drtbear1967
Musclechemistry Board Certified Member
Post injection pain can literally be a pain in the butt, amongst other places.
Hygiene and sterility, pre injection is obviously paramount in avoiding PIP.
Firstly get your injection point, then pull the skin across or down from that point, this moves the cutaneous and subcutaneous tissues a centimetre or two, this helps reduce the sensitivity of nerve endings, remembering to keep an eye on the injection point.
Next insert the needle sharply in at a 90dg angle to the depth you need.
Inject the steroid (after aspirating) at a rate of about 10 secs/ml, when fully injected keep the needle in place for another 10secs, so allowing the steroid to seep into the muscle.
Remove the syringe quickly, at exactly the angle you went in and release the skin, this is what stops any of your steroid leaking out and reduces bleeds, then apply a little pressure to the area, but don't massage the area immediately afterwards, wait a couple of minutes or you can cause some of the oil to be released back up the needle track and into subcutaneous tissue, which can lead to swelling and PIP.
Exercising the muscle afterwards will assist the absorption of the steroid by increasing blood flow to the area.
Finally, if you know where and how to inject safely into the ventrogluteal muscle, this is the best choice as there are no major nerves or blood vessel.
Hygiene and sterility, pre injection is obviously paramount in avoiding PIP.
Firstly get your injection point, then pull the skin across or down from that point, this moves the cutaneous and subcutaneous tissues a centimetre or two, this helps reduce the sensitivity of nerve endings, remembering to keep an eye on the injection point.
Next insert the needle sharply in at a 90dg angle to the depth you need.
Inject the steroid (after aspirating) at a rate of about 10 secs/ml, when fully injected keep the needle in place for another 10secs, so allowing the steroid to seep into the muscle.
Remove the syringe quickly, at exactly the angle you went in and release the skin, this is what stops any of your steroid leaking out and reduces bleeds, then apply a little pressure to the area, but don't massage the area immediately afterwards, wait a couple of minutes or you can cause some of the oil to be released back up the needle track and into subcutaneous tissue, which can lead to swelling and PIP.
Exercising the muscle afterwards will assist the absorption of the steroid by increasing blood flow to the area.
Finally, if you know where and how to inject safely into the ventrogluteal muscle, this is the best choice as there are no major nerves or blood vessel.
