What Is A Steroid Injection
Steroids act to reduce inflammation direct at a site of an injury. They can be given in the form of tablets i.e. Ibuprofen but can also be given in the form of an injection, which is a much more effective form of treatment as it is administered directly to the source. A steroid injection can be injected into or around an inflamed injured joint to reduce pain and aid recovery. Steroid injections can work fast or can be delayed but generally speaking these forms of injections work best in the short term.
Local steroid injections can be a rapid and effective treatment for joint pain and inflammation, although the improvement is just temporary. Some steroids occur naturally in the body. Man-made steroids act like natural steroids to reduce inflammation. These should not be mistaken for steroids that bodybuilders would take in increase size.
Injected steroids are often recommended for people with rheumatoid arthritis and other types of inflammatory arthritis. They may also be recommended for osteoarthritis if the joint area is very painful.
Ask The Doctor: Should I Be Worried About The Side Effects From Cortisone Shots
Q. I’m in my late 70s and have been getting about four cortisone shots a year for the past several years for the arthritis in my left knee. They really help with the pain, but I’ve heard that, long-term, there could be bad side effects. Should I be worried?
A. Cortisone is one of the many corticosteroid drugs. The corticosteroids are powerful anti-inflammatories that can do a lot to relieve pain, but the side effects are a drawback. As pills, they deplete bone and have other systemic effects. Injected cortisone, which is often combined with lidocaine, a short-acting pain reliever, sometimes clumps into crystals and may worsen pain rather than relieve it. Repeated shots can eventually damage skin and other tissues. Small amounts of cortisone that have been injected into a joint can get into the rest of the body and have hormone-like effects that make diabetes harder to control. There’s also the slight risk of the shots leading to an infection of the joint.
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Things Cortisone Injections Can Do
If we wake up with a pimple, we reach for concealer. A dermatologist’s tactic is more extreme or direct, depending on how you look at it. Many shrink their own zits by injecting them with cortisone shots. “It’s a molecule that works rapidly to calm inflammation and redness,” says Joshua Zeichner, the director of cosmetic and clinical research in dermatology at Mount Sinai Hospital in New York City. A shot costs about 100 dollars . And there are six other ways that dermatologists use the stuff.
Deflate cystic acne.“Cystic acne is under the skin, so it’s more painful and harder to get rid of than other pimples,” says Zeichner. A shot of cortisone reduces the size of a cystic breakout in a few hours. Meanwhile, globbing 2 percent salicylic acid and 2.5 percent benzoyl peroxide on top of the skin speeds things up. “It should be basically gone in 24 hours,” says Zeichner.
Manage psoriasis. Cortisone shots ease symptoms of psoriasisred, scaly skinon areas that have been resistant to topical medications, like cortisone creams, and UV treatments. “That’s often around the knees and elbows in the winter,” says Zeichner. But injections don’t treat the cause of psoriasis: “That takes an inside-out approach, with medication,” he says.
Calm eczema. Injecting chronic eczema with cortisone can soothe extremely dry, itchy spots that flare up in winter or summer. “Some patients rub, scratch, or pick at eczema, and a shot of cortisone can help break the cycle,” Zeichner says.
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Hair Loss After Steroid Injections
An 80-year-old woman presents with a complaint of recent-onset marked hair loss. While she says she has never had thick hair, she is losing handfuls every day when she combs her hair. The patients recent medical history noted a series of epidural steroid injections that were completed about 3 months prior to her hair loss. Hair loss is a known side effect of steroid use, regardless of the route or duration. The etiology and timing involves the stages of hair growth and the impact of the sudden influx of steroid medication into the system. The good news is that the hair growth does gradually return to normal. Contributed by Sherril Sego, FNP-C, DNP.
Sherril Sego, FNP-C, DNP, is an independent consultant in Kansas City, MO.
These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.
Applying Eye Drops To Cats
The proper administration of eye medication is critical in helping your cat quickly recover from an eye injury or infection. Gently clean away any debris around your cat’s eyes with warm water and a washcloth. Hold the bottle using the thumb and index finger of your dominant hand with the tip pointed downwards. Use the last two fingers of the same hand to pull back the upper eyelid. Place your remaining fingers under the cat’s jaw to support the head. The lower eyelid will act as a pouch to receive the drops. DO NOT touch the eye’s surface with the applicator. Aiming for the center of the eye, squeeze the desired number of drops onto the eyeball.
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Embrace Your Hair Loss During Perimenopause
I called my friend Emily when I had finished all of my research, excited about all of the things we could do for our thinning hair. I went down my list, ticking everything off, explaining, elucidating, answering questions before she could even ask them. When I was finished, I let out a deep breath, and said, Well, I guess thats it.
There was a long pause.
Hello? I said. Em? Are you there?
Yes, Im here, but the question is, are you all there?
What are you talking about?
That sounds totally exhausting and really expensive. Forget it! You know what Im doing? Im getting a summer hat! I saw a really cute one when I was at the mall, but it was like $50, and I thought, thats crazy, Im not spending fifty bucks on a stupid straw hat! Now that seems like a total bargain to me! Im just going to wear hats all the time! Wool hats in winter, straw hats in summer. Itll be an investment Ill make every couple years. Done! Thank you, Kelly, you have made me realize I dont need to solve this problem, I just need to keep covering it up.
Umm, youre welcome?
But Emily had already hung up, apparently impatient to get on her with her life and get to the mall. I didnt even know Emily frequented malls.
But if theres one thing Ive learned, its that perimenopause changes us all.
This essay was originally written by Kelly Dwyer, a published novelist, playwright, and freelance writer.
Intralesional Steroids In The Treatment Of Alopecia Areata
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.|
|Recruitment Status : Terminated First Posted : July 12, 2013Results First Posted : June 6, 2019Last Update Posted : June 6, 2019|
This study aims to determine the frequency of response to treatment with 3 concentrations of IL TAC, 2.5mg/ml, 5mg/ml or 10mg/ml as well as the duration of response and incidence of side effects compared to treatment with placebo . After the 1st 6 months, nonresponders or partial responders may be treated for 6 months with open label triamcinolone at the dose deemed appropriate by the investigator.
The investigators will also perform skin biopsies of the scalp and draw blood at selected time points in order to examine the immunohistochemical/pathological response in scalp hair follicles and the systemic circulation to treatment with IL TAC for alopecia areata.
|Alopecia Areata||Drug: Intralesional Triamcinolone 2.5 mg/mlDrug: Intralesional Triamcinolone 5 mg/mlDrug: Intralesional Triamcinolone 10 mg/mlDrug: Intralesional Saline||Phase 4|
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Who Should Get The Steroid Injections
Remember that steroid injections arent for everyone, nor will they suit all types of hair and scalp conditions. For instance, if you are suffering from inflammation caused due to dandruff, you definitely shouldnt under the treatment under any circumstances. Instead of moving right to steroid injections, patients might find their scalp responds to dandruff shampoo when regularly used. However, this is just one example. There are other cases where steroid injections wont produce desired results or prove to be ineffective
What Side Effects Can Corticosteroids Cause
Corticosteroids have both short- and long-term side effects that cause different problems in your cat.
Short-term side effects
Short-term side effects are those that we expect a cat to experience when initially placed on corticosteroids. These side effects depend both on the type of steroid prescribed and on the dosage administered and include:
- increased thirst and urination
- development or worsening of infections
- vomiting or nausea
Some pre-diabetic cats may become diabetic with corticosteroid usage. In many of these cases, the diabetes resolves once the steroid is discontinued.
If any of these side effects occur, they can often be eliminated by lowering the dosage or frequency of administration. In some cases, your veterinarian may prescribe another type of corticosteroid in an attempt to reduce the side effects. The objective is to determine the lowest dose of medication that controls the condition with the least number of side effects.
Long-term side effects
Some diseases and medical conditions require long-term treatment with corticosteroids, at either an anti-inflammatory dose or an immunosuppressive dose. When corticosteroids are used for more than three to four months, particularly at immunosuppressive doses, additional side effects become a concern. The most commonly seen long-term side effects include:
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How Are Steroids Given
Steroid drugs come in several forms that differ in how easily they dissolve or how long they stay in your body.
Your doctor may give you steroids throughout your entire body or only in an affected area .
You might get systemic steroids:
- Through a vein
- Into a muscle
Local steroids can come as:
- Skin creams
- Injections into joints, bursae , or around tendons and other soft tissue areas
Go For Regular Massages
Sometimes I want to call one of the fancy hair salons in Madison and say, I want a cut and color but skip the cut and color. The receptionist will say, You mean you want a shampoo with a head massage? And Ill say, Yes, exactly!
Turns out I may be on to something. Research shows that if scalp massages are done with essential oils, including lavender, cedarwood, thyme, and rosemary , they do indeed stimulate hair growth.
Of course, the nice thing is, we dont need to embarrass ourselves by making crazy requests to fancy hair salons we can give scalp massages to ourselves. And if your sleeping partner doesnt care, or if you sleep by yourself, then for an additional benefit, you can do what I sometimes do, which is rub rosemary oil with coconut oil into my scalp before bed, and then sleep with it in my hair/head all night. Just make sure you wash it out again before you leave in the morning.
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Can I Take Other Medications With Local Steroid Injections
You can take other medicines with local steroid injections. However, if you are taking a drug that thins the blood such as warfarin, you may need an extra blood test to make sure your blood is not too thin to have the injection. This because it can increase the risk of bleeding into the joint. You should mention that you are taking anticoagulants so it is made clearly aware. if you discuss this before hand, you may be advised to adjust your warfarin dose before having the steroid injection.
Fertility, pregnancy and breastfeeding
Current guidelines state that steroids are not harmful in pregnancy or breastfeeding so single steroid injections should not affect fertility, pregnancy or breastfeeding. If however, you are pregnant or breastfeeding you should discuss it with your doctor before having the injection.
Here at Dynamic Regenerative Medicine, we will choose the most appropriate method of treatment for your condition and symptoms. Most injections are quick and easy to perform.
Jada Pinkett Smith Is Treating Her Hair Loss With Steroids: ‘they Seem To Be Helping’
Jada Pinkett Smith may have found a way to temporarily treat her hair loss.
In May, the actress opened up about losing her hair on her Facebook Watch show Red Table Talk. Pinkett Smith explained that while shes consulted with numerous experts they dont know why its occurring, despite her getting every kind of test there is to have.
However, this week Pinkett Smith, 46, took to Instagram to say shes found something that has improved the situation for now.
Im getting my little steroid injections, and they seem to be helping, but not curing, but they seem to be helping, but Im open to other ideas, the star said in the video post.
Pinkett Smith, who showed off her short hairstyle, also said she was grateful for the advice shes received.
I just want to say a thank you to everyone for all the outreach, from all the doctors and all the holistic practitioners, who have been reaching out to me for this head of mine, I appreciate it so much, she said. And Im taking into a lot of consideration all the recommendations that are coming my way.
Initially Pinkett Smith said she was terrified when she first started losing her hair.
I was in the shower one day and had just handfuls of hair in my hands and I was just like, Oh my god, am I going bald?
It was one of those times in my life where I was literally shaking in fear. Thats why I cut my hair, and why I continue to cut it, she added.
But it forced her to put the problem in perspective.
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What Are The Benefits Of Steroid Injections
Local steroid injections are less likely to cause serious side effects than other forms of steroid medications.
Steroid injections often ease inflammation in a joint so it can work better. They may keep you from needing to use oral steroids or higher doses of oral steroids, which could have stronger side effects.