Understanding Corticosteroid Injections for Joint and Soft-Tissue Pain Relief

nshawphysio
Oct 10
3 min read

Corticosteroid injections are commonly used to help those suffering from joint and soft-tissue pain and can be indicated if pain is proving a barrier to recovery or rehabilitation or where pain and inflammation is significant e.g. causing night pain. They can provide significant relief and enhance the quality of life for many. In this article, we will explore what these injections are, how they work, their benefits, potential side effects, and what patients can expect during the procedure.

What Are Corticosteroid Injections?

Corticosteroid injections are anti-inflammatory medications. They are injected directly into the affected joint or soft tissue. Corticosteroids are synthetic versions of hormones produced by the adrenal glands, which play a key role in regulating inflammation. For example, when injected into a knee joint, they can reduce swelling and discomfort, helping patients move more freely.

How Do Corticosteroid Injections Work?

Corticosteroids work by suppressing the immune response and reducing inflammation in the affected area. This process can help relieve pain and swelling. The effects vary from person to person. Some may feel immediate relief within a few hours, while others may notice an improvement over several days. Studies show that about 50-70% of patients report significant pain relief after receiving an injection.

Benefits of Corticosteroid Injections

Corticosteroid injections offer several notable benefits for those dealing with joint and soft-tissue pain, including:

Rapid Pain Relief: Many patients experience relief from pain and inflammation as quickly as 24-48 hours after the injection but usually by day 3.
Improved Mobility: By managing pain and swelling, these injections often allow patients to regain mobility, enabling them to return to their daily activities or hobbies.
Minimally Invasive: The procedure is simple and safe with advice to rest for 48 hours after the procedure and to avoid strenuous or repetitive activities for 2 weeks.
Adjunct to Other Treatments: These injections can compliment physiotherapy allowing you to engage more effectively with rehabilitation.

Potential Side Effects

While corticosteroid injections are effective, they can have some side effects. Common ones include:

Temporary Pain at the Injection Site: Some patients may feel discomfort or soreness at the injection site, but this typically resolves within a few days.
Infection Risk: Any injection carries a risk of infection at the site. The risk is low but important to consider.
Changes in Skin Color: Patients may notice lightening or darkening of skin in the area where the injection was administered.
Elevated Blood Sugar Levels: Corticosteroids can temporarily raise blood sugar levels, which is particularly important for individuals managing diabetes. It’s advisable for these patients to monitor their blood sugar closely after receiving an injection.

What to Expect During the Procedure

Before the injection, patients usually undergo a thorough evaluation to confirm a diagnosis and determine plan which will be discussed before gaining consent. The injection site will be cleaned and the injection administered with safety aspiration, patients are often monitored for a short time to ensure there are no immediate complications before leaving.

Making Informed Choices

Corticosteroid injections can be a valuable tool for managing joint and soft-tissue pain. By understanding how they work, their benefits, potential side effects, and what to expect during the procedure, patients can make informed decisions. If you are considering corticosteroid injections for pain relief, get in touch to discuss your condition and the management options that are best for you.