Steroid joint injections for dogs

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?

Although epidural steroid injections (also called epidural corticosteroid injections) may be helpful to confirm a diagnosis, they should be used primarily after a specific presumptive diagnosis has been established. Also, injections should not be used in isolation, but rather in conjunction with a program stressing muscle flexibility, strengthening, and functional restoration.
Epidural injections and intradiscal injections have been used in the treatment of non-radicular degenerative disc disease with limited success. Proper follow-up after injections to assess the patient's treatment response and ability to progress in the rehabilitation program is essential. A limited number of injections can be tried to reduce pain, but careful monitoring of the response is required prior to a second or third injection.

Kenalog in blood - Derby et al. "Size and aggregation of corticosteroids used for epidural injections"

  • Depo-Medrol also formed large aggregations in the study by Tiso et al [6]
  • Celestone Soluspan formed large aggregations only in the Derby et al study  [7 ]
  • It is speculated that these large aggregates occlude smaller vessels, and thus lead to infarction .
  • Injection of methylprednisolone vs dexamethasone vs prednisolone into the vertebral artery of pigs – see summary of study here

    The rates of surgical site infection were significantly higher in patients with an injection prior to TKR than those without ( percent versus percent), as were the rates of infection requiring a return to the operating room ( percent versus 1 percent). The rate of infection requiring a return to the operating room remained significantly higher for the patients receiving injections in the months prior to surgery, with an odds ratio (OR) of for an injection within one month of surgery, and an OR of for an injection seven months prior to TKR.

    Steroid joint injections for dogs

    steroid joint injections for dogs

    The rates of surgical site infection were significantly higher in patients with an injection prior to TKR than those without ( percent versus percent), as were the rates of infection requiring a return to the operating room ( percent versus 1 percent). The rate of infection requiring a return to the operating room remained significantly higher for the patients receiving injections in the months prior to surgery, with an odds ratio (OR) of for an injection within one month of surgery, and an OR of for an injection seven months prior to TKR.

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