Corticosteroids effects can be divided into Glucocorticoid and Mineralcorticoid activity. It’s the Glucocorticoids which have the anti-inflammatory effect. In my Practice, I use Triamcinolone (Kenalog) because:-

• More flexibility in dosage
• More soluble in local anaesthetics
• Less pain after injection

However Methylprednisolone (Depomedrone) is perfectly suitable to use as well (double the dose when compared to Kenalog).

Side-Effects
Arise when:-

• Too large a dose is used
• Inappropriate drug is used
• Injections given too frequently
• Poor injection technique

Systemic Effects

• Flushing
• Menstrual irregularity
• Glucose intolerance

Local Effects

• Post injection flare (unavoidable)
• Infection
• Skin atrophy, depigmentation and discolouration, tendon  rupture (Poor technique)

Dosages
This is a summary of the dosages I use for specific joints. I also incorporate/mix some local anaesthetic, usually 0.5% Marcaine, within the syringe to make up the final volume.

Please see conditions listed in the menu above for advice on how to inject specific anatomical areas.