Steroid injections

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Steroid injections

Cortisone is a synthetic version of a natural hormone produced by the human body. Steroids will not cure your condition, but they’re very good at reducing inflammation and will ease symptoms such as swelling, pain and stiffness. Corticosteroids are commonly used for subacromial impingement, bursitis, rotator cuff injuries, frozen shoulder, arthritis, tennis/golfers’ elbow, carpal tunnel, trigger finger and de Quervain syndrome. 

How effective are steroid injections?

For decades, steroid injections have been part of the standard of care for inflammation around tissue injuries. The goal of these injections is to reduce inflammation, allowing the body to heal the pain as best as possible. Many studies showed good effects in reducing pain and restoring movement however results vary from one patient to another.
What are the risks?
If the injection is done in the correct place the side effects are minimal. Experienced surgeons like Mr Negru have great accuracy in placing the steroids in the right place due to advanced anatomical skills and thousands of arthroscopic surgeries. Most of these injections do not need additional ultrasound guidance reducing the overall cost of the treatment.
Steroid injections have been associated with a short term increase in pain, skin discoloration at the injection site, increased risk of elevated glucose levels in diabetics and fat atrophy.
Special consideration should be given to the increased risk of infection if surgery is performed soon after the injection. Though these injections are usually effective, sometimes they fail to improve the symptoms fully.

Are there other kinds of injections available?

More effective (but expensive) slow-release steroids have been approved for use in the knee recently.
A new group of substances called orthobiologics have been used to improve healing. These include Platelet Rich Plasma (PRP) and Stem cells. Some studies suggest longer relief with PRP than steroids. 
Mr Negru offers PRP injections for various shoulder and elbow conditions including tendon inflammation, partial tears of the rotator cuff and osteoarthritis. Mr Negru has a vast experience in regenerative treatments being involved in multicentre research in the field. 

What happens after the injection?

As the injection is a mixture of local anaesthetic and steroid there is usually an immediate relief of symptoms due to the effect of the local anaesthetic. It is possible to have a flare up of your pain later and it may take up to 5 days for the full effect of steroids to work. You can drive and work but you should avoid heavy physical activities. Usually you will have another clinical appointment in 6 weeks after the injection.

7 responses to “Steroid injections”

  1. Diane Avatar

    I had steroid shots in my knee last year ( I have bone on bone osteo) I had it done again 3 months ago and it was working well, but I fell on my knees 1 month ago and it has set things back to square one, could you inject both knees at the same price and what would the charge be please

  2. Gareth Williams Avatar
    Gareth Williams

    I would like injection into my shoulder joint it very stiff and painful due to arthritis

    1. MariusNegru Avatar

      Thank you for your message. Please contact HC Marbella to book an appointment and I would be happy to examine your shoulder and inject if appropriate.

  3. Kevin Packebusch Avatar
    Kevin Packebusch

    Are you able to inject hip joint

    1. MariusNegru Avatar

      Thank you for your message. I can inject the hip but this usually requires image guidance

  4. Gertas Avatar

    do you do PRP injections into the knee?

  5. MariusNegru Avatar

    Dear Gertas

    I do PRP injections in the knee however they do not work for any kind of pathology. There are good results in early arthritis, tendinitis etc but in advanced arthritic changes they do not work as well as a steroid injection.

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If you suffer with an Upper Limb problem, you are in the right place.

I am an Orthopaedic Surgeon sub-specialized in the diagnostic and treatment of Upper Limb problems. Pain in the shoulder, elbow or hand can have a significant impact upon daily living and can restrict your ability to perform exercise and sports.
My goal is to provide a personalized expert opinion to ensure that you can benefit from the best treatment in the shortest time possible. Useful information related to Upper Limb problems can be found browsing this website. My practice is based in Gibraltar and Marbella (Spain) but I do occasional work in Bucharest and London. Read more

Mr. Marius Negru

Shoulder and Elbow Specialist


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