AboutKidsHealth

 

 

Corticosteroid joint injections for JIACCorticosteroid joint injections for JIACorticosteroid joint injections for JIAEnglishRheumatologyChild (0-12 years);Teen (13-18 years)BodySkeletal systemDrug treatmentAdult (19+)NA2017-01-31T05:00:00ZJennifer Stinson RN-EC, PhD, CPNPLori Tucker, MDAdam Huber, MSc, MD, FRCPCMichael Rapoff, PhDShirley Tse, MD, FRCPCLynn Spiegel, MD, FRCPC8.0000000000000061.0000000000000459.000000000000Flat ContentHealth A-Z<p>In some cases, corticosteroids can be given as joint injections in the treatment of JIA. Find out about safety considerations and potential side effects of these injections.</p><p>If a child has JIA that does not get better with other drugs, and if only a few joints are affected, their doctor may suggest that they have corticosteroid joint injections. The corticosteroid is injected directly into the joints that are inflamed. This is also called an intra-articular injection. </p><h2>Key points</h2> <ul><li>Joint injections are used if only a few joints are affected and other drugs do not relieve symptoms.</li> <li>Joint injections have a low risk of side effects.</li> <li>A rheumatologist will give your child joint injections in the clinic or a special procedure room.</li> <li>Joint injections are given one to three times per year as needed.</li></ul>
Injections articulaires de corticostéroïdes pour l'AIJIInjections articulaires de corticostéroïdes pour l'AIJCorticosteroid joint injections for JIAFrenchRheumatologyChild (0-12 years);Teen (13-18 years)BodySkeletal systemDrug treatmentAdult (19+)NA2017-01-31T05:00:00ZJennifer Stinson RN-EC, PhD, CPNPLori Tucker, MDAdam Huber, MSc, MD, FRCPCMichael Rapoff, PhDShirley Tse, MD, FRCPCLynn Spiegel, MD, FRCPC8.0000000000000061.00000000000000Flat ContentHealth A-Z<p>Cette page décrit l'utilisation des injections articulaires de corticostéroïdes dans le traitement de l'arthrite. Ce sont des corticostéroïdes Injections directement dans l'articulation inflammée. On y donne également des conseils en matière de sécurité.</p><h2>Que sont les injections articulaires de corticostéroïdes?</h2> <p>Si aucun autre médicament ne peut soulager l'AIJ, et si seulement quelques articulations sont touchées, le médecin peut suggérer des injections articulaires de corticostéroïdes. Les corticostéroïdes sont injectés directement dans les articulations inflammées. Ces injections sont également appelées injections intra articulaires. </p><h2>À retenir</h2><ul><li>Si aucun médicament ne soulage les symptômes et si seulement quelques articulations sont touchées, les injections articulaires sont la solution qui s’impose.<br></li><li>Les injections présentent peu d’effets secondaires.</li><li>Le rhumatologue donnera ces injections à votre enfant à sa clinique ou dans une salle d’examen.</li><li>Ces injections sont administrées de une à trois fois par an selon les besoins.</li></ul>

 

 

Corticosteroid joint injections for JIA1071.00000000000Corticosteroid joint injections for JIACorticosteroid joint injections for JIACEnglishRheumatologyChild (0-12 years);Teen (13-18 years)BodySkeletal systemDrug treatmentAdult (19+)NA2017-01-31T05:00:00ZJennifer Stinson RN-EC, PhD, CPNPLori Tucker, MDAdam Huber, MSc, MD, FRCPCMichael Rapoff, PhDShirley Tse, MD, FRCPCLynn Spiegel, MD, FRCPC8.0000000000000061.0000000000000459.000000000000Flat ContentHealth A-Z<p>In some cases, corticosteroids can be given as joint injections in the treatment of JIA. Find out about safety considerations and potential side effects of these injections.</p><p>If a child has JIA that does not get better with other drugs, and if only a few joints are affected, their doctor may suggest that they have corticosteroid joint injections. The corticosteroid is injected directly into the joints that are inflamed. This is also called an intra-articular injection. </p><h2>Key points</h2> <ul><li>Joint injections are used if only a few joints are affected and other drugs do not relieve symptoms.</li> <li>Joint injections have a low risk of side effects.</li> <li>A rheumatologist will give your child joint injections in the clinic or a special procedure room.</li> <li>Joint injections are given one to three times per year as needed.</li></ul><h2>Why are corticosteroid joint injections used?</h2> <p>Joint injections are helpful because the corticosteroid can be placed right into the inflamed joint. Because the medicine is put right where it needs to be, it does not travel through the rest of the body. Therefore, it does not cause the same side effects that are seen with corticosteroids taken by mouth or IV.</p> <p>The benefits of joint injections are:</p> <ul><li>They have a low risk of side effects.</li> <li>They work quickly to control active inflammation in a joint.</li> <li>The initial improvement in your symptoms is often dramatic. It occurs within days to a week following the joint injection.</li> <li>Your joints may stay better for months or even longer.</li></ul> <h2>How are joint injections done?<br></h2> <p>The rheumatologist will carefully inject the corticosteroid medication into the joint. This procedure can be done in a variety of ways, depending on your child's needs and what the doctor thinks.</p> <span class="asset-image-title">Joint injection</span> <p>Sometimes the joint injection may be done in the clinic or in a special procedure room. Sometimes it is done in an X-ray or ultrasound room. The X-ray or ultrasound is used to make sure the joint is injected correctly.</p> <p>The doctor may use a pain medication, called a local anaesthetic, to numb the skin before the injection. Your child might need a medicine called a sedative to help them relax for the joint injection procedure. If many joints need to be injected at one time, this may be done while your child is asleep under general anaesthesia.</p> <p>To learn more about joint injections, check out the following animation.</p> <h2>Which corticosteroids are injected into joints?</h2> <p>There are three corticosteroids that are used for joint injections:</p> <table class="akh-table"> <thead> <tr> <th>Generic name</th> <th>Most common brand name</th> <th>How it is given</th> <th>How the medication comes</th> <th>Side effects</th> </tr> </thead> <tbody> <tr> <td>Triamcinolone hexacetonide</td> <td>Lederlon</td> <td>Joint injection 1-3 times per year as needed</td> <td>Injection</td> <td rowspan="3"><h3>Possible side effects</h3> <ul><li>Risk of infection in joint (unusual if proper cleaning of skin and sterile techniques utilized)</li> <li>Thinning of skin over joint injection site</li> <li>Steroids injected into joints can sometimes be seen as deposits on X-rays (does not cause symptoms of pain or affect function of joint)</li></ul></td> </tr> <tr> <td>Triamcinolone acetonide</td> <td>Kenalog</td> <td>Joint injection 1-3 times per year as needed</td> <td>Injection</td> </tr> <tr> <td>Methyl-prednisolone</td> <td>Depo-Medrol</td> <td>Joint injection 1-3 times per year as needed</td> <td>Injection</td> </tr> </tbody> </table> <h2>Important safety point about corticosteroid joint injection(s)</h2> <p>If, within 24 to 48 hours following a joint injection, your child develops fever, redness, or increasing pain over the joint injection site, take your child to the doctor immediately to ensure there is no infection in the joint.</p>Corticosteroid joint injections for JIAFalse

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.