HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Took Injections Of Cortisone. Experienced A Severe Headache And A Very Red, Hot Face, Hands And Feet. Reaction?

default
Posted on Wed, 3 Apr 2013
Question: After 3 injections of cortisone in my lower back (3ml) I experienced a severe headache and a very red, hot face, hands and feet. This occurred about a week after the injections. It lasted for approx 24 hours. all seems fine now.I have angular tears in my L4/5 and L5/S1 discs. Is this a normal reaction?
doctor
Answered by Dr. Sudhir (28 minutes later)
Hello,

Thanks for the query.

Since this occurred after a week of injection, I doubt if it was really related to injection.Rare delayed reactions or side effects are known, but are quiet less common.If there is no previous history of allergies, I would suggest to get a clinical evaluation done to look for any other causes of symptoms.

Since there are no persisting symptoms, doctor is unlikely to suggest any treatment.But visiting doctor would help for future evaluation and references.Meanwhile do keep close watch on symptoms.

Hope this helps.Please ask if there are doubts.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir (50 minutes later)
This has happened after prior injections and my Doctor says that the treating Doctor may have gone through the dura and injected into the spinal fluid. Is this a possible explanation?
doctor
Answered by Dr. Sudhir (3 hours later)
Was injection given under xray guidance or blindly?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir (5 hours later)
It was given under CT guidance.
doctor
Answered by Dr. Sudhir (8 hours later)
CT guidance is still better and chances of meningeal puncture is significantly reduced.Generally doctors aspirate before injecting to know if they have accidentally reached in dura.

But if symptoms were due to dural rupture then symptoms should have been immediately after injection.So I feel this is not related to dural rupture.

Hope this helps.Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir

Internal Medicine Specialist

Practicing since :2000

Answered : 1415 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Took Injections Of Cortisone. Experienced A Severe Headache And A Very Red, Hot Face, Hands And Feet. Reaction?

Hello,

Thanks for the query.

Since this occurred after a week of injection, I doubt if it was really related to injection.Rare delayed reactions or side effects are known, but are quiet less common.If there is no previous history of allergies, I would suggest to get a clinical evaluation done to look for any other causes of symptoms.

Since there are no persisting symptoms, doctor is unlikely to suggest any treatment.But visiting doctor would help for future evaluation and references.Meanwhile do keep close watch on symptoms.

Hope this helps.Please ask if there are doubts.

Regards.