Trigger point and Steroid Injections

Steroid Injection – Joint, Tendon,
or Trigger point After Treatment Guide

For further information and reference:


  • You may have 4-5 hours of pain relief with the local anesthetic (Bupivacaine) but the steroid (Kenalog; triamcinolone) can take 3-4 days to take effect. Sometimes the “full effect” can take up to 7-10 days.

Try to Avoid:

  • Anti-inflammatories (known as NSAIDs) topically and orally for 2 days following the treatment. This includes Ibuprofen (Advil), Naproxen (Aleve), Celecoxib (Celebrex), Meloxicam (Mobic), Arnica, CBD, etc.

May Use:

  • Over the counter antiinflammatories or analgesics as needed (Tylenol ES 1-2 tabs 3x/day, lidocaine topically)


  • Week one – light use of limb affected. No restriction on activity using unaffected limb
  • This will be discussed more fully on an individual basis.

Possible short term side effects:

  • Mild facial flushing, hyperactivity, difficulty sleeping, increased appetite for sugar and carbohydrates, and mood swings may occur. Rarely, breakthrough menstrual bleeding may occur.

Call office if experiencing the following:

  • Redness, swelling, increased temperature around area injected
  • Numbness, tingling, or burning in limb injected
  • Fever (over 99.9F), repeated chills

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