New site for IM steroid injection?: Went to hospital... - NRAS

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New site for IM steroid injection?

Maggsie profile image
9 Replies

Went to hospital on Thursday for an IM steroid, As you know this is usually a simple process with a quick jab in the bum, but I was told that there is a new protocol in place and the jab was administered in my hip area ( a couple of inches below the hip joint ). This, apparently, is to avoid any danger of catching a nerve when injecting. I must admit I was a bit flummoxed as I wasn't expecting it and it was the first time the rheumy nurse had done the procedure. Luckily, a senior 'educator' was available to supervise and all went well. I was grateful because I have been one of the unlucky ones who have had a nerve caught when receiving the jab and I was in agony for days after.

has anyone else had this new procedure?

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Maggsie profile image
Maggsie
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9 Replies
sylvi profile image
sylvi

No sorry i haven't, but it sounds like a good idea. xxxx

nanny_bee71 profile image
nanny_bee71

This post reminded me of my days (many years ago) when training as a nurse (long retired) When injecting into the buttocks in (training school practised on an orange!!!!) it was always the upper outer quadrant area to avoid hitting the sciatic nerve - so that could be the answer!!

AgedCrone profile image
AgedCrone in reply tonanny_bee71

That rule was introduced years ago …my rheumy explained the danger of hitting a nerve at least 5 years ago.I would have thought it would have been nationwide.I well remember the oranges !!

Maggsie profile image
Maggsie in reply toAgedCrone

Know of the upper/outeouter quadrant procedure but this was different. Had to lie down on my side and jab was administered between the hip bone and the top of the thigh.

AgedCrone profile image
AgedCrone in reply toMaggsie

I just get mine in my thigh as I perch with my leg extended….no problems so far…but thankfully I don’t get many injections as I don’t have steroids.

Miasnana profile image
Miasnana in reply tonanny_bee71

this is how I was taught to inject using an orange and into the upper outer quadrant, and then let loose on the wards after 6 weeks basic training.

Gnarli profile image
Gnarli

I've never had a steroid shot for RD but can appreciate the risk of hitting nerves. It's so good of you to let us all know about the new protocol

Leics profile image
Leics

I had my last two in my thigh. One of the docs used the biggest needle known to man and I ended up with a dead leg for days and days which was very painful and annoying I think he put it in too far didn’t get any relief from that one either. I think it sometimes depends who you see and how they normally do it. Nurses tend to still do the butt.

Angjoplin profile image
Angjoplin

I always ask for tablets. Those injections always seem to hurt so much. Interesting to see they have changed it.

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