guided steroid injection : I’m due to have a guided... - NRAS

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guided steroid injection

Stills profile image
54 Replies

I’m due to have a guided steroid injection in the big knuckle joint on my foot to alleviate pain, stiffness and immobility caused by my rheumatoid condition. . I’m hoping it may also help the tendinitis and Enthetitis that resulted from a severe leg muscle injury that was untreated due to the pandemic. Can anyone tell me what to expect please.

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Stills
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54 Replies
AgedCrone profile image
AgedCrone

There is nothing to it….you will probably taken to a a minors theatre ,…be given a local anaesthetic…..& then the guided US Injection.It won’t take very long ….. I had the last one quite awhile ago so I can’t remember how long you have to rest afterwards, but it’s not very long.

Good Luck…I hope it brings you some relief.

Stills profile image
Stills in reply toAgedCrone

Thanks, my concern is being mobile immediately as I’m currently caring for my Mum 87 who fell and broke her femur, 13 hour wait on the cold floor, existing peripheral neuropathy and AS making things difficult for her to recover but I do t want to delay my appointment as it’s taken 18 month to get it.

AgedCrone profile image
AgedCrone in reply toStills

As I remember it was only a short time & I think I drove home afterwards.

Can you maybe get a friend in to make you both a cuppa for an hour?

Do hope your Mum gets on OK.

Stills profile image
Stills in reply toAgedCrone

Thank you

Madmusiclover profile image
Madmusiclover

A sharp scratch! Had loads. You can walk as normal after. Xx

Stills profile image
Stills in reply toMadmusiclover

I’m duly reassured thank you

3LittleBirds2 profile image
3LittleBirds2

I've had a few now but not in foot though, you will be fine and hopefully it will bring some relief! I've had one in my elbow this afternoon..praying it works! Best wishes. X

Stills profile image
Stills in reply to3LittleBirds2

Good luck , let’s us know

3LittleBirds2 profile image
3LittleBirds2 in reply toStills

Thanks you too

OSTEOARTHRITISRA profile image
OSTEOARTHRITISRA

Hi stills I've had a few over the years I've always been told take it easy upto a week and don't over do it

And after a few days gentle exercise etc

You have waited this long and want it to work

Hope you get the relief from it

bpeal1 profile image
bpeal1

Nothing to worry about. I’ve had several in different joints on my feet. Although I’ve never been told not to drive I always try to get a lift. Personally I don’t feel safe driving with a foot which is numb from local anaesthetic. You will be able to walk straight away (although it can feel a bit strange sometimes) however bear in mind the more you can rest it for 24-48 hours afterwards the better the results will be.

Stills profile image
Stills in reply tobpeal1

Thanks, I’ll get hubby to pick me up

ageddancer profile image
ageddancer

No problem..yes a sharp scratch and boy they can work tremendously. I hope everything works for you and your Mum. Big Hugs xxxx

Stills profile image
Stills in reply toageddancer

Thank you

Connie49 profile image
Connie49

I was given one in my ankle, and was advised to take it easy afterwards. I think the fear is that, if you are too active, the steroid can be forced out of the joint. That is my understanding, anyway.

Stills profile image
Stills in reply toConnie49

General consensus seems to be to take it easy so I’ve cancelled my marathon that night 😉😃

Jackie1947 profile image
Jackie1947

Over the years I've had quite a few. Hips, fingers,shoulders. All done in a hospital consulting room by a Dr. Some helped some so so . Hope it helps you.

Stills profile image
Stills in reply toJackie1947

Fingers crossed

Cup-cake7 profile image
Cup-cake7 in reply toJackie1947

Hi. Did it help long term or just until it wore off and back to the same?🤔

Jackie1947 profile image
Jackie1947 in reply toCup-cake7

Helped hips until Surgery. Fingers are eroded due to RA and shoulders no problem now.

Sheila_G profile image
Sheila_G

Hi. I had one through the top of my foot using a camera. I don't know how different this will be for yours but it seemed to take a while and was a bit painful but not unbearable and I then had to wear a boot with a heel on it, the kind you see people like footballers wearing when damaged something. for 6 weeks. Obviously you won't need the boot as it's your toe. I could move around ok. This was several years ago now and it cured my problem. Good luck.

Stills profile image
Stills in reply toSheila_G

Good to know thank you

Cup-cake7 profile image
Cup-cake7 in reply toSheila_G

Was it arthritis do you know pls? It's great it cured

Sheila_G profile image
Sheila_G in reply toCup-cake7

Hi. No-one actually said but as I had had rheumatoid arthritis for years I presumed it was. My ankle used to give way a lot but they had to go in through the instep for some reason. My ankle gets sore if I walk too much but it hasn't given way since and it's at least ten year ago now, i hope you get the same result.

Cup-cake7 profile image
Cup-cake7 in reply toSheila_G

That's reassuring plsed for you

pammi2 profile image
pammi2

nothing to worry about , it like havig ultrasound, they find right spot, numb th area then give injection

Jack2316 profile image
Jack2316

Can I ask what type of injection is? for example I'm on Etanercept steroid therapy and for every medication, our body reacts in their own time. So far after 2 weeks, I've not had to take any painkillers or oral steroids to help me through the day. The steroid injection is weekly and so far I can last a week far easier than before.

Before the injections I was taking all sorts of prescribed meds daily just to make it through the week/days. Which was stress for managing and paying for restock. Hope this gives you some hope and ease on the mind.

Stills profile image
Stills in reply toJack2316

I won’t know until I have it but will report back

bpeal1 profile image
bpeal1 in reply toJack2316

I think you are slightly confused. Entenercept isn’t a steroid it is a biologic disease modifying medication. The NRAS website has lots of information on the different types of medication used to treat RA. nras.org.uk/information-sup...

Jack2316 profile image
Jack2316 in reply tobpeal1

Regardless it's an injection I'm taking. It includes steroids in the medication package that I receive every week.

bpeal1 profile image
bpeal1 in reply toJack2316

Now I’m very confused. I’ve never heard of steroids and entenercept combined into one injection. Entenercept is usually administered subcutaneously (ie an injection into the fatty part of your tummy or thigh) and most people do these themselves. Steroids are usually given intramuscularly (ie into a large muscle, most often your buttock), by IV (into a vein) or directly into a joint and they have to be given by a medical professional.

Jack2316 profile image
Jack2316 in reply tobpeal1

I don't know what to tell you man. The brand is Benepali. Could be a new thing, maybe explains why I took nearly a year to be put onto it.

I don't have regular checks with my hospital as its 3 months apart so I can't really ask until next appointment.

I could be completely wrong dw that's a high possibility. I do all these medical meetings and tests etc alone as I don't have anyone else, plus I'm only 24. Got alot of information going in and out my head every day.

bpeal1 profile image
bpeal1 in reply toJack2316

Benepali if definitely Entenercept (my daughter took that brand so I know it well) and Entenercept is definitely a biologic and not a steroid. It works well for lots of people. Entenercept works by stopping the inflammation in the first place rather than steroids which treat inflammation.

Regardless I’m glad it’s working for you!

Extract from NRAS website
Jackie1947 profile image
Jackie1947 in reply toJack2316

No steroids in Benipali injection pens.Ive been on it for 17 months. Great results

Akaka profile image
Akaka

I’ve had 2 in the foot, never even felt the first one, and the second one I felt but only briefly and it wasn’t painful. It is over quickly, I was told not to drive afterwards with mine for 24 hours in the letter that was sent so I had a friend take me. Hope it brings you relief.

Stills profile image
Stills in reply toAkaka

Fingers crossed

SleeplessinMO profile image
SleeplessinMO

The shots in the foot hurt, but I find they can help for several months.

Blackberrywine profile image
Blackberrywine

I've had quite a few of these into various joints...shoulders, hips, sacroiliac etc. Not into toes though. I've had great relief since, and the procedure wasn't bad. I caught bus home on all occasions. I hope it's successful for you, and your Ma is OK.

Stills profile image
Stills in reply toBlackberrywine

Thanks 🙏

Cup-cake7 profile image
Cup-cake7 in reply toBlackberrywine

Hi. Was it RA or osteo? I had hip one which was extremely painful and lasted one week

Blackberrywine profile image
Blackberrywine in reply toCup-cake7

Hello. It was for inflammatory arthritis.

Cup-cake7 profile image
Cup-cake7 in reply toCup-cake7

How long has it relieved you👍🏼

Blackberrywine profile image
Blackberrywine in reply toCup-cake7

I had the guided hip steroid about 2 and a half years ago. It's been fine unless I overdo things. The same for the sacroiliac joint guided steroid. The guided steroid into shoulders didn't work the first time, but is much better after the second. I occasionally have the odd twinge. I suspect success depends on the tech doing it. The second one in my shoulders was very painful during the actual procedure, but I got instant relief.

Claribel55 profile image
Claribel55

I had one in my thumb joint last year. Tingling sensation as the steroid went in otherwise fine. They had warned me I might experience a flare of pain in the following 24 hours- I did get a rather painful throbbing for a bit a few hours after but the relief after that- which lasted about 6 months- was amazing!!😃😃

Stills profile image
Stills in reply toClaribel55

Good to know thank you

Stills profile image
Stills in reply toClaribel55

I’m hopeful

CagneysMum profile image
CagneysMum

Hi.

I’ve had guided injection in my ankles, knees and shoulders but not in the last 3 years. The relief they gave was great but its not immediate (up to a week to fully take effect) and you need to rest the joint as much as poss for 24hrs after to get the best result.

Stills profile image
Stills in reply toCagneysMum

Thank you I will follow your advice

Otto11 profile image
Otto11

I’m afraid I’ve only had a guided one into the tendon in my wrist. The nurse held my arm still. it hurt like hell but only briefly. But it worked great. That was several years ago & although it gets sore if I overuse that thumb I havnt needed another one. I’ve had my hips injected many times for bursitis but they have not been guided injections with ultrasound. They suggest to rest for 24 hours after. I hope it goes well.

Luludean profile image
Luludean

hi stills , I am due to have same procedure, no idea when .

Saw a foot surgeon yesterday and he said try this first then contemplate an operation. Revovery time is months! But, I have heart problems let alone extensive osteo arthritis . For 5 years I have been told I have rheumatoid arthritis . It gets one down . Will be interested to see how you get on . L

Stills profile image
Stills in reply toLuludean

I’ll let you know

WilfDog profile image
WilfDog

Hi Stills

You will be fine. There is nothing to worry about. I've not had one in my foot, but in my spine. I hardly felt anything and was told to not overdo it for a few days afterwards. Other than that, it's an easy procedure to have.

Good luck. I hope it gives you some relief xx

Stills profile image
Stills in reply toWilfDog

Thanks, my main concern is being able to continue care or my mother that day

WilfDog profile image
WilfDog

Sorry for the late reply. I'm sure you will be able to continue to care for your mum as long as you aren't doing really heavy work, running around all the time and lifting her. I hope it goes well xx

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