I often come across people with chronic pain, ie even up to 26 yrs, and still able to get quite a satisfatory outcome. Some of these pain become chronic, could have been avoided from the very beginning. One of my ex-patients also had hip bursitis, she same said cortisone injection only worked for 2 days before everything back to normal, and she had 2 cortisone already and saw physio but no better, when she came to me, she was in wheelchair and by that time, her pain already drag on for 5 months. At the end, I did fix her hip pain, she was grateful and walk without pain and aids, but that was of course came with quite a bit of disagreement, debate and convincing at the start. She praised me for being magical, but unfortunately to say, I do think her physio back then could have done a better job.
In your case, it'll be hard for anyone to draw a precise conclusion re other possible causes as you still have an active issue, bursitis remains unresolved. Medically we treat complex conditions in a method like peeling an onion, that is addressing the confirmed issue in hands, and once resolved but other pain remain, then we can investigate further. In my opinon, most people expect medical diagnosis works in the way like shooting the dart, ie hit or miss; but in fact, process of medical diagnosis functions more like a method of exclusion.
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