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Outside of the common joints, cortisone shots may rarely be given to the smaller joints in your feet and hands. An injection of anti-inflammatory medicine into the joint is commonly referred to as a cortisone shot, usually consisting of a mixture of corticosteroid and a local anesthetic. In some more rare circumstances different types of medications may be added to the mixture. The local anesthetic works to relieve pain in the short term, while the corticosteroid reduces the inflammation providing the longer term pain relief. Frequently it is your doctor who will give you the cortisone shot in his office. 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