Following your consultation at LBSM, you may have been referred for an injection treatment.
This guide takes you through the frequently asked questions about steroid Injections during the COVID-19 pandemic.
Before you have your injection, you will have a further opportunity to ask any further questions at the appointment.
Please feel free to contact us if you have any queries about anything to do with the process of having your injection.
Key summary points about your injection and COVID-19
- Steroid injections given during the COVID-19 pandemic do not pose any additional risks
- When delivering steroid injections there must be clear indications and clinical reasoning
- If you are unwell you may not be able to receive a steroid injection
- If you are due a COVID–19 vaccination (or any other vaccination), you may not be able to receive a steroid injection
- What is the NHS guidance?
- Do I need to self-isolate after a steroid injection?
- Am I more likely to catch Coronavirus after a steroid injection?
- If I catch Coronavirus after a steroid injection, will it be worse?
- Will a steroid injection affect how well my COVID vaccine will work?
- Is it safe to have a COVID vaccine whilst on steroid treatment?
- Other points to consider
1. What is the NHS guidance?
During the COVID-19 pandemic the NHS has recommended that a corticosteroid injection should only be considered when necessary, for example when patients have:
- High levels of pain and disability
- Other measures, such as pain killers and exercises, have not worked
- If the pain continues it is likely to have a negative effect on the health and well-being of the patient
Importantly, in all cases, informed consent must be obtained prior to the procedure.
2. Do I need to self-isolate after a steroid injection?
You do not need to routinely self-isolate after the injection. You should pay particular attention to all of the normal measures advised to avoid catching Coronavirus in the days before the injection and after it (‘hands, face and space’) – this includes careful hand hygiene, wearing masks, and social distancing.
3. Am I more likely to catch Coronavirus after a steroid injection?
The most important thing you can do to protect yourself from coronavirus is follow government guidance on ‘hands, face and space’. We use a low dose of steroid for joint or soft tissue injections and whilst there is a potential for a very small amount of the injected steroid being taken up by your body into the bloodstream, there is no evidence that this has any actual effect on you catching Coronavirus.
4. If I catch Coronavirus after a steroid injection, will it be worse?
There is no current evidence to support this. The dose of steroid used for joint or soft tissue injections is low and does not put you into a high-risk group.
5. Will a steroid injection affect how well my COVID vaccine will work?
Currently there is no evidence to suggest that a steroid injection to a joint or soft tissue will reduce the effectiveness of a COVID vaccine. For a non-essential steroid injection, it should be delayed for 2 weeks after the vaccination. This can be arranged in discussion with the clinician planning the injection.
6. Is it safe to have a COVID vaccine whilst on steroid treatment?
Yes, it is safe to have a COVID vaccine whilst on steroid treatment or if immunosuppressed.
7. Other points to consider
Steroid Injection should be postponed if you are experiencing Coronavirus symptoms (or any other viral illness such as flu) at the time of your planned appointment (please contact the LBSM team if this occurs).
If you have other risk factors that make you particularly vulnerable for Coronavirus infection, it will be important to discuss carefully the risks and benefits of the injection with your referring clinician.
If you have any questions about your injection treatment and COVID-19, please do not hesitate to contact us.