Steroid Joint Injections — Your Questions Answered

Steroid injections can be an effective way to reduce pain and inflammation in joints and soft tissues. Below you'll find clear answers to the most common questions we’re asked about the procedure. See our Steroid Injections FAQs page for even more details.

How do steroid injections work?

Steroid injections reduce inflammation in a specific area of the body. They contain a synthetic version of cortisol – a hormone naturally produced by your adrenal glands. When injected into a joint or soft tissue, the steroid calms the immune response that causes swelling, pain, and stiffness. This can help relieve symptoms and improve movement, especially in conditions like arthritis, bursitis, or tendonitis.

What conditions can be treated with steroid injections?

Steroid injections are commonly used to treat joint and soft tissue problems caused by inflammation, such as:

• Osteoarthritis (especially in knees, hips, shoulders, hands and feet)

• Frozen shoulder

• Bursitis (e.g., hip or shoulder)

• Trigger finger

• Carpal tunnel syndrome

• Plantar fasciitis and other foot pain

  
  

When aren’t steroid injections suitable?

Steroid injections may not be recommended if:

• You have an active infection

• You’ve had too many injections in the same area recently

• The pain isn’t caused by inflammation - for example, if it’s due to structural damage or joint instability

• You have certain medical conditions (like uncontrolled diabetes or a bleeding disorder)

• You're allergic to the medication or are pregnant (depending on the type of injection)

  
  

If injections aren’t suitable, we’ll explore alternatives like physiotherapy, exercise-based rehab, or other medical options.

Are there any risks or side effects?

Most people tolerate steroid injections well, but side effects can include:

• A short-lived flare-up of pain

• Skin changes at the injection site

• Raised blood sugar (especially in people with diabetes)

• Facial flushing or mood changes (less common)

• Infection (rare)

• Tendon weakening if injected too close to a tendon

• Increased deterioration in joint cartilage

  
  

  Steroid injections are very safe when performed by an experienced clinician. As a specialist doctor, I take a tailored, evidence-based approach to maximise benefits and minimise risks.

  
  

How should I prepare for the injection?

Preparation is simple:

• Wear loose, comfortable clothing

• Bring a list of medications

• Let us know about allergies, recent infections, or medical conditions

• Avoid strenuous activity after the injection

• Arrange transport if the injection may affect your ability to drive

  
  

No fasting is needed, and you’ll be fully informed and supported throughout.

What happens during the procedure?

• The area is cleaned and, if needed, numbed with a local anaesthetic

• A fine needle is used to inject the steroid (often mixed with anaesthetic)

• The procedure takes just a few minutes

• A small dressing is applied, and you can usually go home soon after

  
  

In most cases, we use ultrasound guidance to ensure the injection is delivered precisely for the best possible result.

Is the procedure painful?

Most people describe it as only mildly uncomfortable:

• You might feel a brief sting or pressure

• Discomfort usually passes quickly

• A temporary increase in pain (a "steroid flare") may occur but settles within 1–2 days

“I was nervous beforehand, but it was over so quickly — and honestly, it wasn’t as bad as I expected!” - a satisfied patient

We use techniques to keep you comfortable and talk you through every step.

What happens after the injection?

• You may feel some soreness or temporary pain

• Rest the area for 24–48 hours

• Use simple pain relief if needed

• Full effects usually appear within a few days to a week

• We'll give you clear guidance on what to expect after you've left the clinic, and will provide a convenient and quick way to contact us if you need to

  
  

We’ll follow up by phone after a week to make sure you’re recovering well.

How long does it take to work?

Some people notice relief within a day or two. Others take up to a week. The effect can last from a few weeks to several months, depending on the condition and individual response.

Can everyone receive steroid joint injections?

Many people can, but they’re not suitable for everyone. We’ll take into account:

• Your medical history

• The cause of your symptoms

• Whether there are any risks based on your health

  
  

We’ll help you weigh the pros and cons before deciding on treatment, and provide you with alternatives.

Will I need multiple injections?

Not always. One injection may be enough, but in some cases, additional injections are considered. We space these out carefully and monitor your progress.

It is important to remember that joint injections are not normally a cure, especially for arthritis, but they can be incredibly effective for long-lasting pain relief.

At Active Medicine, our goal is to support long-term recovery, not just temporary relief. Injections are part of a broader treatment strategy including movement, rehabilitation, and lifestyle changes. We don't just inject and forget about you. We really care about your ability to be active and will do all we can to support you with this.

How often can I receive steroid injections?

• Usually no more than 3–4 injections per year in the same area

• There should be at least 3 months between injections in the same joint

• The frequency depends on your symptoms, response, and overall health

  
  

We’ll always aim to use the fewest injections necessary as part of a complete recovery plan.

Are there alternatives to steroid injections?

Yes. See FAQs page for more information. Depending on your condition, alternatives may include:

• Physiotherapy

• Tailored exercise or rehab

• Anti-inflammatory medication

• Activity modification

• Other injections like hyaluronic acid or PRP

We’ll help you choose the approach that fits your goals and lifestyle.

Will my insurance cover the cost of steroid joint injections?

Insurance coverage varies. Many private health insurers cover steroid injections if they’re medically necessary. You may need:

• A referral from your GP

• Pre-authorisation

• To check if both the consultation and procedure are covered

  
  

We’re happy to provide clear pricing and detailed invoices to help with insurance claims.

Still unsure if a steroid injection is right for you?

We’re here to help. At Active Medicine, every treatment plan is led by a specialist doctor, focused on personalised care and long-term results. If a steroid injection is appropriate, it will be part of a broader plan to help you move better, feel stronger, and stay active.

See our Steroid Injection FAQs page for more detailed information.