25g needle for steroids

Alfa Intes is one of the Italian leading groups committed in the manufacturing and marketing of eye health products ranging from ophtalmic pharmaceuticals and medical devices to nutraceuticals. Alfa Intes represents a consolidated reality within the Italian market with more than 60 years of experience driven by the same ambition: becoming the unique point of reference for every user in the ophtalmological market. Recently Alfa Intes is expanding is network pointing on the exporting of the products belonging to its portfolio.
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Pain after a corticosteroid injection is not the norm, but it’s not abnormal either. I can’t speak to your situation, but I can say that occasionally patients will have what’s called “post injection flare” where the pain is worse for 2-3 days after the injection. I would tell patients to put ice on the area and as long as it’s not red, swollen or with discharge at the injection site, sit on it for a couple days to see if it resolves. If it’s not any better after 2-3 days, then come into the office. And just so you know, it does NOT mean the injection did or did not work correctly, and it does not matter which technique was used to get the steroid into the knee joint.

Biceps Tendon Sheath Injection - Lateral View

  • Mark the injection site with the pen tip in order to leave an impression in the skin — Point of maximal tenderness in bicipital groove.
  • Clean the skin thoroughly with as many alcohol swabs as needed (usually only one is needed).
  • Patient position: Lying supine with arm supinated
  • With the 25G needle/syringe, enter the skin going cephalad at a 20-30-degree angle .  If you enter tough, gritty tissue (biceps tendon), pull back a mm or two and redirect at a more shallow angle to get under the tendon sheath (of the long head of the biceps).
  • Aspirate to make sure you’re not in any vessel.
  • After negative aspiration, inject the full contents of the syringe.  Redirect or withdraw the needle slightly if it isn’t flowing easily (DO NOT INJECT UNDER PRESSURE — YOU’RE LIKELY IN THE ACTUAL BICEPS TENDON)
  • Withdraw the needle and apply band-aid.
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    25g needle for steroids

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