Injecting steroids in the Shoulder

March 7, 2019 by admin0
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Steroids are often spoken of, in a rather dismissive tone, given its bad reputation for causing serious side effects. However, local application of steroids especially local / regional injections of steroid are one of the best blessings of the medicine world. For e.g. local bursitis or inflammation in the shoulder may take days to respond to rest, cold fomentation or medicines, but one local injection of thesteroid in the shoulder gives you instant relief.

In intractable painful conditions of the shoulder, it is even more important to give local steroid injections. The only caution to be used is touse it in the correct site and for the correct indication. For e.g. a sub-acromial bursitis will readily respond to sub-acromial injection, an intra-articular injection may be best used in tendon inflammation. Frozen shoulder responds very well to steroid injections. There are different preferences w.r.t the site of steroid injections is case of a frozen shoulder. However, unequivocally a sub-acromial injection does not seem to work in case of a frozen shoulder. Injecting in the gleno-humeral joint space (a.k.a intra articular) has been a practice with some physicians. But an intra articular injection fails as often as it succeeds. The best outcomes in frozen shoulder are obtained by injecting steroids in the Supra scapular nerve (SSN) space. There are many methods advocated to practice SSN space injection. This injection works to reduce the pain and improves the exercise range of the affected individual.


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