Kenalog and medrol

I'm a physician. Usually Kenalog injections can be avoided and oral steroids used like prednisone. The local dimpling effect may occur if the injection is too shallow, actually there is a temporary "disolving" of the subcutaneous tissue, the muscle and joints are not damaged. It is usually viewed as a "cosmetic" adverse effect. The Kenalog injections was primarily designed for joint injection and the kenalog or similar depo form stays active in the joint for a few weeks. All steroid medications can cause irritability and this is usually temporary for a few days. Steroids can cause muscle weakness- this is usually associated with high doses for prolonged use like being on prednisone for 3 or 4 months. Steroids can have an adverse effect on menstruation, but this is usually associated with chronic use. The most serious problems with the steroids result in bone weakness(osteoporosis) and serious damage to joints like the back and hip. Steroids can also result in weight gain, diabetes, high blood pressure and cataract formation. I don't think Kenalog is any different than other steroids such as Medrol or Prednisone in terms of the side effect profile. These are dangerous medications that can also be very helpful in saving lives and diminishing pain.

i had this shot last June. i would never do it again. i had insomnia and night sweats for a month. i was up every hour on the hour wiping my self dry i was dripping wet from head to toe.. i had to wear my husbands running clothes for the sweat. the sweat was making me cold with my pj's. had to sleep w/ towels.every morning i would be so depressed from not sleeping i couldn't function at work. had severe anxiety( had to go on Xanax) had hair thinning, I lost 6 lbs went down to 100lbs and I'm 5 ft. become severely anemic the doctor wanted to do a blood transfusion. i could not stop bleeding for months clots galore. this is just a short version of the problems. the drug finally stopped working after 9 months.doctor wants to give me depo medrol. i don't think so!

Even more information regarding subcutaneous atrophy and the class of drugs which Kenalog fall in to:

"Subcutaneous atrophy developed in a 36-year-old woman at the site of a triamcinolone acetonide (Kenalog) injection for subdeltoid bursitis. Occurrence of local atrophy after corticosteroid injection is relatively frequent yet unappreciated. It is more common in young women and girls who are given preparations with a lesser degree of water solubility. Although the condition is often reversible, instances of long-term disfigurement are well documented. This complication of a useful treatment method can be avoided by following a set of precautions for local injection of corticosteroids."

The above excerpt from a 1986 article in the U.S National Library of Medicine. There is also an article as far back as 1967 in the British Medical Journal (10/14/1967) that puts forward the same theory (though it is argued about in the editorial of the Journal).

Anyone who has experienced this problem should print this out and show it to their doctors. Presumably and hopefully your doctor is aware of medical journals and respects the DATA!