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Steroid Injection therapy

Steroid joint injections reduce inflammation

Steroid Injection therapy

Steroid Injection is a drug therapy where corticosteroids are injected in to the joints. Steroids help to minimise the inflammation and hence works well on pain and swelling to allow you to move more easily without pain. It improves one’s participation in physiotherapy and can lead to quicker return to normal activities.

Physiotherapists are given the rights to undertake joint and soft tissue injections after having undertaken he relevant extensive trainings successfully. Our Physiotherapist is a qualified Independent non-medical prescriber.

The medication used is a steroid, which is an anti-inflammatory drug. This may be used in conjunction with a local anaesthetic or normal saline to help spread the steroid around the tissues.

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Can I use oral pills instead?

Yes, of course you can. However, injections work quicker as they the drug is injected directly to the site of inflammation. Pills and ointments will need to be absorbed by stomach/skin first. It then travels via blood and reaches the site of inflammation which can make the drug less effective. Also, anti-inflammatory pills may give side-effects such as stomach problems for some people.

What/who do we treat?

  • Osteoarthritis of joints
  • Rheumatoid arthritis
  • Carpal tunnel syndrome
  • Rotator cuff impingement
  • Frozen shoulder
  • Loss of mobility and independence
  • Bursitis
  • Tennis & Golfers elbow
  • Tendinitis and tendinopathies
  • Plantar fasciitis

Is there anything else I need to know before I have a steroid injection?

You should not have a steroid injection if you have a systemic and local infection, particularly if it’s in the part of the body that needs treating.

We strongly advise not to overdo it for the first two weeks after a steroid injection therapy. There is a potential risk that if you exercise a joint too much immediately after a steroid injection you could damage the tendon.

After this time, it’s important to continue with any exercises given by your physiotherapist.

It is vital to have follow-up appointment with the physiotherapist 4-6 weeks following the injection therapy to monitor the improvement.

You will also need to inform your clinician of the following if you:

  • Have any allergies to medication, especially local anaesthetic
  • Are taking anticoagulants (blood thinners like Warfarin or Aspirin) or are on immunosuppressants such as oral steroids
  • Have any infections or are unwell and/or feeling feverish
  • Are diabetic, epileptic or taking steroids
  • Have had surgery or are about to have surgery in the affected area
  • Are pregnant and/or breast feeding
  • Do not want the injection
  • Are taking Amphotericin (an antifungal drug), Cimetidine (for treatment of a peptic ulcer) or Suxanthonium (a nerve blocking drug).

Possible side effects:

Occasionally there are side effects from the type of injection, which are mild and very rare, for example:

  • An increase in pain may be felt for 24-48 hours. It is advisable to take pain killers if required to relieve your discomfort
  • Menstrual cycle alteration
  • Bruising may appear where you had the injection
  • Mild facial flushing. This may last up to 48 hours and will settle naturally
  • Diabetics may find that their blood sugar levels alter slightly over the next few days.
  • Skin discolouration and/or dimpling where you had the injection
  • Very occasionally a rupture may occur in the tendon. To minimise this small risk it is important to follow the advice to rest

If you experience the above side effects please inform the service. Infection and allergic reactions are rare but may occur. If the injected area becomes red, hot, swollen, tender and/or you feel feverish you must seek medical advice immediately and inform the service.

Anaphylactic shock occurs very rarely as an extreme reaction to local anaesthetic, therefore we recommend that you to remain in the waiting area for 30 minutes following your injection, and let a member of our staff know if you feel unwell.

Side effects are kept to a minimum by careful technique, examination and keeping drug doses to recommended levels. Every effort is made to prevent infection by hand washing, cleaning of the area and use of sterile equipment.

How frequently do you need these injections?

Most times, one injection is well sufficient. Repeats are required in some cases. Injections can be offered every three months if you need them. This depends on the type of condition and the site being injected. National Institute for Clinical Excellence recommends that no joint should be injected more than three times a year in Osteoarthritis.

Preparation:

  • Physiotherapist will explain in detail about joint steroid injection and you will be provided with an information leaflet
  • Client will need to discuss all his medical ailments and drugs with the physiotherapist. E.g. haemophilia
  • Wear comfortable clothes for an easy access to the site of infection
  • Your joint might feel numb following local anesthesia. It is a good idea to bring a friend/family member to drive you home.
  • You might need to rest the injected joint for a day or two. It is better to stock your cupboard and fridge in advance.

After your injection:

  • Please give relative rest to the injected area for the next two or three days, or as recommended by your clinician.
  • Continue to monitor the site for any signs of infection for three weeks.
  • Start your exercise programme as prescribed by your clinician after your injection.

You can continue taking your pain killers after your injection as you are likely to get some soreness from the needle.

Xcel Health Injury Prevention Tips & Tricks

Wear the right equipment for sports injury prevention

Having the proper equipment, such as footwear, is also important to avoiding sports injuries. Shoes that have adequate support and fit properly are a must, as is having the correct shoes for each activity. This can aid in prevention of several conditions, such as heel spurs, sprained ankles, and shin splints.

Don’t push yourself too hard, too fast

Having the proper equipment, such as footwear, is also important to avoiding sports injuries. Shoes that have adequate support and fit properly are a must, as is having the correct shoes for each activity. This can aid in prevention of several conditions, such as heel spurs, sprained ankles, and shin splints.

Wear the right equipment for sports injury prevention

Having the proper equipment, such as footwear, is also important to avoiding sports injuries. Shoes that have adequate support and fit properly are a must, as is having the correct shoes for each activity. This can aid in prevention of several conditions, such as heel spurs, sprained ankles, and shin splints.

Don’t push yourself too hard, too fast

Having the proper equipment, such as footwear, is also important to avoiding sports injuries. Shoes that have adequate support and fit properly are a must, as is having the correct shoes for each activity. This can aid in prevention of several conditions, such as heel spurs, sprained ankles, and shin splints.

Know your pain

FAQ's

General

We advise that you arrive 5-10 minutes early for your first appointment to allow time to complete registration documents. Your therapist will then greet you from reception and take you through to the consultation room where you will be asked your reason for attending, the nature and history of your condition and any details that may be relevant to your assessment or treatment. The therapist will then do a detailed assessment on you to arrive at a diagnosis. Once a diagnosis has been made, the therapist will explain the findings and outline a treatment plan. If there is time, treatment will be given as part of your first session.

We generally advise that you wear comfortable, loose fitting clothing. We also suggest that you wear/bring shorts for hip, knee or back problems. You may be asked to remove one or more items of clothing to enable the therapist to assess your condition. Any clients wishing to bring a chaperone are more than welcome.

The follow up sessions generally last for 30 minutes. During the follow up session, we discuss the progress with you and alter the management plan if needed, after discussing with you various options of treatment available.

Everyone is different and responds differently to treatment. In the majority of cases, we would expect to see symptoms eased after the first session but in other cases it may take a few sessions to really notice a difference. It is important to note that on some occasions, your symptoms may become temporarily aggravated following a session. This is a normal reaction, particular if your injury is quite acute. It is nothing to be worried about but is important to feedback to your therapist so treatment can be adjusted in subsequent sessions.

Reach Us

We have 5 allocated parking spaces including one disabled car parking space. The disabled car park space is right in front of the entrance to the clinic building. Our Clinic benefit from visitor car parking spaces around the estate.

Should you wish to cancel your appointment, we ask that you give us at least 24 hours’ notice so that we can offer the slot to someone else. For late cancellations, we reserve the rights to charge you for the full cost of the appointment.

We are able to bill your insurance provider directly but the contract for payment is held with the individual client. Should the insurance company refuse to pay; the client will be asked to settle the account in full. In order for us to bill your insurance provider, we simply need the name of the policy holder, your membership or policy number and authorisation code. We also need to know details of excess and treatment limitations prior to starting your course of treatment. We are recognised by all major medical insurers. Please ask us for a full list. If we are not recognised by your insurer, we may be able to apply for recognition so please ask.

Payment & Policy

We currently accept cheques, cash and debit or credit card payments (we do not accept american express). We can also take payments over the phone and will shortly be introducing web payments so you can pay as you book to make it even more convenient for you.

If for any reason you are unhappy with the service you have received, please do not hesitate to email us at admin@xcelhealth.co.uk Our practice manager will get back to you within 2 working days. We take all complaints very seriously and use the feedback to improve our service for all clients.

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