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About Joint Injections - Glucocorticoid
Injection of Glucocorticoids is given to reduce pain and inflammation and thereby encourage healing in many different types of inflammatory and non-inflammatory conditions.

Common Indications Of Glucocorticoid Injections

Intra-articular Injections

  • For relief of pain and inflammation in inflammatory arthritis
  • Treatment of synovitis not responding to drugs
  • To correct deformity

Local Injections are used for

  • Enthisopathies like Tennis elbow
  • Compressive neuropathies like Carpel Tunnel Syndrome
  • Tenosynovitis

Epidural Injections are given for

  • Simple Low back pain not responding to treatment
  • Prolapsed Inter-vertebral Disc with Root Pains

Nerve Injections or blocks

  • Post infection neuropathies like Post
    herpetic neuralgia.
  • Neuralgias like Trigeminal neuralgia.

Contra-indications And Complications

  • Introduction of infection
  • Skin atrophy at injection site (by long acting Glucocorticoids in local injections)
  • Increased pain due to Crystal deposition leading
    to synovitis.
  • Tendon rupture (by inadvertent injection in
    the tendon)
  • Temporary loss of Diabetic control in case of
    brittle Diabetes.
Note: All these problems can be avoided by proper technique and good pre-evaluation

Post-injection Advise To The Patients

  • Pain may increase after the injection for a day
    or two.
  • Benefits are delayed and take a few months
  • The site of injection or joint should be rested for 24 to 48 hours
  • The effectiveness of the procedure depends upon many factors like a large swollen joint will respond better than a joint with crepitus and instability with major damages as seen on X-rays.
  • Post injection exercise and mobilisation should be carried out as advised by the doctor
  • The joint should be supported or splints should be used to get the best results
  • No strenuous activity should be done for five days after the injection