Steroid injection in elbow

I have a suspicion, after reading many of your notes on injectable steroids, that I seem to have developed a type of “tendonitis” in my upper arms due to multiple elbow steroid injections. I have had 4 in my left elbow (worst arm) and 2 in my right, about 5yrs ago. I have been having this tendon problem for about one year now, and not one doctor can figure out what’s wrong. One actually said “it seems like tendonitis”, but no cause or cure was suggested. The steroid injections is the only common denominator here. The right arm is affected as well, but not nearly to the degree of the left (and I’m right handed, so maybe the strong arm is less affected, plus I only had 2 injections there). Is there hope for acute tendonitis in my bicep/tricep area?

Epidural steroid injections are generally very safe, but there are some rare potential complications. One of the most common risks is for the needle to go too deep and cause a hole in the dura, the tissue that surrounds the spinal cord and nerve roots. When this occurs spinal fluid can leak out through the hole and cause a headache . This headache can be treated with bedrest, or with a blood patch. A blood patch involves drawing some blood from the vein and the injecting it over the hole in the dura. The blood forms a seal over the hole and prevents any further fluid from leaking out.

The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.

The best reason to have an epidural steroid injection is not for the relief of back pain, but rather for the relief of leg pain caused by spinal nerve compression. Often called sciatica , leg pain caused by nerve irritation is the best reason to have an epidural. These symptoms can be caused by disc herniations or spinal stenosis . We know very well, that general low back pain symptoms are not well treated with an epidural steroid injection, and this should be avoided as a treatment for this type of pain. Back pain is not a good reason to have an epidural injection. 

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Steroid injection in elbow

steroid injection in elbow

The best reason to have an epidural steroid injection is not for the relief of back pain, but rather for the relief of leg pain caused by spinal nerve compression. Often called sciatica , leg pain caused by nerve irritation is the best reason to have an epidural. These symptoms can be caused by disc herniations or spinal stenosis . We know very well, that general low back pain symptoms are not well treated with an epidural steroid injection, and this should be avoided as a treatment for this type of pain. Back pain is not a good reason to have an epidural injection. 

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