Day 7 + 8 post #intra-articular #steroid injection in Hip.

Archive, Health, Hips, Hypermobility, Hip Arthroscopy, Triple Pelvic Ost, Femoral Ost, PAO

It’s been a week, and Wow that time has flown by!!

Today it’s a MiCats appointment for my hand, and I honestly expected nothing, except maybe a referral to a rheumatologist. Which did happen, hopefully appointment in 6-9 weeks time, but also I was offered the #steroid injection into the CMC joint today. I said yes, though nervous. Nicer to get it out of the way.

The doctor was lovely, she confirmed again there is no Rheumatoid Factor but high levels of inflammation. And the DIP joints ( finger top knuckles) as well as basal thumb joint all show wear and tear indications it’s Arthritis, or my Ehlers Danlos Syndrome. Something is happening, so it’s a process of elimination now.

Injection did smart a bit, once again I had Marcaine, Lidocaine and Kenalog injection. I’m happy as so far it’s just been hair loss as a side effect.

This is in the evening, so looks ok. Super stiff and achy though. Hurts to use, so having 24hours off. Been instructed to brace it as well.

Hand swelled up too, so I’ve removed my rings just in case.

Hip wise I confess it’s been nagging, bit grumbly and not quite right. But it’s nearly that time of the month, which usually sends ALL my joints haywire and extra painful too. So it could be that. That groin pain has gone again though so that’s all good.

Day 8 it’s mad dash packing day, why do I leave it until the last minute?? Only popping to barmouth in a cottage with family, but should be a giggle. 2 nights 3 days away, hope this weather lasts!! Packing one handed is pretty difficult I might add.

Woke up with a super stiff right shoulder and neck, not entirely sure why though? Going to need hot water bottles and ibuprofen today. Hand feels pretty good, just braced to limit its range for now.

Hopefully all will be ace while we are away, and I will be pain free too. Have a lovely weekend my lovelies xx

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39 weeks post #hiparthroscopy on a countdown…

Archive, Health, Hips, Hypermobility, Hip Arthroscopy, SURGERY, Triple Pelvic Ost, Femoral Ost, PAO

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It’s my 9 days countdown to the #intraarticular #steroidinjection in the hip!! I’m excited, nervous, terrified yet chilled about it. I’m literally every emotion under the sun!!

keep-calm-and-countdown-9-days-to-go

Though it’s an awake procedure, and I should go home around 30mins afterwards, I do have to go prepared with an overnight bag just in case. So in this I will pack minimal.

  • Medication
  • Glasses
  • Dressing gown
  • Slippers
  • Phone charger
  • Headphones
  • Tablet to watch downloaded shows
  • Book

So not too much, but enough to entertain me, and cover me up should I need to walk around to the loo. Obviously I’m taking my walking stick too. As I know from experience, the leg feels dead and numb. So walking is awkward even with a walking stick.

I’ll be wearing shorts, so no need to strip off. I can do absolute minimum and be more time efficient. So what is an Intra articular Steroid Injection? What does it do?

Intra-articular Steroid Injections for the Hip

Intra-articular steroid injections are a prescribed treatment for relief from joint-pain. The steroids administered through the intra-articular injections are used to decrease the inflammatory reaction associated with osteoarthritis and rheumatoid arthritis.

This means the intra-articular steroid injections are administered with the aim of providing 2 to 6 weeks of pain relief for patients with hip osteoarthritis. (God i hope longer!!) However, the higher-dose steroids with or without joint lavage can provide pain relief for a period as long as 24 weeks. Honestly out of 3 I’ve had the longest relief I got was mere 2-3weeks)

Research shows that the intra-articular steroid injections delivered for relief from the pain related to hip osteoarthritis can produce highly effective results as compared to the standard form of treatment. But those with #EhlersDanlosSyndrome like me, may find it’s limited in terms of longevity.

Often patients who were administered intra-articular steroid injections showed a significant improvement in all the symptoms including pain, stiffness, physical function and global assessment as against those given the conventional form of treatment and medications. I’ve experienced this, in 2016, but it was only for a few weeks. It was heavenly though.

Hip Osteoarthritis

Intra-articular steroid injections are extensively used for treating the pain associated with hip osteoarthritis. In addition, steroid infiltration into the arthritic joints is now a very common means of treating pain. This form of treatment is also done to differentiate pain in the hip from that in the low back or knee. All of my previous 3 steroid injections were used as diagnosis points. This one is specifically for pain relief. Will it work?

There are various types of preparation of steroids that have a different duration of effect and action. The guiding principle which determines the effectiveness of each of these preparations is their solubility.

The insoluble preparations are known to have a longer duration of effect and are the most preferred. For the benefit of analysis, here we briefly list each one of the preparations of the intra-articular steroid injections.

Aristospan (Triamcinolone HEXACETANIDE) – These are the most soluble and preferred preparation for intra-articular injections. The duration of effect is usually 6 months.

Aristocort (Triamcinolone ACETONIDE) – Highly insoluble, this is the preparation normally preferred after the above. This particular preparation normally has a duration of 3 months.

Depo-medrol (Methylprednisolone acetate) – This is highly soluble and should only be used as a last resort. The duration of effect in this preparation is only 5 weeks. (Think this is the only one I’ve had? I definitely had Depo last time 2016) before I’ve had a kenalog one.

we’ve listed the basic steps involved in using an intra-articular steroid injections for the hip.

  1. Selection of preparation to be used for the injection is done, after careful consideration of the extent of the problem and patient history.
  2. The steroid is injected into the joint
  3. At the same time, a local anaesthetic (lidocaine 1%) is injected. This is to confirm whether the pain is relieved by the injection.
  4. Once done, an iodinated contrast is injected to observe immediate distribution of the steroid and local anaesthetic and confirm which joints are being treated.

Specialists dealing with intra-articular steroid injections generally instruct their patients to maintain a simple diary of pain for at least a week’s duration after the injection. The commonly recommended entry in the diary is pain vs. previously expected pain or same physical workload.

A majority of professionals in the field of pain management support the use of intra-articular steroid injections for the treatment of pain that arises due to osteoarthritis of the hip.

 

 

 

27 weeks post #hiparthroscopy

Archive, Health, Hips, Hypermobility, Hip Arthroscopy, Triple Pelvic Ost, Femoral Ost, PAO

Moving on from week to week and not much has happened this week, except I’m poorly again!! Just a chesty cough and woolly headedness, so I’ll live.

But I did visit the doctor over my hand, as it’s getting too hard to hold the simplest of things lately. The basal joint of the thumb feels like electric shocks, when I try to hold cups, plates or my phone. It’s been like it on and off for a year or so?? Wonder if Arthritis or just Ehlers Danlos Syndrome. Anyways had bloods taken to check, and I’m being referred to MiCats for physiotherapy and steroid injection for it. So that’s 2 steroids in 2 different joints this year!! I need this hand for my walking stick. For now I brace it on bad days, but when it settles I take it off, so it’s not solely dependant on it.

So for physio it’s been PANTS for a week, barely done any, as I’ve had family visits, doctor’s visits, then blood test visits, and honestly they’ve just took it out of me. Just being still hurts so I’ve had no desire to move the hip. Maybe it’s increased on pain because the weather is so damp? Or because it’s that time of cycle when it all flares up (when my whole body feels broken and shattered) or simply being ill makes me feel things more?

Just waiting on blood results next and of course appointments to come through from steroid in hip, physio for hand, and steroid for hand. Can’t wait to get them all done and dusted, though I’m scared!!