Pain Scale Score
Name……………………………………………………………………..
DOB ……………………………
Date InjectionAdministered…………………………………………..
PAIN SCORE
To help gauge how effective your treatment was today and
indicate what further treatment may be required please take the
time to complete the following questionnaire and bring it with you
to your next appointment.
Prior to the injection you were given today how would you rate
the pain in your affected shoulder? (Please circle the number that
best describes the pain)
1 Hour following treatment how would you rate
the pain in your affected shoulder?
1 Week following treatment how would you rate
the pain in your affected shoulder?
4 Weeks following treatment how would you rate
the pain in your affected shoulder?
Thank you
Patient information for Steroid Injections
Steroids are used to reduce inflammation which may be caused due
to variety of diseases.
They are not specifically an analgesic, but work to reduce
inflammation in a localized region and therefore hopefully reducing
pain in the area.
The steroid is given via injection in a specific area affected
by the pain.
These injections can reduce or even fully relieve any pain. The
analgesic effect varies between patients and often more than one
injection may be required.
It is a relatively safe medication that, is either administered
by a Doctor in their rooms, or, can be administered under guidance
during ultrasound.
The medication is mixed with local anaesthetic and injected into
the area where pain is experienced.
Side effects of the medication are uncommon but can include;
local bleeding from a broken vessels in the skin or muscle,
soreness at the injection site, aggravation of inflammation of the
injected site because of reaction to the corticosteroid
medication.
There is a slight risk of infection but is very rare.
If you have diabetes, the steroid injection can elevate your
blood sugar level.
If you have an active infection, steroid injections are not
recommended as they can suppress the body's natural ability to
fight infection.
Steroid injections are generally not recommended for people with
blood clotting disorders.
All patients administered steroids should fill out the attached
form and return at next visit.
List all patient information...