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cortisone injection - painful??

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Richard Faulkner

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Jan 4, 2002, 4:27:49 PM1/4/02
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Janets doctor has said that he would give here a cortisone injection in
a finger if it gets too bad:

I havent seen these discussed here.

is this a good idea - it strikes me that any finger can be bad at any
time, and I cant imagine he would inject all the fingures?

he also said that it would be very painful at the time of the injection
- is there a reason why he cant give her a local anaesthetic?
--
Richard Faulkner

Jem

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Jan 4, 2002, 4:48:48 PM1/4/02
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I have received a cortisone injection in the middle joint of a middle
finger once. It eased the swelling and pain marginally. According to
my RD, finger injections are not often successful.

Whilst a local anaesthetic can be administered this would mean giving
two injections which can be more painful than just the single cortisone
injection (again, according to my RD). I believe some cortisone
injections come 'ready mixed' with a mild local anaesthetic but this
will do little to numb the pain of a swollen joint when the needle is
inserted. It is quite quick so my advice is to grit the teeth and bear
it. A warning though, in some cases an injection can aggravate the
joint pain for a couple of days. It seems a little hit or miss.

In article <CEUL9CAV...@estate.demon.co.uk>, Richard Faulkner
<ric...@estate.demon.co.uk> writes

--
Jem

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Connie D

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Jan 4, 2002, 6:05:24 PM1/4/02
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"Richard Faulkner" <ric...@estate.demon.co.uk> wrote in message
news:CEUL9CAV...@estate.demon.co.uk...

Richard, having to have two injections instead of one ( aneasthetic and then
the cortisone) Janet may as well just have the one and get it over with.
( I believe there is a pain numbing gel such as dentists use, ask about it)
I have had pain blocking injections in my neck and yes they damn well smart
like h*** BUT the relief after the few days of pain is amazing and well
worth the aggro for a few days. For me the effect of the injections has
lasted for periods between 3 months and 18 months so I am certainly not
complaining anywhere as near as much as I did before. ( I get aneasthetic
after the intial intrusion to the nerve between the joints..... they have to
see which nerve is causing me the pain....)
Good Luck Janet and enjoy the freedom of pain and the regained mobility for
however long it lasts.
Regards ConnieD.


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Richard Faulkner

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Jan 4, 2002, 9:03:22 PM1/4/02
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In article <5khc3uorhmjbhcq62...@4ax.com>, Andy <andy.com.
ntlw...@ntlworld.com> writes
>If at all possible [ie: if Janet can manage the pain] don't have pred
>[cortisone] until after 7 January 2002, as steriods will only mask the
>symptoms,

Thanks Andy - she's seeing her doctor after the Rheumatologist. I think
the goal is to get the consultancy privately, but the medications on the
NHS. Although she will be seeing an NHS Rheumatologist towards the end
of the month, and will then take a view as to whether to continue with
the private one.

I am guessing that she may not have the cortisone, as her perception of
the potential pain of the injection seems to be greater than the pain of
the RA.

--
Richard Faulkner

Peter James

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Jan 5, 2002, 6:01:12 AM1/5/02
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On Fri, 4 Jan 2002 21:27:49 +0000, Richard Faulkner
<ric...@estate.demon.co.uk> wrote:

>Janets doctor has said that he would give here a cortisone injection in
>a finger if it gets too bad:

>snipped
>
I had cortisone injections in both of my elbows for the treatment of
tennis elbow. Brought on, would you believe by canoeing! They were
the most painful injections I've ever had. In both cases the
injection site was at the site of the pain, which appeared to be in
the middle of the joint. In the case of the left elbow the result
after 48hours was immediate relief from pain, never to re-occur. In
the case of the right elbow, I had five further injections which had
no effect. The eventual cure was surgery.
But, go for it. Yes, it might be painful, but the relief from pain is
worth it. Thinking of you. Do let us know how you get on and the
very best of luck.
-
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