Steroid Injections
Overview
Corticosteroid injections deliver potent anti-inflammatory medication directly into the joint to reduce pain, swelling, and stiffness. They are often used when inflammation is the main cause of joint discomfort and conservative treatments have been insufficient.
These injections provide short-term relief (typically 2–6 weeks) and are not recommended for degenerative joint diseases, as they do not address structural cartilage damage.
What It Treats
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Acute flare-ups of arthritis
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Joint swelling, pain, and stiffness
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Inflammatory joint disorders (e.g., rheumatoid arthritis) — injected into the synovium to reduce inflammation
How It Works
Using ultrasound guidance, a small needle precisely delivers the corticosteroid medication into the affected joint. The drug works by suppressing inflammatory cytokines, reducing local inflammation, easing pain, and improving joint mobility.
Benefits & Limitations
Benefits
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Provides rapid pain and swelling relief
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Helps improve function and facilitate physiotherapy
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Minimally invasive, performed in an outpatient setting
Limitations
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Short-term effect (usually 2–6 weeks)
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May require repeat treatments for persistent symptoms
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Not suitable for degenerative joint disease
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Does not repair cartilage or alter disease progression
Side Effects & Considerations
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Potential for chondrolysis (cartilage damage) with repeated injections
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Temporary post-injection pain or flare-up
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Risk of local infection (rare)
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Not advised for frequent or long-term use in weight-bearing joints
Procedure & Aftercare
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Performed under local anaesthetic and ultrasound guidance for accuracy and safety
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Rest the injected joint for the remainder of the day
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Avoid heavy loading or impact activities for approximately two weeks
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Monitor for any swelling, redness, or unusual pain, and attend follow-up as advised
