Other risks include:

Local bleeding/Nerve damage at injection site – 1 in 10,000

Post-injection flare – 1 in 50

Local skin pallor (depigmentation) and thinning of the skin (fat atrophy)

Injection should be avoided if you have a fever or are unwell.

Caution should be taken if you have insulin-dependent diabetes, as steroid injections can raise the blood sugar, requiring frequent self-monitoring in the days following the procedure.

If you are breast feeding then this should be discussed with the clinician undertaking the procedure. In general the clinician will advise either expressing breast milk to provide baby with enough for 48 hrs, or using formula milk to cover the same time period.

If you are taking warfarin or blood-thinning medication then you should tell the clinician prior to the injection.