I also had a cortisone shot for the third time in my left shoulder, first time no real side affects and great relief, this was from a specialist., second time instand hotflash while I was getting the shot and no relief, not the same doctor. Third time same clinic and the hot flashes started emmediately and are still happening now going on three weeks also not great relief from the pain again. Wonder if it is the type of shot and how well the doctor know what he is doing.