continue turmeric, multivitamin, and fish oil until the day before your surgery. Vitamin D supplements should, however, be taken only after physician consultation and if the serum levels of vitamin D are normal, they should be discontinued. Excess Vitamin D intake can lead to hypervitaminosis D. For more information consult an orthopaedician and traumatologist online -->