Steroid Injection Therapy

Steroid Injections

Steroid Injections provide an effective anti-inflammatory and pain-relieving treatment directly to the joint or soft tissues causing pain. The most common sites of injection are the shoulder and knee but any joint which is arthritic could be injected. Normally only one injection is required to gain sufficient pain relief and restore normal range of movement.

MSK Ultrasonography

Ultrasound is safe and painless, and produces pictures of the inside of the body using sound waves. Ultrasound imaging, also called Ultrasound Scanning or Sonography, involves the use of a small transducer (probe) and Ultrasound gel placed directly on the skin. High-frequency sound waves are transmitted from the probe through the gel into the body. The transducer collects the sounds that bounce back and a computer then uses those sound waves to create an image.

Ultrasound examinations do not use ionizing radiation (as used in x-rays), thus there is no radiation exposure to the patient. Because Ultrasound images are captured in real-time, they can show the structure and movement of the body’s internal organs, as well as blood flowing through blood vessels.

Ultrasound images are typically used to help diagnose:

  • Tendinopathies, ligamentous sprains and muscle tears
  • Inflammation or fluid (effusions) within the bursae and peripheral joints such as the shoulder, elbow, wrist, knee and ankle
  • Early changes of rheumatoid arthritis
  • Nerve entrapments such as carpal tunnel syndrome

Please Note: Joy Lane Clinic uses Ultrasound, both as a diagnostic instrument and for obtaining detailed images to assist in administering guided injections.
Note: No reports are produced.



Patient Information


You can, but the side effects of these are much more common and can cause stomach upsets and bleeding. These injections bypass the stomach and are much more effective.

Usually your therapist will want to see you again about a week or ten days after the injection. You will then be given appropriate physiotherapy treatment and probably some exercises for you to do at home. You will also usually be reviewed a month after the injection to monitor the long term effect of the treatment.

If the problem was caused by overuse, you will probably be told to rest the area for about a week; if it is a joint pain, you may start early gentle movement.

A medicine which can relieve swelling, stiffness and pain by reducing inflammation.

These are very rare and your clinician will discuss them with you:

  • Post injection flare
  • Skin atrophy/depigmentation/bleeding
  • Tendon atrophy/rupture
  • Infection –  if the area becomes hot, swollen and painful for more than 24 hours you should contact your clinician or doctor immediately
  • Facial flushing
  • Menstrual irregularity
  • Impaired diabetic control
  • Temporary bruising if you are taking blood thinning medication

You will be asked to wait for 30 minutes after the injection to ensure there is no allergic reaction to the drug.

Not particularly, as your therapist has had intensive training in the technique. Sometimes it can be sore for a few hours, but you will be told what to do about this.

This depends on the part of the body involved and will be decided by your therapist and yourself. Usually one injection is sufficient, but if the pain is severe or has been there for a long time, you may need more.

This varies from person to person and the condition being treated, but the steroid usually continues working for 3 to 6 weeks.

If local anaesthetic is also used the pain should be less within a few minutes, though it may return after about an hour. The steroid usually starts to work within 24-48 hours but may take longer.

Yes, vitamin injections are absorbed directly into the bloodstream, providing faster and more efficient delivery compared to oral supplements, which must pass through the digestive system.

Yes, if you:

  • Are hypersensitivity or allergy to any of the drugs used: risk of anaphylaxis
  • Have sepsis – local or systemic infection
  • Are reluctant to have the injection
  • If you are under 18
  • Had a recent fracture
  • Have a prosthetic joint
  • Are pregnant


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