Re: INFO - Side effects of steroid injections

[Guest guest]

Thank you ! I kind of thought so, but found it odd it would take almost

3 months to have a reaction. I also never get a reaction when I get a shot

in my right index finger. I've gotten several there.

Heidi

In a message dated 10/25/2008 5:31:44 P.M. Eastern Daylight Time,

Rheumatoid.Arthritis.Support@... writes:

From Southern Medical Journal

Posted 05 Mar 2007

Kennedy Okere, MD; C. , PharmD, BCPS

" A Case of Skin Hypopigmentation Secondary to a Corticosteroid Injection " :

Excerpt:

Adverse effects of injectable steroids include atrophy of the skin,

irritation at the injection site, hypopigmentation, hyperpigmentation,

alopecia, telangiectasia, striae, and acneiform eruptions.[3,alop

Hypopigmentation has been documented in case reports as an adverse

effect of steroid injections of the hand,[3] metatarsophalangeal

joints of the foot,[6] the knees, thumb, sternum, and calf.[7] Several

of these sites were injected to reduce the size of keloid

structures.[structures.[<WBR>7] Most reported cases occurred in African st

In the documented cases, the hypopigmentation generally occurred

several months after one or more steroid injections.[several mo

hypopigmented area began to resolve without further treatment several

months after the discontinuation of the steroid in the majority of

cases.[3,6,7] One case reported an area of unresolved hypopigmentation

one year after injection of the site.[7] The etiology of

steroid-induced hypopigmentation remains unknown. It has been proposed

that steroids may reduce the number or activity of melanocytes,that

presumably by unintentional migration of the steroid in the proximity

of the injection site or by improper injection technique.[7]

_http://www.medscapehttp://www.medschttp://ww_

(http://www.medscape.com/viewarticle/552797_3)

Not an MD

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[Guest guest]

Hi and group members,

My oh my what long words in the excerpt.  I would like to offer my experience

with cortisone shots.  If you are looking for a quick fix to make the pain go

away, cortisone shots work. The more you get though, the less effective they

become.  When I was first diagnosed with RA in 1992, I will still never forget

my first shot that was given to me in my left shoulder.  It felt like glue being

injected.  But it worked.  I was basically pain free for about a month.  But as

the steroid wore off, the pain came back, I feel, even worse, which made me look

forward to the next shot and the next more and more.  Over a 6 month period, the

cortisone became less and less effective, so my Rheumatologist considered Gold

shots.  I declined and sought the treatment of a chiropractor.  Anyway, I went

without medical treatment until 2005, at such time I was given cortisone shots

on both sides of my T1 vertebre.

I would never recommend it.  I strongly believe that over time, steriod

injections cause more harm than good.  Thanks for listening.

--- On Sat, 10/25/08, <Rheumatoid.Arthritis.Support@...>

wrote:

From: <Rheumatoid.Arthritis.Support@...>

Subject: [ ] INFO - Side effects of steroid injections

" " < >

Date: Saturday, October 25, 2008, 5:30 PM

From Southern Medical Journal

Posted 05 Mar 2007

Kennedy Okere, MD; C. , PharmD, BCPS

" A Case of Skin Hypopigmentation Secondary to a Corticosteroid Injection " :

Excerpt:

Adverse effects of injectable steroids include atrophy of the skin,

irritation at the injection site, hypopigmentation, hyperpigmentation,

alopecia, telangiectasia, striae, and acneiform eruptions.[3, 4,5]

Hypopigmentation has been documented in case reports as an adverse

effect of steroid injections of the hand,[3] metatarsophalangeal

joints of the foot,[6] the knees, thumb, sternum, and calf.[7] Several

of these sites were injected to reduce the size of keloid

structures.[ 7] Most reported cases occurred in African Americans.[3, 7]

In the documented cases, the hypopigmentation generally occurred

several months after one or more steroid injections.[ 3,6,7] The

hypopigmented area began to resolve without further treatment several

months after the discontinuation of the steroid in the majority of

cases.[3,6,7] One case reported an area of unresolved hypopigmentation

one year after injection of the site.[7] The etiology of

steroid-induced hypopigmentation remains unknown. It has been proposed

that steroids may reduce the number or activity of melanocytes, [4,7]

presumably by unintentional migration of the steroid in the proximity

of the injection site or by improper injection technique.[7]

http://www.medscape .com/viewarticle /552797_3

Not an MD

[Guest guest]

and group;

Thanks so much for that tid bits of information . I get steroid

shots in my shoulders and hips every 3 to 6 months. My rheumy gives

me a double in each shot cause I told her it don't work very good.

She said it was a steroid and a pain reliever in each shot but she

would not use the pain reliever and just give me the double shot.

The reason for this she said is she could only inject so much of it

each time. I said go ahead and dont use the pain reliever.

I look forward for my shots every time I get them. I kinda figured I

would get use to them over a period of time. My xanax I take every

night seem to get weaker and weaker. I plan on weaning myself off of

them. I needed them when I was having insomina a year ago. I really

don't need them anymore, but I know one can't just stop some meds

due to shocking the body.

Yes uses those big words I wait for someone to explain it or ask

her to haaaaaaaaa. I use to be good with medical terminalogy but not

anymore. Thanks for you post karen good to hear a laymans

explanation.

gentle hugs

Clora

***********************************************************

>

> Hi and group members,

> My oh my what long words in the excerpt.  I would like to offer my

experience with cortisone shots.  If you are looking for a quick fix

to make the pain go away, cortisone shots work. The more you get

though, the less effective they become.  When I was first diagnosed

with RA in 1992, I will still never forget my first shot that was

given to me in my left shoulder.  It felt like glue being injected. 

But it worked.  I was basically pain free for about a month.  But as

the steroid wore off, the pain came back, I feel, even worse, which

made me look forward to the next shot and the next more and more. 

Over a 6 month period, the cortisone became less and less effective,

so my Rheumatologist considered Gold shots.  I declined and sought

the treatment of a chiropractor.  Anyway, I went without medical

treatment until 2005, at such time I was given cortisone shots on

both sides of my T1 vertebre.

> I would never recommend it.  I strongly believe that over time,

steriod injections cause more harm than good.  Thanks for listening.

>

>

>

> From: <Rheumatoid.Arthritis.Support@...>

> Subject: [ ] INFO - Side effects of steroid injections

> " " < >

> Date: Saturday, October 25, 2008, 5:30 PM

>

>

>