When To Seek Treatment For Your Arthritis
Arthritis doesnt have to spell the end of an active life. If you are experiencing worrisome symptoms or persistent pain, the renowned arthritis specialists at Summit Orthopedics can help. We work with you to confirm a diagnosis and develop an appropriate conservative treatment plan. If nonsurgical treatments fail to support your lifestyle goals, fellowship-trained orthopedic surgeons will consult with you and discuss appropriate surgical options. Summit is home to innovative joint replacement options. Our Vadnais Heights Surgery Center is one of only two surgery centers nationally to receive The Joint Commissions Advanced Certification for Total Hip and Total Knee Replacement.
Summit has convenient locations across the Minneapolis-St. Paul metro area, serving Minnesota and western Wisconsin. We have state-of-the-art centers for comprehensive orthopedic care in Eagan, MN, Plymouth, MN, Vadnais Heights, MN, and Woodbury, MN, as well as additional community clinics throughout the metro and southern Minnesota.
What Is Rush Immunotherapy
Itâs a faster way to get to a maintenance dose, but itâs also riskier.
During the first part of the treatment, you get doses of the allergen every day instead of every few days. Your doctor will check on you closely, in case you have a bad reaction. In some cases, you may get medicine before you get the dose of the allergen, to help prevent a reaction.
What Other Treatments Should I Have
Steroid injections can be part of your treatment. Depending on the condition being treated, a number of other medicines can be used in the treatment of inflammation of joints, tendons or other soft tissues. Physiotherapy and occupational therapy may also be helpful. Your practice nurse, GP or specialist will discuss your options with you.
How to use the Yellow Card Scheme
If you think you have had a side-effect to one of your medicines you can report this on the Yellow Card Scheme. You can do this online at www.mhra.gov.uk/yellowcard.
The Yellow Card Scheme is used to make pharmacists, doctors and nurses aware of any new side-effects that medicines or any other healthcare products may have caused. If you wish to report a side-effect, you will need to provide basic information about:
- The side-effect.
- The name of the medicine which you think caused it.
- The person who had the side-effect.
- Your contact details as the reporter of the side-effect.
It is helpful if you have your medication – and/or the leaflet that came with it – with you while you fill out the report.
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Why Are Allergy Shots Used
An allergy is when the bodys immune system overreacts to a usually harmless substance. Things that cause allergic reactions are called allergens. Common allergens include dust mites, molds, pollen, pets with fur or feathers, stinging insects, and foods.
The body reacts to the allergen by releasing chemicals, one of which is histamine. This release can cause symptoms such as wheezing, trouble breathing, coughing, a stuffy nose, and more. Some allergic reactions can be serious.
The best way to prevent or control allergy symptoms is to avoid allergens. Allergists look for causes of an allergic reaction with skin tests and blood tests. Based on the test results, they can recommend treatments, including medicines and ways to avoid allergens.
If these treatments dont help, the allergist might recommend allergy shots.
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Does Hay Fever Improve With Age
In much the same way that allergies like hay fever can develop in adulthood, they can also dwindle as you age. Many people find their hay fever symptoms become less severe as they get older around half of people report improvements in symptoms, and a lucky 10-20 per cent find their symptoms vanish entirely. A study by University Hospital in Sweden concluded that hay fever was most likely to disappear when people reach their fifties.
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How Effective Is Immunotherapy
The aim of allergen-specific immunotherapy is to prevent anaphylactic reactions or reduce their severity. Research has shown that immunotherapy is very effective in the treatment of insect venom allergies. In the first few years after treatment, about 90% of people don’t have anaphylactic reactions to insect stings.
The effects of treatment probably don’t last for the rest of your life. They sometimes wear off after a number of years. If that happens, you can talk to your doctor about whether it would be a good idea to repeat the treatment.
Why Do We Use Cortisone
Diseases of joints and tendons produce inflammation. When inflammation makes joints and tendons painful and activities difficult, we use a cortisone shot to help with treatment. However, you should understand that the effect of a cortisone shot is only temporary. Generally, a cortisone shot does not cure arthritis or tendonitis, but reducing pain can make the effect of rehab better.
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What Is Hay Fever
Hay fever is an allergic reaction to pollen. Around 10 to 15 per cent of Brits are afflicted at different stages of the year, depending on the type of pollen they’re allergic to. Tree pollen allergies are triggered between March and May, while grass pollen occurs between May and July, and weed pollen allergies are activated between June and September.
Hay fever is the same as any other allergic response: your immune system identifies a foreign substance entering the body and attempts to remove it initiating an inflammatory response. In the case of hay fever, the foreign body is pollen, which is harmless.
Hay fever is the same as any allergy: your immune system identifies a foreign substance and attempts to remove it.
While ‘defending’ your body from the pollen, your immune system triggers a cascade of cold-like symptoms that range from frequent sneezing and coughing to severe exhaustion and sickness. Other common hay fever symptoms include:
- Runny or blocked nose
- Tight chest
- Loss of smell
Antihistamine tablets, nasal sprays and eye drops are available on prescription and over the counter to treat the symptoms of hay fever. However, around two thirds of sufferers find their symptoms do not respond to these treatments, and this is where the hay fever injection comes in.
Tell Your Gp About Risks Of Infections
You are more likely to get infections when you’re taking any steroid medicine.
Tell your GP if you’re exposed to infectious illnesses like chickenpox or shingles.
Steroids makes you more likely to catch infections such as:
Tuberculosis may also recur.
Keep away from people with an infectious disease, especially chickenpox or shingles. If you have never had these illnesses, they could make you very ill.
How Are Steroids Used To Treat Allergies
Steroids, also called corticosteroids, can lower swelling that comes with allergies. They prevent and treat sneezing and stuffy, runny, or itchy nose. They also help with red, itchy eyes. These drugs can be used for allergies, hay fever, and asthma. They come in pills, nose sprays, inhalers, eye drops, or skin creams. Steroids work very well, but must be taken regularly and often when you dont have symptoms. It may take 1-2 weeks for the medication to kick in fully.
American Academy of Allergy, Asthma and Immunology.
FDA. News release.
UpToDate.com. Patient information: Allergic rhinitis .
American Academy of Allergy, Asthma and Immunology.
FDA. News release.
UpToDate.com. Patient information: Allergic rhinitis .
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
This tool does not provide medical advice. See additional information.
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Which Conditions Are Steroid Shots Used To Treat
Cortisone shots can treat both inflammatory arthritis and osteoarthritis, but they may be more effective at treating inflammatory arthritis than osteoarthritis, according to the Mayo Clinic. For osteoarthritis, sometimes people dont get relief, and its hard to predict why, says Dr. Sufka. In osteoarthritis patients with advanced disease, in which the cartilage in a joint is mostly worn away, it may be that the disease has progressed far enough along that the steroid injection isnt effective.
No matter what type of arthritis you have, steroid shots are just one part of an overall treatment plan. For osteoarthritis, this could include NSAID medication, exercise and physical therapy, weight loss, and heat and ice therapy. For inflammatory arthritis, treatment includes disease-modifying drugs as well as those options. Steroid injections can help relieve inflammatory arthritis pain in the short term while longer-acting treatments like DMARDs have time to take effect.
Treating joint pain usually involves multiple approaches, according to Dr. Schaefer on the Cleveland Clinics site. Depending on what condition is causing the pain, we try to find other long-term pain relief solutions through physical therapy, bracing, other medications or, in some cases, joint replacement.
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Why Might I Need An Epidural Steroid Injection
If you have intense, difficult-to-treat pain in your legs or arms from inflamed spinal nerves, then an epidural steroid injection might give you quick relief. Often, nerve passages from the spine to your arms or legs become narrowed, causing this pain. This narrowing can cause inflammation of the spinal nerves.
A number of conditions may add to this narrowing, including:
- Herniated disks
- Thickening ligaments in the spine because of spinal arthritis
Injected steroids reduce inflammation and opens up these passages to provides pain relief.
Data Extraction And Quality Assessment
From the included studies the following data were extracted: first author’s name, year of publication, number of patients, study arms, generic formula of the corticosteroid, used dosage, length of followâup, and patient characteristics . To show the differences between the IMCIs and the comparator, the primary outcome of efficacy mentioned by the individual studies was reported in Table 1. Additionally, the significance of the difference between treatment groups in individual studies was assessed. If a study showed statistical significance, it classified was as superiority IMCI. If the outcomes were similar or worse, it was classified as equal or inferiority IMCI, respectively. Studies that compared IMCIs to OCs or placebo were used for efficacy analysis. This study was reported according to the PRISMA Statement for Reporting Systematic Reviews and MetaâAnalyses of Studies That Evaluate Healthcare Interventions: Explanation and Elaboration.12
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When Shouldnt You Get A Steroid Injection
Your doctor wonât inject steroids if thereâs an infection in the inflamed area or another part of your body. If a joint is severely damaged, injections probably wonât help.
If you have a bleeding problem or are taking anticoagulant medications , steroid injections may cause bleeding. Your doctor will be very careful in deciding whether to recommend them.
Having more than three or four steroid injections a year is more likely to weaken tissues such as cartilage or bone in that area.
How Should This Medicine Be Used
Hydrocortisone injection comes as powder to be mixed with liquid to be injected intramuscularly or intravenously . Your dosing schedule will depend on your condition and on how you respond to treatment.
You may receive hydrocortisone injection in a hospital or medical facility, or you may be given the medication to use at home. If you will be using hydrocortisone injection at home, your healthcare provider will show you how to inject the medication. Be sure that you understand these directions, and ask your healthcare provider if you have any questions. Ask your healthcare provider what to do if you have any problems using hydrocortisone injection.
Your doctor may change your dose of hydrocortisone injection during your treatment to be sure that you are always using the lowest dose that works for you. Your doctor may also need to change your dose if you experience unusual stress on your body such as surgery, illness, or infection. Tell your doctor if your symptoms improve or get worse or if you get sick or have any changes in your health during your treatment.
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Allergy Services Need Improving
In 1986 the Committee on the Safety of Medicines expressed concerns about 25 deaths over 30 years from severe bronchospasm and anaphylaxis in patients receiving immunotherapy . These deaths were almost exclusively in patients with asthma. Furthermore, the injections were given in general practice by people without experience of immunotherapy or an understanding of the potential side effects and without monitoring of the patient. It is now recommended that allergen immunotherapy should be given only by experienced doctors and where facilities are available for resuscitation and monitoring of patients for at least one hour after the injection. In view of the safety issues, patients with multiple allergies, chronic asthma, or other serious medical diseases are excluded from this treatment.2,16 Seasonal asthma is not a contraindication, provided that the patient is asymptomatic outside the pollen season.
Are There Alternatives To Cortisone Injections
Yes. Recent studies suggest that other injections can be helpful for arthritis and tendonitis with potentially fewer side effects.
Hyaluronic acid is a naturally-occurring substance found in normal joints and tendons. There is evidence that hyaluronic acid injections provide longer pain relief in arthritis compared to cortisone. Also, we use hyaluronic acid for injections in plantaris-associated Achilles tendonitis.
Platelet-rich plasma is obtained by spinning whole blood from a patient. The plasma, which contains a high concentration of platelets and growth factors, is injected into tendons and joints. There is good evidence that PRP provides long-term pain relief for knee arthritis and some tendons. You can read more about the positive effects of PRP on arthritis and tendonitis. We have also written a blog on PRP injections for knee arthritis.
Finally, recent evidence suggests that combining the two hyaluronic acid and PRP might be better for knee arthritis.
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Can Kenalog Or Cortisone Shots Help My Hay Fever
Kenalog or Cortisone can work well to suppress Hay fever allergies and itchy eyes/runny nose for 1-3 months. However, there can be significant side effects. These shots are falling out of favor with Allergists and doctors. If you are young and healthy, a Kenalog shot given every 4-5 years is unlikely to cause significant harm.
However, regardless of age, and especially if given every year, a Kenalog shot can:
-Cause weight gain
-Cause you to retain fluid/cause leg swelling
-Raise blood pressure
-Elevate blood sugar
-Cause your period to be irregular for several months
-Cause an uncomfortable sunken spot in the buttock/skin where it is injected
-Thin your bones , putting you at risk for easy fractures
-Cause bleeding stomach ulcers
-Upset your mood for several months
-Cause easy bruising
-Very rarely, cause your hip joint to degrade .
If you are the point where you are needing a Kenalog shot every year to get allergy relief, the time has come to stop this cycle and cure your allergies. Dont keep getting Kenalog shots and risk the side effects of developing diabetes, weight gain, and osteoporosis. Come in and talk with Dr. Beckstead about the options of Allergy shots or Allergy drops to cure your allergies.
David Beckstead, MD
Does Getting A Cortisone Shot For Arthritis Hurt
No doubt youve heard stories or have been warned that cortisone shots can be painful. Steroid shots are usually either mixed with a local anesthetic to help relieve pain or patients are given a local anesthetic first before the steroid shot is given. Some people feel minimal discomfort, while others feel intense pain its hard to explain why injections hurt some and not others, says Dr. Sufka. One thing is certain: being anxious doesnt help. Many times pain comes from tensing up muscles around the needle, he says. Dr. Sufka helps his patients his patients completely relax the area before the injection.
When Peggy Meyer, an osteoarthritis patient from North Carolina, was exploring her pain management options, she heard good and bad things about steroid shots but decided to go for it. I recall how I dreaded those shots initially, but the few seconds of discomfort is worth the relief it brings, Meyer says. Now, when my knee tells me its time for another shot, and I actually look forward to it.
Immediately icing the area after the injection can help relieve swelling and pain. You may feel fine right after the injection while the anesthetic is still effective, but as it wears off, you may actually feel pain that is worse than what you experienced before the procedure. This increased level of pain remember, a needle was just injected into your body should only last up to two days before things start to improve.
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What Are The Risks Of An Epidural Steroid Injection
An epidural steroid injection generally causes no problems. If you do have side effects, they may include:
- “Steroid flush,” or flushing of the face and chest, with warmth and an increase in temperature for several days
- Sleeping problems
- In rare instances, pain that actually increases for several days after the procedure
Serious complications are rare but can include:
- Allergic reaction
Manage Your Allergy Symptoms With A Kenalog Steroid Injection
If youre one of the millions of people in the United States who greets spring with mixed feelings, thanks to hay fever, theres good news. We offer a steroid injection called Kenalog that takes the teeth out of spring allergies, allowing you to get out and enjoy this season of renewal.
At Express Lane Urgent Care, we see our fair share of patients from the Turlock, California, area who come to us each spring with symptoms that range from sneezing and watery eyes to body aches and sinus problems. To help keep these symptoms at bay, we offer a steroid injection Kenalog that can provide months of relief.
Heres a look at how we can manage your seasonal allergy symptoms with Kenalog.
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