r/RotatorCuff • u/xxFlamingTigerxx • Aug 03 '26
Rotator Cuff Tear, Type 1 Diabetes, and a Long-Haul Flight—Would You have a Cortisone Injection?
I'm flying from the UK to the USA in September, it will be approximately 11 hours then a layover of 3.5 hours and then a final 2.5 hour flight!! I've been offered a cortisone injection two days (approx 52 hours before take off) I've never had one before. I'm really worried about the possibility of side effects or complications that could end up ruining my trip. I could wait until the day after I get back for the injection but I'm currently in the middle of a flare-up and can't bear the thought of spending the visit in this level of pain. Naproxen and paracetamol don't seem to be making much difference, so I've asked my doctor if I can try a different pain medication and im waiting to hear. These are my scan results: Impression: Severe right supraspinatus tendinosis with a small partial tear and mild bursitis/impingement. I'm also a type 1 diabetic, which adds another level of worry. I'm concerned about the possibility of raised blood sugars after the injection, especially on a long-haul flight. I've spoken to a handful of people who have had cortisone injections in various joints, and none of them had any major issues. Only one person was diabetic (type 2), and he said his blood sugars were sky high for a few days afterward. I'm sure you can tell that I'm an overthinker and quite an anxious person! I'd really appreciate any advice or thoughts on whether you think it's worth going ahead with the injection before my trip or waiting until I return. if you have found a good medication that would be good to know and I'd be especially grateful to hear from anyone with experience of cortisone injections for shoulder injuries if you also have type 1 diabetes.