Injections

Patient Advice sheet – steroid injection therapy

• How does the injection work?
• The injection acts to reduce inflammation and therefore helping to reduce pain.
• Will it get rid of my pain forever?
• The injection is successful in 60-70% of cases.
• What is in the injection?
• Steroid and local anaesthetic.
• How many injections can I have?
• We do not like to give too many injections. You will have one or 2 injections only.
• What are the side effects?
• (1) Post injection flare – this involves temporary increase of pain with occasional swelling and local heat. Analgesia and Ice packs may help.
• (2) Skin discolouration and thinning at site of injection.
• (3) Loss of diabetic control – there may be transient loss of sugar control. It is important to monitor sugar levels for up to 2 weeks after your injection.
• (4) Allergy – this is a very rare reaction.
• (5) Tendon rupture – this is more likely with repeated injections rather than one or 2.
• (6) Facial flushing – This may last for 1-2 days.
• (7) Menstrual irregularity – this is very rare.
• What should I do or expect after the injection?
• Continue to use your arm within your comfort level. Continue physio when able.
• The injection may start working 1-2days later and can take up to 3 weeks
• You will be reviewed in clinic approximately 6 weeks after the injection.