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Contraindications Suspected infection in the joint Cellulitis Immunosuppression Allergy to local anaesthetic or steroids Joint replacement (relative) Side effects are rare Side Effects Risk of infection is low ( about 1 in 5000) Skin discoloration Fat necrosis Flare up of symptoms for a day or two Rise in sugar levels in diabetics- need to monitor levels carefully for about two days Technique The choice of steroid varies

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Skipping Sterile Procedure: Forgetting to wipe the stoppers or using a non-sterile syringe is an open invitation for bacteria

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one that's too acidic may sting or cause sensitivity

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Not bouncing back

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Sep 2022;31(3):567-578

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Behavioral Effects: Mitigates pain, reduces anxiety, and improves stress response in experimental models

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