This study from JAMA is the most recent in a long list of studies showing that cortisone injection for elbow tendon problems such as tennis elbow do more harm than good in the long run. Although cortisone can be beneficial for acute new injuries it is not very effective for the more common chronic injuries like tendinitis ( now commonly called tendinosis or tendonopathy). We are getting away from the term tendonitis because research studies have shown these are not inflammatory conditions, but rather are degenerative conditions. Cortisone weakens tendons so it is probably not a good idea to inject it into a degenerated weakened tendon unless a person is severely disabled.
http://www.npr.org/blogs/health/2013/02/05/171169477/with-elbows-cortisone-shots-may-hurt-more-than-help
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