In this case, once your arthritis is well controlled the need for injections should be reduced. It is important you monitor your blood sugar levels after a steroid injection. There is evidence that having too many steroid injections into the same area can cause damage to the tissue inside the body. You may be advised to have less than that depending on your symptoms. There is a small risk that if you exercise a joint too much immediately after a steroid injection you could damage the tendon.
Tendons are strong cords that attach muscles to bones. Start off gently and gradually increase the amount you do. Most people have steroid injections without any side effects. They can be a little uncomfortable at the time of injection, but many people feel that this is not as bad as they feared. Occasionally people notice a flare-up in their joint pain within the first 24 hours after an injection. This usually settles by itself within a couple of days, but taking simple painkillers like paracetamol will help.
The risk of side effects is greatest with the stronger mixtures — methylprednisolone and triamcinolone. Injections can occasionally cause some thinning or changes in the colour of the skin at the injection site, particularly with the stronger ones. Very rarely you may get an infection in the joint at the time of an injection. If your joint becomes more painful and hot you should see your doctor immediately, especially if you feel unwell. People are often concerned about the possibility of other steroid-related side effects such as weight gain.
One of the advantages of steroid injections compared to tablets is that often the dose can be kept low. This means that these other side effects are very rare unless injections are given frequently, more than a few times per year. This may be more likely if you have a history of mood disturbance. If you've had a steroid injection into a joint or muscle, your healthcare professional may give you a steroid card for you to carry around.
This will have details of the treatment you've had. Steroid injections can stop the body producing natural hormones, which can be dangerous if you get ill, have an accident or need an operation. There is evidence that this can be a risk for up to one month after just one steroid injection. If you've had three steroid injections over the course of 12 months, this risk could last for a further 12 months. Keeping the card with you will help any other doctor who treats you to manage your care correctly.
If you have any questions or concerns about this, talk to the healthcare professional who prescribed your steroids. You can take other medicines with steroid injections. This is because of the risk of bleeding into the joint. You should mention that you take anticoagulants to the person giving the injection. You may be advised to adjust your warfarin dose before having the steroid injection.
This is how they reduce inflammation. Some vaccines work by giving you a very small dose of a particular disease, so that you then become immune to it. Having at least two alcohol-free days a week is good for your health. Current guidelines state that steroids are not harmful in pregnancy or breastfeeding.
Steroid injections. Download steroid injections information booklet. Print this page. What are steroid injections and how are they used? Related information. Common examples of steroid injections are: hydrocortisone hi-dro-cor-tee-zone triamcinolone try-am-sin-o-lone methylprednisolone meth-al-pred-niss-o-lone.
Usually, patients experience a small flare in inflammation of the affected area. However, within the next few days, patients experience positive effects and a decrease in pain. For many people, cortisone shots provide pain relief that lasts for several months. Often, patients schedule periodic injections at 6-month intervals to keep pain at bay. A pain management specialist may also recommend other interventions, such as physical therapy or pain medication, for extended pain relief.
Many people can tolerate steroid injections with few side effects. The most common side effect of the treatment is temporary pain and swelling around the injection site. Some people may also experience some mild bruising or dimples around the area. Patients with chronic conditions such as diabetes or high blood pressure may not be the best candidates for the treatment.
Any time chronic pain is disrupting daily life, schedule an appointment with a healthcare provider. There is no reason to grin and bear the discomfort. There are a variety of treatment options, including steroid injections, to help patients find relief. Rapid recovery total joint replacement has amazing recovery time and is only possible through minimally invasive surgical techniques.
Reading Time: 7 minutes Joint replacement helps with relieving pain and improving the quality of life. Can such a complex procedure happen in an outpatient setting? Reading Time: 7 minutes Millions of people suffering from obesity also have unsuccessful weight loss. Intragastric balloon bypass may help in certain circumstances.
Reading Time: 6 minutes. Pain, Pain Go Away People with chronic pain often will try anything to find relief. What are injections used for? How do the shots work?
Cortisone flares often do not last long. They typically disappear within a few hours or a few days, since cortisone itself works by reducing inflammation. However, if the pain worsens despite treatment, contact your doctor immediately. Diabetic patients may experience an elevation in their blood sugar levels after a cortisone injection. It is therefore advisable to carefully monitor your blood sugar if you are diabetic.
If you are taking insulin, check your blood sugar levels often to see if you need to adjust insulin doses. A flushing sensation in the face is another common reaction, especially in women. It may begin after a few hours after the injection and last for days. Although this may upset some patients, it usually resolves spontaneously. An injection causes a break in your skin, which may increase your chances of infection. Properly sterilizing the skin to reduce the risk of infection is therefore important.
Besides pain after cortisone injection, other side effects can also result. Patients with dark skin may notice lightening of their skin near the injection site. Fortunately, this is not a harmful situation. A high dose of cortisone injection causes fat atrophy, or loss of fat tissue around the area of injection. This can cause dimpling of your skin or thinning out of the fat. Cortisone injections in the heels for plantar fasciitis may cause pain while walking, because the fat that cushions the heels is thinned out.
Cortisone injections can cause weakening of the tendons. For this reason, doctors may limit frequency of cortisone injections. Cortisone injection may also lead to tendon rupture, causing tendonitis. Allergic reactions to local anesthetic in the injection are not common, but they can happen.
On the other hand, allergy to cortisone itself is rare, since cortisone is similar to cortisol, a naturally occurring steroid found in your body. Consult your doctor if you experience pain after cortisone injection or other side effects. If you always experience serious side effects after receiving the injection, here are other treatments to consider to relieve your pain.
Copyright WWW. Last Updated 12 August, The needle puncture which pierces through your skin and causes pain and inflammation Crystallization which comes from the injected cortisone, leading to irritation to the soft tissue and the lining of the joints How to Soothe the Pain Rest the affected area. If you experience pain after the injection, rest the area to reduce inflammation. Avoid engaging in strenuous activity.
Apply ice a few minutes to the area for a few days. This is an effective way to reduce cortisone flares. Steroid injections can occasionally cause some thinning or changes in the colour of the skin at the injection site, especially if the injections are repeated.
There is a possibility at least in the opinion of some experts that steroid injections may have a bad effect on soft tissue structures such as loss of cartilage tissue; however, the absolute evidence for this is currently small. Steroids should not be injected when there is infection in the joint or area to be injected or anywhere else in the body. If a joint is already severely destroyed by arthritis, injections are not likely to give any benefit.
If you have a potential bleeding problem or take blood-thinning anticoagulant medication eg, warfarin , the steroid injections may cause bleeding at the site of the injection. Frequent steroid injections more often than once every three or four months are not recommended because of the increased risk of weakening bone and soft tissues in the injected area. Steroid injections can be part of your treatment. Depending on the condition being treated, a number of other medicines can be used in the treatment of inflammation of joints, tendons or other soft tissues.
Physiotherapy and occupational therapy may also be helpful. Your practice nurse, GP or specialist will discuss your options with you. If you think you have had a side-effect to one of your medicines you can report this on the Yellow Card Scheme.
You can do this online at www. The Yellow Card Scheme is used to make pharmacists, doctors and nurses aware of any new side-effects that medicines or any other healthcare products may have caused. If you wish to report a side-effect, you will need to provide basic information about:. Am Fam Physician. Mayo Clin Proc. Semin Musculoskelet Radiol. Epub Dec Cochrane Database Syst Rev. I was misdiagnosed by my GP who prescribed prednisolone.
I was on them for 3 years and struggled to get off them even though I tapered quite slowly. Now I am off them for a year but I am still Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions.
For details see our conditions. In this series. In this article What are steroids? Why are steroid injections used? How do I have local steroid injections and how long do they take to work? How long do local steroid injections take to work? Steroid injection side-effects When should steroid injections not be used?
What other treatments should I have? Steroid Injections In this article What are steroids? What are steroids? Want to speak to a pharmacist? Book a private telephone consultation with a local pharmacist today Book now. How to use the Yellow Card Scheme If you think you have had a side-effect to one of your medicines you can report this on the Yellow Card Scheme.
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