 [ Symptoms ] besides medication are there better ways to help with hypothyroidism  i have trouble with not being able to lose weight having no energy being depressed being tired all the time body aches they are continuously changing my medication dosage but i see and feel no change [ Disease ] it depends on what type of steroid injection you are getting i cleared up about 25 or so painful trigger points with single cortisone injections in each point done in 2 appointments a month apart about 12 one time 13 the next not each one injected both times i am limited for both lumbar and cervical epidurals i do not know the name of the cortisone being used to only once every 3 months because more frequently can cause erosion of the joint material according to my dr and my insurance company will only pay for them at that rate but monthly for trigger point injections i am scheduled for another kenalog cortisone injection 2 months after this one i just got in my shoulder using ice on the site is highly recommended by drs right after cortisone injections and after a week has passed alternating ice and heat 20 minutes each for about an hour is what physical therapists recommend i hope this helps