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Treatment

Steroid Joint Injections

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Service Description
Hydrocortisone injections are used to treat swollen or painful joints, such as after an injury or if you have arthritis. The hydrocortisone is injected directly into the painful joint. This is called an intra-articular injection. The joints most often injected are the shoulder, elbow, knee, hand, wrist or hip. This can also be used for painful tendons or bursitis
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What are the benefits?

They can help relieve pain and swelling and the benefits can last for months.

What is hydrocortisone?

This is a steroid medication not to be confused with anabolic steroids. This is prescription only. It works by slowly releasing the medicine into the joint to reduce pain and swelling.

How often can I receive the injections?

You may have the injections in the same place up to 4 times a year.

Are there any side effects to this?

Hydrocortisone injections can affect the immune system and make you more prone to infections Some people may have increased pain, bruising and swelling in their joint immediately after having the injection. This normally settles in a few days. Some of these side effects, such as mood changes, can happen after a few days. Others, such as getting a rounder face, can happen weeks or months after treatment.

Contraindications?

have ever had an allergic reaction to hydrocortisone or any other medicine • have ever had depression or manic depression or if any of your close family has had these illnesses • have an infection (including an eye infection) • are trying to get pregnant, are already pregnant or you are breastfeeding • have recently been in contact with someone with chickenpox, shingles or measles (unless you’re sure you are immune to these infections) • have recently had, or you’re due to have, any vaccinations • any unhealed wounds • High blood pressure (unless well controlled) • an eye problem called glaucoma • weak or fragile bones • type 1 or type 2 diabetes If you have diabetes and monitor your own blood sugar, you will need to do this more often. Hydrocortisone injections can affect your blood sugar control.

What happens during the injection?

If the injection is for pain, it may contain a local anaesthetic. You might also have a local anaesthetic by spray or injection to numb the skin before the hydrocortisone injection. You can go home after the injection, but you may need to rest the area that was treated for a few days. If you have arthritis, this type of treatment is only used when just a few joints are affected. Usually, no mor