Hi everyone just looking for some advice from people who have been in a similar situation. I have supraspinatus tendinitis and bursitis in both shoulders as well as a biceps tendon effusion in both. Bursal distortion is seen at 30' in both left and right. For the past year and a half I have been getting ultrasound guided corticosteroid injections. Today was the 5th in the left and tomorrow will be the 4th in the right. They have never really hurt at the time, pain was worse for the 24-48 after then eased. But today the injection hurt like hell, it took longer than usual and the doctor was putting so much pressure on the needle I thought it was going to break. It looked as though the liquid in the needle was being blocked and wouldn't come out that's why he applied so much pressure; his arm literally started shaking he was pushing so hard ( hope that makes sense) Now the pain is almost unbearable (5 hours later). Does anyone know why he had to push so hard this time; or have you experienced a similar experience? Thank you.