getting a shot in the joint

[Guest guest]

I posted a question about this a few months ago. But now it is the decision

time.

I am scheduled for an appointment later this week to most likely get a shot

in my middle finger.

I have been off the NSAID piroxicam (aka Feldene) for a few years now since

starting Dr. Pagano's diet. For at least 2 years just doing the diet was

good enough. But I cheated a lot over the last Christmas Holiday season and

have had swelling in my middle finger since. I got pretty serious with the

diet, and even did 3 months of Pixoicam again, but the swelling won't go

away.

I am thinking about getting a shot to try to knock the swelling out once and

for all. What do I need to know before I go in Thursday morning?

I heard that the shot can be good for 6 months or so. True?

I heard that my Psoriasis could get worse from the shot? or when the shot

wears off. Likely?

Are there a bunch of choices for the type of shot? I assume it is some kind

of stertiod.

I think I heard there is two ways to deliver the shot...one is much better.

Anyone know what I refering to?

Any idea of how my finger will feel later that day? I am a professional

juggler and I have a show at 7pm Thursday night. Will there be any side

effects I need to worry about?

Thanks for any input.

Please cc your messages to my email account

michael@...

Thanks again,

www.michaelrosman.com

[Guest guest]

If you are referring to a steroid shot in a joint, I have 2

experiences with that, both in my fingers. In both cases my

experience was similar. In each case the joint was swollen for more

then 6 months and had limited and painful flexibility. Within a few

days for the injection, the inflammation was almost completely gone.

In my case the inflation never came back.

I understand the steroid injections permanently reduce the fatty

tissue in the area around the injection site. Because of this, each

joint has a life time limit of injections you can receive. For my

fingers, each was 3, although I only had one in each joint so far.

Because they are putting fluid into your joint, I recall that they

recommended that I take it easy on the joint for a number of days.

Juggling may not be recommended right after the injection.

Good luck.

Fred

> I posted a question about this a few months ago. But now it is the

decision

> time.

>

>

> I am scheduled for an appointment later this week to most likely

get a shot

> in my middle finger.

>

> I have been off the NSAID piroxicam (aka Feldene) for a few years

now since

> starting Dr. Pagano's diet. For at least 2 years just doing the

diet was

> good enough. But I cheated a lot over the last Christmas Holiday

season and

> have had swelling in my middle finger since. I got pretty serious

with the

> diet, and even did 3 months of Pixoicam again, but the swelling

won't go

> away.

>

> I am thinking about getting a shot to try to knock the swelling out

once and

> for all. What do I need to know before I go in Thursday morning?

>

> I heard that the shot can be good for 6 months or so. True?

>

> I heard that my Psoriasis could get worse from the shot? or when

the shot

> wears off. Likely?

>

> Are there a bunch of choices for the type of shot? I assume it is

some kind

> of stertiod.

> I think I heard there is two ways to deliver the shot...one is much

better.

> Anyone know what I refering to?

>

> Any idea of how my finger will feel later that day? I am a

professional

> juggler and I have a show at 7pm Thursday night. Will there be any

side

> effects I need to worry about?

>

>

> Thanks for any input.

> Please cc your messages to my email account

> michael@p...

>

> Thanks again,

>

>

> www.michaelrosman.com

[Guest guest]

> I posted a question about this a few months ago. But now it is

the decision

> time.

>

>

> I am scheduled for an appointment later this week to most likely

get a shot

> in my middle finger.

>

> I have been off the NSAID piroxicam (aka Feldene) for a few years

now since

> starting Dr. Pagano's diet. For at least 2 years just doing the

diet was

> good enough. But I cheated a lot over the last Christmas Holiday

season and

> have had swelling in my middle finger since. I got pretty serious

with the

> diet, and even did 3 months of Pixoicam again, but the swelling

won't go

> away.

>

> I am thinking about getting a shot to try to knock the swelling

out once and

> for all. What do I need to know before I go in Thursday morning?

>

> I heard that the shot can be good for 6 months or so. True?

>

> I heard that my Psoriasis could get worse from the shot? or when

the shot

> wears off. Likely?

>

> Are there a bunch of choices for the type of shot? I assume it is

some kind

> of stertiod.

> I think I heard there is two ways to deliver the shot...one is

much better.

> Anyone know what I refering to?

>

> Any idea of how my finger will feel later that day? I am a

professional

> juggler and I have a show at 7pm Thursday night. Will there be

any side

> effects I need to worry about?

>

>

> Thanks for any input.

> Please cc your messages to my email account

> michael@p...

>

> Thanks again,

>

>

> www.michaelrosman.com

[Guest guest]

> I posted a question about this a few months ago. But now it is

the decision

> time.

>

>

> I am scheduled for an appointment later this week to most likely

get a shot

> in my middle finger.

>

> I have been off the NSAID piroxicam (aka Feldene) for a few years

now since

> starting Dr. Pagano's diet. For at least 2 years just doing the

diet was

> good enough. But I cheated a lot over the last Christmas Holiday

season and

> have had swelling in my middle finger since. I got pretty serious

with the

> diet, and even did 3 months of Pixoicam again, but the swelling

won't go

> away.

>

> I am thinking about getting a shot to try to knock the swelling

out once and

> for all. What do I need to know before I go in Thursday morning?

>

> I heard that the shot can be good for 6 months or so. True?

>

> I heard that my Psoriasis could get worse from the shot? or when

the shot

> wears off. Likely?

>

> Are there a bunch of choices for the type of shot? I assume it is

some kind

> of stertiod.

> I think I heard there is two ways to deliver the shot...one is

much better.

> Anyone know what I refering to?

>

> Any idea of how my finger will feel later that day? I am a

professional

> juggler and I have a show at 7pm Thursday night. Will there be

any side

> effects I need to worry about?

>

>

> Thanks for any input.

> Please cc your messages to my email account

> michael@p...

>

> Thanks again,

>

>

> www.michaelrosman.com

[Guest guest]

> I posted a question about this a few months ago. But now it is

the decision

> time.

>

>

> I am scheduled for an appointment later this week to most likely

get a shot

> in my middle finger.

>

> I have been off the NSAID piroxicam (aka Feldene) for a few years

now since

> starting Dr. Pagano's diet. For at least 2 years just doing the

diet was

> good enough. But I cheated a lot over the last Christmas Holiday

season and

> have had swelling in my middle finger since. I got pretty serious

with the

> diet, and even did 3 months of Pixoicam again, but the swelling

won't go

> away.

>

> I am thinking about getting a shot to try to knock the swelling

out once and

> for all. What do I need to know before I go in Thursday morning?

>

> I heard that the shot can be good for 6 months or so. True?

>

> I heard that my Psoriasis could get worse from the shot? or when

the shot

> wears off. Likely?

>

> Are there a bunch of choices for the type of shot? I assume it is

some kind

> of stertiod.

> I think I heard there is two ways to deliver the shot...one is

much better.

> Anyone know what I refering to?

>

> Any idea of how my finger will feel later that day? I am a

professional

> juggler and I have a show at 7pm Thursday night. Will there be

any side

> effects I need to worry about?

>

>

> Thanks for any input.

> Please cc your messages to my email account

> michael@p...

>

> Thanks again,

>

>

> www.michaelrosman.com

[Guest guest]

Hi ,

I have never experienced a worsening of psoriasis symptoms from

cortisone injections. The shots usually last much longer than 6

months (up to five years and counting) and Kenalog has been the best

brand for me.

I provided the following response on this topic last month:

I have been using Kenalog (cortisone shots) for the last 5 years or

so years -- usually injected in a finger or toe, but have also had a

shot once in my shoulder and twice in my wrist.

It seems to work really well in the small joints and not so well in

the larger ones. I have experienced no harm that I can see or feel

from these shots, although repeated injections in the same joint are

apparently not advisable (i.e., can cause tissue or joint damage)

and long term use of cortisone has undesirable systemic effects

(e.g. osteoporosis, diabetes, glaucoma). My rheumy says the shots I

have been given every 3 to 6 months are much less harmful than

taking ongoing oral prednisone or a stronger DMARD such as MTX on a

regular basis.

Over these last 5 years, almost all of my fingers and a few toes

have been injected with great and long-lasting success. Usually one

cortisone shot is all that is necessary-- especially if I catch the

flare early (ocassionally 2 shots in the same spot have been

necessary). The flare usually never returns in the same spot (the

PA seems to rove around, looking for a new spot to attack every 3 to

6 months).

In the begining, the injections were primarily for inflamed

tendons/trigger fingers. The first time that I had a trigger finger

I let it go for too long, which resulted in a build up of scar

tissue and I needed an operation to make the finger bend again. I

now believe that it's a bad idea to let a joint or tendon remain

inflamed for too long because permanent damage can result.

With subsequent trigger fingers, the doctors realized that cortisone

injections work wonders for me in my fingers and toes. This has

worked not only for trigger fingers, but also for 2 sausage digits.

As I mentioned, I've had less success with injections in my wrist

and shoulder.

The cortisone shots I use are called Triamcinolone (brand name

Kenalog) approx 5 mgs/mls per shot. (I tried a different brand of

cortisone injection twice, which also worked, but caused the

surrounding tissues to feel very sore for a few weeks).

After I posted the above, I received the following question:

" Q for sjssjs0000:Are you saying that the shots lasted 3-6 months

for you?That is great?Have you noticed anything that triggers your

flares? "

My answer was:

Actually the " cure " that results from the

cortisone shots seem almost permanent (e.g. many fingers that

were " cured " years ago have never flared again). Once I have a

shot (or two) in a finger, it usually " cures " the finger in the

sense that the swelling goes away and it feels absolutely fine (with

a few exceptions, only one shot has been necessary per finger). Of

course the PA isn't cured and it usually attacks a different finger

or toe within 3 or 6 months. Every single finger has been affected

at one time over the last 5 years.

Sharon

> I posted a question about this a few months ago. But now it is

the decision

> time.

>

>

> I am scheduled for an appointment later this week to most likely

get a shot

> in my middle finger.

>

> I have been off the NSAID piroxicam (aka Feldene) for a few years

now since

> starting Dr. Pagano's diet. For at least 2 years just doing the

diet was

> good enough. But I cheated a lot over the last Christmas Holiday

season and

> have had swelling in my middle finger since. I got pretty serious

with the

> diet, and even did 3 months of Pixoicam again, but the swelling

won't go

> away.

>

> I am thinking about getting a shot to try to knock the swelling

out once and

> for all. What do I need to know before I go in Thursday morning?

>

> I heard that the shot can be good for 6 months or so. True?

>

> I heard that my Psoriasis could get worse from the shot? or when

the shot

> wears off. Likely?

>

> Are there a bunch of choices for the type of shot? I assume it is

some kind

> of stertiod.

> I think I heard there is two ways to deliver the shot...one is

much better.

> Anyone know what I refering to?

>

> Any idea of how my finger will feel later that day? I am a

professional

> juggler and I have a show at 7pm Thursday night. Will there be

any side

> effects I need to worry about?

>

>

> Thanks for any input.

> Please cc your messages to my email account

> michael@p...

>

> Thanks again,

>

>

> www.michaelrosman.com

[Guest guest]

In a message dated 9/18/2003 12:04:00 AM Eastern Daylight Time,

goat_46804@... writes:

> One shot of cortozone and tanning beds cleared up my psoriasis completely

Although Enbrel did not help my PA, it did take away the plaque psoriasis I

have. Now it is all coming back. Where did you have the P and have long did

the tanning beds take to work?

Janet

[Guest guest]

One shot of cortozone and tanning beds cleared up my psoriasis completely;

but i am hesitant to take much more cortozone because of long term effects.

>From: " sjssjs0000 " <sjssjs00@...>

>Reply-

>

>Subject: [ ] Re: getting a shot in the joint

>Date: Tue, 16 Sep 2003 21:50:53 -0000

>

>Hi ,

>

>I have never experienced a worsening of psoriasis symptoms from

>cortisone injections. The shots usually last much longer than 6

>months (up to five years and counting) and Kenalog has been the best

>brand for me.

>

>I provided the following response on this topic last month:

>

>I have been using Kenalog (cortisone shots) for the last 5 years or

>so years -- usually injected in a finger or toe, but have also had a

>shot once in my shoulder and twice in my wrist.

>

>It seems to work really well in the small joints and not so well in

>the larger ones. I have experienced no harm that I can see or feel

>from these shots, although repeated injections in the same joint are

>apparently not advisable (i.e., can cause tissue or joint damage)

>and long term use of cortisone has undesirable systemic effects

>(e.g. osteoporosis, diabetes, glaucoma). My rheumy says the shots I

>have been given every 3 to 6 months are much less harmful than

>taking ongoing oral prednisone or a stronger DMARD such as MTX on a

>regular basis.

>

>Over these last 5 years, almost all of my fingers and a few toes

>have been injected with great and long-lasting success. Usually one

>cortisone shot is all that is necessary-- especially if I catch the

>flare early (ocassionally 2 shots in the same spot have been

>necessary). The flare usually never returns in the same spot (the

>PA seems to rove around, looking for a new spot to attack every 3 to

>6 months).

>

>In the begining, the injections were primarily for inflamed

>tendons/trigger fingers. The first time that I had a trigger finger

>I let it go for too long, which resulted in a build up of scar

>tissue and I needed an operation to make the finger bend again. I

>now believe that it's a bad idea to let a joint or tendon remain

>inflamed for too long because permanent damage can result.

>

>With subsequent trigger fingers, the doctors realized that cortisone

>injections work wonders for me in my fingers and toes. This has

>worked not only for trigger fingers, but also for 2 sausage digits.

>As I mentioned, I've had less success with injections in my wrist

>and shoulder.

>

>The cortisone shots I use are called Triamcinolone (brand name

>Kenalog) approx 5 mgs/mls per shot. (I tried a different brand of

>cortisone injection twice, which also worked, but caused the

>surrounding tissues to feel very sore for a few weeks).

>After I posted the above, I received the following question:

> " Q for sjssjs0000:Are you saying that the shots lasted 3-6 months

>for you?That is great?Have you noticed anything that triggers your

>flares? "

>

>My answer was:

>Actually the " cure " that results from the

>cortisone shots seem almost permanent (e.g. many fingers that

>were " cured " years ago have never flared again). Once I have a

>shot (or two) in a finger, it usually " cures " the finger in the

>sense that the swelling goes away and it feels absolutely fine (with

>a few exceptions, only one shot has been necessary per finger). Of

>course the PA isn't cured and it usually attacks a different finger

>or toe within 3 or 6 months. Every single finger has been affected

>at one time over the last 5 years.

>

>Sharon

>

>

> > I posted a question about this a few months ago. But now it is

>the decision

> > time.

> >

> >

> > I am scheduled for an appointment later this week to most likely

>get a shot

> > in my middle finger.

> >

> > I have been off the NSAID piroxicam (aka Feldene) for a few years

>now since

> > starting Dr. Pagano's diet. For at least 2 years just doing the

>diet was

> > good enough. But I cheated a lot over the last Christmas Holiday

>season and

> > have had swelling in my middle finger since. I got pretty serious

>with the

> > diet, and even did 3 months of Pixoicam again, but the swelling

>won't go

> > away.

> >

> > I am thinking about getting a shot to try to knock the swelling

>out once and

> > for all. What do I need to know before I go in Thursday morning?

> >

> > I heard that the shot can be good for 6 months or so. True?

> >

> > I heard that my Psoriasis could get worse from the shot? or when

>the shot

> > wears off. Likely?

> >

> > Are there a bunch of choices for the type of shot? I assume it is

>some kind

> > of stertiod.

> > I think I heard there is two ways to deliver the shot...one is

>much better.

> > Anyone know what I refering to?

> >

> > Any idea of how my finger will feel later that day? I am a

>professional

> > juggler and I have a show at 7pm Thursday night. Will there be

>any side

> > effects I need to worry about?

> >

> >

> > Thanks for any input.

> > Please cc your messages to my email account

> > michael@p...

> >

> > Thanks again,

> >

> >

> > www.michaelrosman.com

>

>

_________________________________________________________________

Try MSN Messenger 6.0 with integrated webcam functionality!

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[Guest guest]

I think this message was meant for the group or for , who

posted the original question about shots (it came to my personal e-

mail address):

good morning

my name is kevin i have had pa for 12 years. i have had no less

than 20 shots in my fingers. the only thing i can tell you is that

it hurts like hell (for a second or two) but it works fantastic. i

had one finger that was twisted and it strightened right out and has

been perfect ever since. other times the effects have lasted for a

shorter period but always a positive outcome.

hope this helps

good luck

kevin

> > I posted a question about this a few months ago. But now it is

> the decision

> > time.

> >

> >

> > I am scheduled for an appointment later this week to most likely

> get a shot

> > in my middle finger.

> >

> > I have been off the NSAID piroxicam (aka Feldene) for a few

years

> now since

> > starting Dr. Pagano's diet. For at least 2 years just doing the

> diet was

> > good enough. But I cheated a lot over the last Christmas

Holiday

> season and

> > have had swelling in my middle finger since. I got pretty

serious

> with the

> > diet, and even did 3 months of Pixoicam again, but the swelling

> won't go

> > away.

> >

> > I am thinking about getting a shot to try to knock the swelling

> out once and

> > for all. What do I need to know before I go in Thursday morning?

> >

> > I heard that the shot can be good for 6 months or so. True?

> >

> > I heard that my Psoriasis could get worse from the shot? or

when

> the shot

> > wears off. Likely?

> >

> > Are there a bunch of choices for the type of shot? I assume it

is

> some kind

> > of stertiod.

> > I think I heard there is two ways to deliver the shot...one is

> much better.

> > Anyone know what I refering to?

> >

> > Any idea of how my finger will feel later that day? I am a

> professional

> > juggler and I have a show at 7pm Thursday night. Will there be

> any side

> > effects I need to worry about?

> >

> >

> > Thanks for any input.

> > Please cc your messages to my email account

> > michael@p...

> >

> > Thanks again,

> >

> >

> > www.michaelrosman.com

[Guest guest]

Re: the hip injections you recentlly had done. What was it that the

radiologist injected and why did it take so long?(45 min) The reason I ask is

that I

recently had an injection of a steroid into my hip and it was done by my

rheumatologist right in his office. It hurt like the dickens and I am not quite

sure that it worked very well. Thanks for any info. Peggy B.

[Guest guest]

I have had the psoriasis since i was eight. Tanning beds work different for

differnet people-- one person i talked to said they made hers worse. I

started seeing results after going for 20 minutes a time 3times a week. I

have psoriasis on my scalp and knees and very badly on my elbows.

>From: fam24@...

>Reply-

>

>Subject: Re: [ ] Re: getting a shot in the joint

>Date: Thu, 18 Sep 2003 01:24:35 EDT

>

>In a message dated 9/18/2003 12:04:00 AM Eastern Daylight Time,

>goat_46804@... writes:

>

> > One shot of cortozone and tanning beds cleared up my psoriasis

>completely

>

>

>Although Enbrel did not help my PA, it did take away the plaque psoriasis I

>have. Now it is all coming back. Where did you have the P and have long

>did

>the tanning beds take to work?

>Janet

>

>

>