Steroid injections side effects

Epidural steroid injections are generally very safe, but there are some rare potential complications. One of the most common risks is for the needle to go too deep and cause a hole in the dura, the tissue that surrounds the spinal cord and nerve roots. When this occurs spinal fluid can leak out through the hole and cause a headache . This headache can be treated with bedrest, or with a blood patch. A blood patch involves drawing some blood from the vein and the injecting it over the hole in the dura. The blood forms a seal over the hole and prevents any further fluid from leaking out.

At times an inordinate amount of scar and/or edema (swelling) can build up in the nasal dorsum or tip. Such as after a resection of a dorsal hump deformity giving the appearance that the deformity has been inadequately resected. Steroids after rhinoplasty are used as a means to reduce the amount of scar tissue and/or swelling that has formed. While being helpful, it does have potential side effects. It may cause atrophy of the tissues resulting in a depression, or cause hypopigmentation (loss of color) or even thinning of the overlying skin. Make sure  you continue to follow up closely with your plastic surgeon as they will be best able to guide you through your post operative recovery. Best wishes.

How often cortisone injections are given varies based on the reason for the injection. This is determined on a case-by-case basis by the health care practitioner. If a single cortisone injection is curative, then further injections are unnecessary. Sometimes, a series of injections might be necessary; for example, cortisone injections for a trigger finger may be given every three weeks, to a maximum of three times in one affected finger. In other instances, such as knee osteoarthritis, a second cortisone injection may be given approximately three months after the first injection, but the injections are not generally continued on a regular basis.

The upshot? Steroid injections are bad news. We have more than enough data now that these medications in their usual doses should never be injected into joints or tendons. If they have to be used for some reason, patients should be counseled that they are receiving a toxic substance and that it’s use will likely damage their tissues. Given the amount of research on the topic of toxic anesthetics and steroids and a warning from the major Orthopedics Association (AAOS), have these shots tipped the scale from standard of care to medical malpractice?

Steroid injections side effects

steroid injections side effects

The upshot? Steroid injections are bad news. We have more than enough data now that these medications in their usual doses should never be injected into joints or tendons. If they have to be used for some reason, patients should be counseled that they are receiving a toxic substance and that it’s use will likely damage their tissues. Given the amount of research on the topic of toxic anesthetics and steroids and a warning from the major Orthopedics Association (AAOS), have these shots tipped the scale from standard of care to medical malpractice?

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