Warning complications of direct injection into the joint

Despite being warned of possible complications when injecting drugs directly into joints, many people still choose this method to quickly get rid of pain. Besides the lucky patients without complications, there are many cases with severe consequences.

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Treatment of pain by injecting medicine into the joints is a lot of patients’ choice because of its effectiveness, quickness, and low cost. This is a needle therapy that injects medication into the joint joint or edge-adjacent software to localize certain inflammatory joint conditions locally.

Complications from injecting drugs into joints

Through the “tips” from some “experienced” people, patients are ready to go to clinics, medical facilities and recommend injections without regard to warnings from doctors and experts. Many of them have to take back the serious consequences of their choice.

The most recent case on May 14, Mrs. B.N.N (60 years old, in An Giang) had to go to the hospital for a serious infection due to an injection of arthritis pain medication. Hospitalized patients with high fever, swollen knee joints, kidney failure, systemic infection, bedridden.

Reportedly, Ms. N suffered from knee pain for 2 years, treated and used many different methods but the disease did not decrease. Hearing joint consultation, she saw that the first injection was effective and markedly reduced pain. However, two days after the second injection, her right joint was swollen, red and hot, in severe pain, bedridden and taken to Medical University Hospital.

The patient was diagnosed with osteoarthritis, inflammation of the tissue around the knee and was fortunate to survive through laparoscopic surgery, removing inflammatory tissue and washing the joints continuously for 48 hours.

Similarly, Mrs. T.T.Y (59 years old, Hanoi) was also hospitalized with a completely missing knee joint. Two years earlier, she suffered from knee pain and kept applying male medicine, then injected medicine directly into the knee joint. Hospitalized patients with necrosis, loss of knee function, forced knee replacement. Doctor Viet Duc Hospital (Hanoi) has cooperated with Singaporean doctors to successfully perform the artificial knee replacement surgery for Ms. Y.

Previously, also in Hanoi, Hanoi Medical University Hospital received Mr. N.V.N (75 years old, in Thanh Tri – Hanoi). The patient was hospitalized with a fever of 38.6 degrees Celsius, shortness of breath, swollen left leg spread from thigh to lower leg.

Mr. N had a history of liver cancer one year ago, he had a node treatment once, discovered diabetes but had not been treated yet. 10 days before admission to the emergency room, the patient goes to a private clinic, where the doctor injects medicine into the knee joint. After 2 days of injection, the left knee joint does not relieve pain but becomes larger and larger.

Emergency Department doctors say this is a serious infection, possibly septicemia, the leading cause is staph bacteria. After 2 days of treatment worsening disease, patients going into respiratory failure should be intubated, mechanical ventilation, vasopressors. Mr. N received respiratory support, using three high-dose strong antibiotics, but the condition worsened, stopped circulation and died after 5 days of treatment.

Advice from the experts

Ms. Tran Thi Thu (Hanoi) shared: “My mother had knee arthritis and was treated by suction and injection into her joints but it still hurts. Before each trip, she was injected with a dose of 40mg of triamcinolone. I take my mother to have the injection every 3 months, but the more I inject, the shorter the time it takes to get the next dose and the effect is almost invisible. ”

Doan Van Hieu (Thai Binh) said: “I am 57 years old, suffering from osteoarthritis. I have used many methods such as taking painkillers, taking medicine for treatment, taking functional foods but it was not effective. I was introduced to arthritis by an acquaintance. After the first injection, I felt very good pain relief, until the next time the effect diminished and until now my illness is the same, nothing progresses!

I went online to find out that experts warn about this method so I decided to stop it.

Now I only treat at home by doing light work, not heavy lifting, climbing high, sitting and lying in science, eating lots of pork skin, sausages and using high-pressure massage.

Regarding this issue Assoc. Prof. Dr. Kieu Dinh Hung, Head of Department of Neurosurgery, Spine and Orthopedic Trauma, Hanoi Medical University Hospital responded to the press: “Patients with injections will feel better faster, Certainly, because the medicine comes directly into the medicine, it is very difficult to get medicine through the joints. However, the injection only works immediately, but in the long run, the joint is more damaged, so I recommend not injecting … “.

Answering the press, BS. Tran Trong Thien (former doctor of Internal Medicine, Central Military Hospital 108) said:

The injection of analgesics directly into the joints has certain benefits, such as after the reduction of swelling and joint pain symptoms, which helps to improve the movement of patients in a short time.

Injections of arthritis are effective in the treatment of arthropathy due to cytokine and protease synovitis, when corticosteroids (a painkiller) inhibit cytokines and proteases that help relieve pain quickly and may exert an effect on 4-5 months. However, not all cases of arthritis suffer from direct injection of this painkiller.

Painkillers in the treatment of joints (for example, corticosteroids) are very good at anti-inflammatory, analgesic but if not guaranteed sterile, it will cause infection and make the disease worse.

Doctors often contraindicate corticoid injection into the joint in cases of arthritis, infections, skin lesions at the injection site, joint damage due to neuropathy, osteoarthritis …

The method of injecting pain relievers when joint pain is applied in cases of chronic arthritis, gout, rheumatoid arthritis, ankylosing spondylitis …

Overuse of OA can lead to paralysis of the limbs, making the disease progression faster and worse, especially potentially life-threatening (for patients with a history of diabetes, hypertension, immunosuppression, blood diseases …).

BS. Tran Trong Thien emphasized that many patients now see the rapid effect of injection into the joint and have accepted this method of treatment. And the injection takes place at home or where sterility is not guaranteed, has unfortunate consequences. Injecting into the joints is for patients who use ineffective steroid anti-inflammatory drugs, and less effective medicines.

Dr. Thien also reminded everyone that the drug is a double-edged sword, so it will not be beneficial for you if you overuse painkillers.

Thu Thao – Tuan Anh