A Guide to Post-Injection Muscular PainThere are currently 1 users browsing this thread. Your testes are like a Diesel engine. They like to keep running. You should take it throughout the cycle. If you missed the beginning, just start now. Sent from my iPhone using Tapatalk.
Post-Injection Pain - A Guide to intramuscular (IM) Injection Soreness
By redman , July 17, in Steroid and Testosterone information. The causes and when to worry. Time after time I hear of people experiencing injection pain with both UGL and pharma grade gear. IMO there are 3 causes of injection pain. This is probably the most likely cause of post injection pain and the least serious. Tissue irritation is likely to start hours after injection, pain can be mild to moderate depending on the level of tissue irritation and the volume injected.
The injection site is likely to swell within the muscle, maybe red and likely to be warm and very firm to the touch. The pain and swelling will start to fade after 72 hours and can last over a week in the worst cases. The most likely causes of tissue irritation are: The hormone crashes out of the solution in the depot.
A reaction to the acid compounds within the ester. With the metabolic breakdown of the ester attached to the hormone free form acids are released which can cause the muscle tissue rapid irritation at the injection site — this is most common with propionic acid of the propionate ester. Poor quality raw materials also liberate more freeform acids. If too much benzyl Alcohol is used to formulate the solution inflammation and pain may result.
Pharma grade usually contains 0. This is most common with injection into the quads vastus lateralis. The pain travels down toward the knee. This may however be in part due to lymphatic drainage and leads me nicely to my next point. Ice and ibuprofen may help with the swelling. Hot baths, showers and massage of the injection site may help to distribute the injection and reduce pain. Hitting the lymphatic system is very rare. The lymphatic system is as vast as the circulatory system but the standard injection sights Glute, ventro-glute, medial delts and vastus lateralis are generally void of lymphatic nodes.
If a lymph node is hit with an injection pain is likely to be severe and edema vast. The swelling will come on very fast and be extensive. This is most noticeable with a vastus lateralis shot where the swelling tracks down toward the back of the knee. Unlike the edema experienced with tissue irritation within the muscle only the edema with a lymphatic puncture will be both inter and intra-muscular with a moderate amount of swelling just underneath the skin giving it a softer puffy feel.
This can be tested for by pressing the swollen area with your finger, if in indent remains you have a more systematic edema and more than just local tissue irreation. Ice and ibuprofen may help. The affected area must be rested and the patient can expect pain and swelling to start to disperse after 72 hours and last at least 10 days. The painful area must not be massaged. So now to the most serious reason for injection pain. An infection will start in the same manner as tissue irritation with local pain and swelling, with heat and redness around the muscle.
The major difference is that after 72 hours tissue irritation should start to subside, if the area is indeed infected this pain and swelling will get worse. The swelling will change in nature becoming more systematic and edema will start to form under the skin becoming softer and more spongy as described with a lymphatic puncture.
There are many reasons why an infection can manifest, below are some of the most common examples. Correct, and sterile injection technique is a must. You must make sure the injection site and rubber stopper is clean and swabbed with an alcohol wipe. Also the moisture from the alcohol swab must be allowed to dry before preparing to inject.
It is extremely rare but if the alcohol is not allowed to dry the bacterium has not been allowed adequate time to be killed off. You should always use a clean and new syringe barrel and pin and not allow the pin to touch anything before you inject. Injecting too quickly can increase the risk of infection as this in turn increases injection trauma. Not rotating injection sites. The risk of infection is massively increased if the same injection site is used over and over again without giving it time to recover.
The more an injury injection trauma is irritated re-injected the more likely it is to become infected. IMO this is probably the least common cause of infection with oil based injections I cannot say the same for water based injections. This is a no brainer really. Use a reputable UGL or pharma and avoid water based suspensions.
What to do in the case of an infection. So the pain and swelling has not subsided and the edema is pitting and moving outside the confides of the muscle fascia after 72 hours. With an infection the body is attempting to contain the bacterium and prevent it from reaching the circulatory system by forming a cyst. This is essential to prevent blood poisoning.
The quicker you start treatment the better chance you have of preventing the cyst growing and leaving a nice big hole in the muscle. The problem here is that the bacterium and infection is contained within a cyst which makes it very difficult for the anti-biotics penetrate. After days of pain and after starting the anti-biotics. Take a syringe barrel at least 1ml larger than the injected volume and a very large gauge pin 18 gauge is ideal.
This may hurt but the after effects are well worth it. Directly over the injection site the abscess will be the most swollen part, maybe discolored and will be spongy to touch.
Swab the area very well and slowly penetrate the 18g pin directly into the abscess. Keep pushing the pin in and gentaly aspirating every few millimeters until you hit the cyst. Slowly aspirate the cyst. You should be able to draw out the initial volume injected and then some blood and puss. You can expect to drain out 3ml from a 2ml injection days post injection.
This will give your immune system and the anti-biotics the best chance of fighting the infection. Always complete the course of anti-biotics even if the symptoms and swelling subside.
I once had a minor abbess probably most likely due to poor injection technique. From that day on I have always had impeccable injection technique. I also suggest having a few 18g pins on standby and anti-biotics in place if this is possible for you.
Excellent info mate, I am going to stick it, as those questions get asked quite a lot,. Yes the hormone will stll work. The only case in which it wont is when a cyst forms and you aspirate the cyst. I personally have always pinned after showering and never swabbed. IMO the problems arise with not injecting but the prep before and guys using the same needle that they have drawn out with or as you say not cleaning the multi vial top.
Swabs remove skin oil and may wipe them away but not necessarily kill them. Good point I always swap pins. I Draw with a 23g and pin with a g. I should edit that it. I pretty much agree, swabbing will clean the area and kill a small amount of bacterium, the other bacterium left on your skin are really nothing to worry about though, Even the BA in gear takes a week to kill all bacterium present in the solution.
Note for homebrewers be patient, wait a week. However I know this is very rare ALWAYS let the alcohol dry on the stopper and injection sight as mentioned in the post regarding superbugs. Now i know what happened to my leg last week then after I done my quad shot. Systematic Edema, good to put a name to it. It seemed ok but after a day, my thigh is in pain from teh top of my knee to just above the injection site, causing me to limp.
I also injected for the first time in my thigh yesterday. The spot where i injected is fine but right above my knee cap is where all my pain is. My next spot will definately be my ass again lol. Im an NHS professional and i can tell you now alcohol swabs alone do not kill off all bacteria present on the skin, in part mainly due to resistancies of new, stronger strains. In NHS establishments we now use chlorhexidine AND alcohol based swabs to remove all bacteria present from the surface of the skin before injecting any drug, even when sampling blood we must prepare the skin with these new and far more effective swabs.
In clinical trials the chemicals seem to work far more effectively together than alone. Site preparation is taken very seriously to prevent any possibility of infection, and re-using a needle is a disciplinary offence, basically its a sure fire way to get an infection and possibly something more serious. Back to the original post, excellent although im not sure advocating mini self operations such as aspirations is a good idea but i guess its up to the individual. Just remember the three signs of infection All three together are a Prepare the site properly with an adequate solution, rotate the site frequently, re sheath the needle after drawing up the solution and NEVER re -use a needle.
Follow these simple steps as we do in the NHS and you will dramatically reduce your risk of a more serious pain in the ass.
As for self aspiration I am a huge advocate as the vast majority of GPs will just use anti-Bs which often fail due the lack of permeability of the cyst. I would rather have a small hole than a cut and drain. They just sell standard iso alcohol wipes mate, I wnt the one mentioned in the post if at all possible. You need to be a member in order to leave a comment. Sign up for a new account in our community.