You might be advised to wait for 10 to 15 minutes in the clinic after your steroid injection. If you do have any kind of reaction to the injection, it would be helpful to be around healthcare professionals. For some conditions, such as inflammatory types of arthritis, steroid injections are often useful in the short term while you and your doctor find the right medications to control your arthritis in the long term. 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.
In current medical practice, corticosteroids are used to treat a variety of inflammatory diseases, including bursitis, carpal tunnel syndrome, rheumatoid arthritis, tendinitis and gout.
Corticosteroids can be given by mouth or injected into affected joints, including the ankle, elbow, hip, knee, shoulder, hand and wrist. Injections near the spine are also common.
You are correct that corticosteroid injections do not provide a permanent cure. However, pain relief from a corticosteroid injection may last from several weeks to several months, depending on the medical condition and the patient receiving it. Ideally, the relief provided by the injection decreases or eliminates pain long enough to allow the injury to completely heal. It is not uncommon, though, for repeat injections to be needed in patients experiencing chronic inflammatory conditions.
Corticosteroids cause a number of side effects which can be limited to the area injected or affect the entire body.
Side effects increase with larger doses and repeated clinical use. For this reason, physicians may limit the number of injections and the cumulative amount of corticosteroid that is given. Typically, corticosteroid injections are not given more often than every six weeks, and usually not more than three or four times a year. But these are only guidelines. For example, problems that cause acute inflammation and swelling are more likely to respond effectively to the powerful anti-inflammatory effects of cortisone than a condition that causes more chronic discomfort.
There is no hard and fast rule that says how many cortisone injections can be given over time. However, cortisone injections can have side effects and repeated use of cortisone injections should be done with caution. Most orthopedic surgeons will choose a number, and advise her patients not to exceed that amount of cortisone.
You should understand that there are reasons not to use cortisone injections, even if they may help some symptoms. Because of this, most orthopedic surgeons will limit the number of cortisone injections they will offer.
Dealing with joint pain can cause major disruptions to your day. Sign up and learn how to better take care of your body. Click below and just hit send! Perspectives in ultrasound-guided musculoskeletal interventions. Indian J Radiol Imaging. American Academy of Orthopaedic Surgeons. Achilles tendinitis. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial.
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