Steroid injection for scar reduction

22 patients were randomised to ultrasound guided steroid injection, 21 patients to palpation guided steroid injection and 22 to ultrasound guided placebo injection. There was a significant difference in VAS scores between the groups at 6 and 12 weeks (p= and p=, respectively). There was a (95% CI to ) difference in mean VAS scores at 6 weeks between the ultrasound guided steroid group and the placebo group and a (95% CI to ) difference between the unguided steroid group and the placebo group at 6 weeks. At 12 weeks, the mean difference was (95% CI to ) and (95% CI to ) respectively between both steroid injection groups and the placebo group. There was no difference in VAS scores following steroid injection between the ultrasound guided and the unguided groups at either time point. Plantar fascia thickness was significantly reduced after injection in both active treatment groups (p=).

An epidural steroid injection places this powerful anti-inflammatory medication directly around the spinal nerves. Traditionally epidural injections were administered without any special equipment, by inserting the needle by feel in the area around the spinal nerves. More recently epidural injections have been administered with the aid of imaging tools to allow your physician to see the needle going to the proper location. Either real-time x-ray, called fluoroscopy, or CT scan can be used to 'watch' the needle deliver the medication to the proper location. 

Corticosteroid side effects may cause weight gain, water retention, flushing (hot flashes), mood swings or insomnia, and elevated blood sugar levels in people with diabetes. Any numbness or mild muscle weakness usually resolves within 8 hours in the affected arm or leg (similar to the facial numbness experienced after dental work). Patients who are being treated for chronic conditions (., heart disease, diabetes, rheumatoid arthritis) or those who cannot temporarily discontinue anti-clotting medications should consult their personal physician for a risk assessment.

Intramuscular (IM) Injection Procedure
It is optimal for an intramuscular injection to have in possession syringes without the tips (needles) already affixed to them. Preferably, the individual should have the hermetically sealed syringes (barrels) separate from the hermetically sealed needle tips. Although one can easily use syringes with the tips already affixed, it is slightly more complicated and adds an extra step or two into the process that otherwise would not be there. So, every individual should ensure to the best of their ability to have the syringe and needle tips separate. The following is a list of required items for intramuscular injections :

Steroid injection for scar reduction

steroid injection for scar reduction

Intramuscular (IM) Injection Procedure
It is optimal for an intramuscular injection to have in possession syringes without the tips (needles) already affixed to them. Preferably, the individual should have the hermetically sealed syringes (barrels) separate from the hermetically sealed needle tips. Although one can easily use syringes with the tips already affixed, it is slightly more complicated and adds an extra step or two into the process that otherwise would not be there. So, every individual should ensure to the best of their ability to have the syringe and needle tips separate. The following is a list of required items for intramuscular injections :

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