Steroid injection question

Posted , 10 users are following.

Hi everyone

I haven't got pmr, at least I was told that about a year ago by a rhuematologist. I was told I had osteoarthritis in my neck and spine. I'm 58.

Seven months ago I had a steroid injection in my right shoulder for tendonitis. The pain is back, along with neck pain and many other symptoms, headaches, dizziness, anxiety included. I also reduced my Citalopram dose 10 months ago because I take so many pain killers and I know I have been getting withdrawal symptoms from that.

My question is, can you get withdrawal symptoms after a steroid injection has stopped working? My withdrawal symptoms from citalopram seem to have become worse since my shoulder pain came back, hence the reason for the question. I hope it's not a ridiculous question.

I hope you don't mind me gate crashing your forum, I've asked this question on others too, but I'm desperately looking for answers about the way I feel and I'm hoping someone knows the answer to this. Thank you.

0 likes, 10 replies

10 Replies

  • Posted

    If you reduced your citalopram 10 months ago and havent changed the dose since, you shouldnt be having withdrawal symptoms now, chances are that the anxiety has increased since the pain has increased again. You should probably check with the doctor about increasing the dose again

  • Posted

    No to having withdrawals from a steroid injection 7 months ago. They are only meant to get rid of inflammation short term & unless you got the injections on a regular basis you would not have withdrawals. If you took pills everyday for 2 years like me you would have trouble going down even 1 mg.at a time. I hope you feel better. I hate the horrible side affects that I get from long term steroids like loosing 95% of my long thick hair, having surgery & the stitches go right through my insides so I had to have micro surgery from the outside to stitch me up from the outside in, getting up from my chair & taking one step & having half of my calf muscle tear off the bone,& gaining 55 lbs. even though I eat like a bird. The good thing is that I can walk again thanks to Prednisone.

  • Posted

    You really need to talk with a psychiatrist about your antidepressant. They are so much more knowledgeable about that then a regular doctor does. I understand how you feel. I've dealt with a lot of chronic back pain for 13 years. My neck is also as bad as my lower back. Being in constant pain is depressing for anyone. I am available to talk anytime. Just seems me a private message. I know a lot about chronic pain.

  • Posted

    Thank you all for taking the time to reply and answering my question. I am probably still having withdrawal because I have all the classic symptoms, brain zaps, insomnia, tension headaches etc etc and as sfazal said, my anxiety has probably increased because the pain is back. I was on citalopram for several years before I started weaning off 10 months ago, reduced my last dose about 7 months ago. It's a long process and takes years for some.

    I'm so sorry for all of your pain, pmr sounds horrific. I hope you all find comfort and peace in your journey. Will be thinking of you.

  • Edited

    You might try meditation to help deal with pain and the anxiety that comes with it. Headspace is a good site that has a series of meditations designed to help people deal with chronic pain. After a few months of doing this every day, I'm still not great at it, but it has helped me some. I've managed to meditate pain away several times, including osteoarthritis pain, myofascial pain, and migraines. It comes back after a while, but I have gotten some temporary relief.

    • Posted

      Thank you, I will look that up. I'm glad that you have found something that works for you.

  • Posted

    Out of interest, what effect did that injection have on the other pains you had? A lot of people are told they have a shoulder problem - but it is often the beginning of PMR or due to the PMR itself. Then they realise the other pain went when they had the steroid injection.

    I was told by a specialist that I had OA that was causing my back pain - no it wasn't. it was entirely muscular, something called myofascial pain syndrome which is more common in patients with PMR ! Try a second opinion and see what they think.

    It is unlikely you would get steroid withdrawal after a single steroid injection as the level of steroid in your body wasn't very high to start with and it then falls slowly over time until there is none present in your body. Steroid withdrawal is your body protesting about a sudden change in dose - that shouldn't have happened for you.

    Whilst I agree with all the other responses - I'd like to know more about the neck pain and headache too. Because I think it is still possible that some of your symptoms could be PMR, there is no reason why not.

    • Posted

      Hi Eileen

      Thank you for replying.

      After I had the injection I felt a rush to my head and I felt unwell for several weeks, dizziness, headaches, tiredness and just generally unwell. I swore I would never have another. The shoulder pain went away after about 5 days but not entirely, there was always a niggle.

      Prior to that I had an xray on my shoulder, no osteoarthritis. I was put through a range of arm movements before the injection and after. My arm movements were back to normal when I saw the physio 3 weeks after the injection. The two physios I saw said it was tendonitis and very common. I was also reducing citalopram at the time so I guess that didn't help either.

      My neck ache, stiffness has always been there, I saw a rhuematolgist for that over a year ago and had a neck and spine xray which showed osteoarthritis. Physio didn't help.

      The problem is, my neck pain could be arthritis or anxiety related. I have noticed it has become worse since my shoulder pain came back. It started up again after I went mad one day and cleaned all my windows inside and out so I stretched a lot. I've also changed my kitchen and I have cupboard doors that open from top to bottom rather than from left to right and my physio said this could be causing me problems.

      Since reducing citalopram I have had more body aches all over, it is a withdrawal symptom. That's why I don't know what is causing what any more. I guess I won't know for sure until I level out on my current citalopram dose. Also, citalopram has analgesic affect so I could be missing that extra dose.

      I won't have another injection, that's for sure.

      Sorry if it's all a bit mumbo jumbo. Do do think there is still possibility it could be PMR? When I asked my doctor this at the outset he said no, so did my rhuematologist.

      Thank you

    • Posted

      It is always a case of finding a doctor who will consider it - when 2 say no, maybe they are right. But it is very difficult to tell.

    • Posted

      Thanks Eileen, I think I'm coming down with a cold too so that doesn't help.

      Best wishes

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