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Persisting pain and warmth at steroid injection site

Resolved Question:

Hi i have been using steriods on and off for sometime for bodybuild and have had no problems in the past. However I have changed my supplier and have recieved a different brand. When I injected this one into the muscle it started to ach soon after which is normal and normally goes after a day, but this time it is much worse and it has been a week and the pain is getting very bad and is very painful to touch and use, the muscle has gone very hard and warm. please can you tell me wait I can and should do?

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 23 Doctors Online

Hello,

Thank you for asking your query at DoctorSpring.

It seems you are having a prolonged local reaction following an anabolic steroid injection. A mild reaction is common, as you have already experienced. This appears to be prolonged and most common reason is a body reaction to component in the new injection. (not to the steroid components, but to the additives). The concern here is about the purity and trustworthiness of the brand of injection you got. Like whether it is immune safe ? Pure without contamination ? etc. I assume the needle used for the injection is fresh and sterile.

For now you should rest the arm, and elevate it slightly using a pillow while sleeping. Do not workout or exert. Take a OTC anti-inflammatory medication like Ibuprofen 400mg twice daily in consult with your Doctor. You can apply ice or cold compress over the muscle couple of times a day. If you have itching you can take an anti allergy medication. Drink plenty of water.
I recommend caution and getting touch with your Doctor if the symptoms persists or worsens with these measures in next 24 hours. Ordinarily a local reaction can be observed, but in your case as I said before there is a possibility of contamination and hence some extra precaution is needed. But do not worry much. Hopefully this will resolve by its own soon.

Hope this helps
Please feel free to ask followup questions.
Thank you
PS : I hope you are aware that steroid injections are harmful to your body in long term.


Patient replied :

thank you for your help



Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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