STEROID INJECTION2019-02-08T13:08:42+00:00

STEROID INJECTION

Our one-stop shop ultrasound guided injection clinic making access to pain relieving injections as easy as possible for patients whilst offering the highest levels of expertise and patient care.

STEROID INJECTION

Our one-stop shop ultrasound guided injection clinic making access to pain relieving injections as easy as possible for patients whilst offering the highest levels of expertise and patient care.

STEROID INJECTION (£220 per injection all inclusive, £250 for specialised procedures)

Local corticosteroid  (steroid) injections can often give rapid and effective reduction in pain and inflammation; however, as with all injection treatments relief will with many conditions is usually temporary.  Also, as with all medications, some people may experience side effects to steroid treatment. Below we attempt to answer some frequently asked questions and provide you with some useful information before you consider making a booking for treatment. If you have any further questions please do not hesitate to contact us.

WHAT HAPPENS WHEN I HAVE A ULTRASOUND GUIDED STEROID INJECTION?

The clinician who performs your injection will choose the most appropriate steroid to use and dose for your condition and symptoms. They will first perform a clinical examination and ultrasound.This allows diagnosis and also precise delivery of the injection treatment. Provided there is no reason not to proceed they will then usually inject the steroid directly into the area that is inflamed, such into the joint or around the soft tissue. Most injections are comfortable and easy to perform.

For safety reasons your clinician may need to postpone your injection if you have unstable blood pressure or if your blood sugars are known to be unstable due to diabetes. In these situations we may require specific written consent from your GP in order to proceed.

WHAT WILL HAPPEN AFTER THE INJECTION?

Often, if you have local anaesthetic, your pain may feel be relieved immediately after the injection but unfortunately this  may wear off after a couple of hours. It will usually takes several days before the effect of the steroid can really be felt, with pain significantly reduced usually within a week of the injection.

You may wish to consider arrangements for your journey home after your injection. If you are planning to have local anaesthetic, this may cause some localised numbness for a couple of hours and therefore maybe best to avoid driving.

If you are having an injection into a joint you will be advised to avoid strenuous exercise for at least two days afterwards. If you are having an injection around a tendon, you may be advised to avoid heavy impact and strenuous loading activities for two or three weeks afterwards.

Steroid Injection
Steroid Injection

WILL I NEED FURTHER REPEAT INJECTIONS?

If you find the injection helpful with your pain, and other treatments have been unhelpful or are unsuitable, the injection may potentially be repeated. However, injections are generally used in order to provide a ‘window of opportunity’ to engage in exercise and rehabilitation. Once your pain is better controlled the focus should return to exercises and conservative management, the need for further injections should then be reduced.

WHAT ARE THE POSSIBLE RISKS AND SIDE EFFECTS?

The majority of people have steroid injections without any significant side effect.

Generally the risk of side effects is thought greater with stronger doses and longer acting steroids, such as Triamcinolone acetonide and Methoprednisolone, as they are stronger and also dissolve less easily in your body. However these steroids are often preferred in clinical practice as they give better pain relief and offer longer treatment affects.

WILL THE INJECTION HURT?

There can be some minor discomfort at the time of injection, but many people tolerate very well, and often report that the procedure was far less painful than they had feared. Ultrasound guidance allows many injections to be performed in a way that much more comfortable for patients.

WILL THERE BE POST INJECTION PAIN ?

Occasionally patients may notice a slight flare up of their pain within the first 24-48 hours after their injection. This usually settles within a couple of days. Usually simple painkillers, such as Paracetamol and some relative rest will help the pain to settle.

CAN INJECTIONS CAUSE CHANGES TO THE SKIN ?

Some injections can occasionally cause some local thinning and lightening (depigmentation) in colour of the skin at the injection site. Very rarely a steroid injection into muscles or joints can cause an small indentation (local fat atrophy) in the skin around the area. These changes will usually resolve after a few months and the area returns to normal.

ARE THERE RISKS OF INFECTION ?

Very rarely, studies suggest approximately 1:50,000, there is a risk of infection following an injection. Every step is taken to minimise these risks. If after the injection the area does becomes more painful, swollen and hot, you are advised to seek medical attention immediately, especially if you are also feeling generally unwell.

Steroid Injection
Steroid Injection

WILL STEROID INJECTION MAKE ME GAIN WEIGHT ?

One of the main advantages of steroid injections , compared with taking in tablet form, is that the overall dose required for treatment can much lower. This means that generally the chances of any systemic side effects are very rare.

WILL THE INJECTION AFFECT MY DIABETES ?

People with type I or II diabetes may experience a temporary fluctuation in their blood sugars. Therefore we recommend that patient who have been diagnosed with diabetes should always discuss with their GP before booking for a steroid injection.  If it is agreed by your GP that you can proceed with the steroid injection, it is important that you are extra vigilant of your blood sugars for around two weeks after the injection. If you feel unwell or are worried after the injection, you should speak to your doctor.

OTHER POSSIBLE SIDE EFFECTS ?

There are a number of other more minor side effects include facial flushing, temporary changes in menstruation and mood.

CAN I TAKE OTHER MEDICATIONS ALONG WITH THE STEROID INJECTION ?

You can take most other pain medicines with having a local steroid injections. However, treatment for certain conditions such as diabetes, cancer or HIV usually will require you or your treating clinician, to first check with your GP or treating consultant. If you are taking a blood thinning medications (also called anti-coagulants) such as Warfarin, you will usually require a blood test (INR) to make sure that your blood is not too thin to have the injection. This is because of the increase risk of bleeding into the joint which can raise the risks of complications from the injection.

ARE INJECTIONS SAFE DURING PREGNANCY AND BREASTFEEDING ?

Unfortunately, we are not able to offer steroid injections to patients who are pregnant as the potential risks to the unborn baby are unknown . If you are currently breastfeeding , please discuss with  your therapist  – a leaflet produced by Breast Feeding Network in 2014,  has been produced to give you guidance in this area. Most injections will be safe as the doses used are usually within the recommended safe range.

SUMMARY OF RISKS OR SIDE EFFECTS FROM HAVING INJECTIONS