Steroid injection - advice please

Posted Thu 30 Jan 2025 20.45 by Sunny side up

Hi all, I posted last week, as I was due to see a rheumatologist about my swollen knee. He confirmed it’s PsA, which I’m not sure how I feel about but I’ll unpack that later. Anyway, I had the fluid drained from my knee and he was sending that away for analysis - just to help to confirm but gave me a steroid injection into the knee. That was on Saturday (25th Jan). My knee ached for a few hours or so but did feel so much better for not having fluid in there. I went for a brief walk tonight (20 min round trip, if that) and my knee was quite uncomfortable. Not overly painful but definitely not pleasant. I just put it down to having not been as active lately. However, as I stretched my leg out at dinner tonight, I near jumped out of my seat! It felt like my kneecap rubbed against my bone. The MRI I had previously did show I have full cartilage loss on a localised part of my kneecap, so I guess this is well within the realm of possibility? My question is though, would I still be feeling these sort of things given I’ve had a steroid injection? I don’t actually know what it’s meant to do. I think I’ve been a bit blindsided by it all. Sorry, that was quite a long way of asking a short question but thought context might help a bit. 🙈 Any thoughts or experiences are welcome. Cheers, L

Posted Sat 1 Feb 2025 09.49 by OhNo_NotAgain? (edited Sat 15 Feb 2025 09.50 by OhNo_NotAgain?)

Let me state clearly that I am not a medical person, I am an engineer. Steroid injections can reduce inflammation, swelling and I suppose hence also reduce pain and discomfort and stiffness. The effects are temporary. I believe that one of the worst things that you can then do is to over-exercise, thinking that the magical steroid injection has fixed everything. The benefits of a steroid injection can wear off, they are not a cure. I am now in my late 60s. At age 21 while at university I injured my knee playing rugby. At the time is was disgnosed as a "bad knee". At the end of the season we staged a 700 mile run for charity - it involved 15 of the club running in relay, 700 miles around the roads of Warwickshire over 3 or 4 days. After my first day where I had run about 20 miles in 2-mile legs, my knee was killing me. I went to the GP on the campus surgery, he was a strong supporter of the rugby club and often helped out with popping-back dislocated fingers and similar on match days. He understood that I wanted to continure, so he gave me a steroid injection into my knee. I continued running for the next few days. Once I finished and the stroid wore off - I was in agony. I later discovered that I had damaged my knee severely. Now, with maturity and appreciation of my physical mortality and limitations (something I ignored at age 21) I understand that after a steroid injection then gentle excercise and gentle physiotherapy might be beneficial, but you should not simply resume your previous regimes befoe the steroid wears off. . You can do further damage that only becomes obvious when the effects of the steroid wear off.

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