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 1 Feb 2025 15.20 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. 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 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. You can do further damage that only becomes obvious when the effects of the steroid wear off.

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