Pain after intramuscular injection. The buttock hurts after an injection, what to do, how to help yourself

Design and interior 30.09.2019

Design and interior

Causes of pain after an injection:

1. Infiltration is the most common complication after an injection. Most often, infiltration occurs if: a) the injection is made with a blunt needle; b) for intramuscular injection a short needle intended for intradermal or subcutaneous injection is used. Inaccurate choice of injection site, frequent injections in the same place, violation of asepsis rules are also the cause of infiltrates.

2. Abscess - purulent inflammation of soft tissues with the formation of a cavity filled with pus. The reasons for the formation of abscesses are the same as infiltrates. In this case, infection of soft tissues occurs as a result of violation of the rules of asepsis.

3. Breakage of the needle during an injection is possible when using old worn out needles, as well as with a sharp contraction of the muscles of the buttocks during an intramuscular injection, if a preliminary conversation was not held with the patient before the injection or the injection was made to the patient in a standing position.

4. Drug embolism can occur when oil solutions are injected subcutaneously or intramuscularly (oil solutions are not administered intravenously!) and the needle enters the vessel. The oil, once in the artery, will clog it, and this will lead to malnutrition of the surrounding tissues, their necrosis. Signs of necrosis: increasing pain in the injection area, swelling, redness or red-cyanotic coloration of the skin, an increase in local and general temperature. If the oil is in a vein, then with the blood flow it will enter the pulmonary vessels. Symptoms of pulmonary embolism: a sudden attack of suffocation, coughing, blue upper torso (cyanosis), chest tightness.

5. Damage to the nerve trunks can occur with intramuscular and intravenous injections, either mechanically (with the wrong choice of injection site), or chemically, when the depot of the drug is near the nerve, as well as when the vessel supplying the nerve is blocked. The severity of the complication can be different - from neuritis to limb paralysis.

6. Thrombophlebitis - inflammation of a vein with the formation of a blood clot in it - is observed with frequent venipuncture of the same vein, or when using blunt needles. Signs of thrombophlebitis are pain at the injection site, skin hyperemia and the formation of an infiltrate along the vein. The temperature may be subfebrile.

7. Tissue necrosis can develop with unsuccessful vein puncture and erroneous injection of a significant amount of an irritant under the skin. The ingress of drugs along the course during venipuncture is possible due to: piercing the vein "through"; failure to enter the vein initially. Most often this happens with the inept intravenous administration of a 10% solution of calcium chloride. If the solution still gets under the skin, you should immediately apply a tourniquet above the injection site, then inject 0.9% sodium chloride solution into and around the injection site, only 50-80 ml (will reduce the concentration of the drug).

8. A hematoma can also occur during an inept venipuncture: a purple spot appears under the skin, because. the needle pierced both walls of the vein and the blood penetrated into the tissues. In this case, the puncture of the vein should be stopped and pressed for several minutes with cotton wool and alcohol. The necessary intravenous injection in this case is made into another vein, and a local warming compress is placed on the hematoma area.

9. Allergic reactions to the introduction of a particular drug by injection can occur in the form of urticaria, acute rhinitis, acute conjunctivitis, Quincke's edema, often occurring after 20-30 minutes. after drug administration. The most formidable form of an allergic reaction is anaphylactic shock.

An injection in the buttock is a fairly common medical manipulation, through which each of us has to go through from time to time. It is better, of course, to carry out the procedure in a special medical institution, where there are qualified personnel capable of delivering the most painful injections almost imperceptibly.

However, often patients prefer to save their own time and perform injections. Before starting self-treatment, we recommend clarifying what will happen if the injection is not given correctly.

For most patients, such treatment passes without consequences, however, if the injection is performed with violations, a large number of procedures are prescribed, or due to individual features the nerve is close to the skin. In this case, the procedure can cause very painful sensations: it becomes difficult to sit, the leg becomes numb, unpleasant sensations are given in the lower back, and other complications appear. We offer to understand why this happens, what to do in a similar situation and how to relieve pain.

It is possible to alleviate your condition, reduce discomfort, if the injection site is very sore, if you figure out the cause of these sensations. Most often there are two:

non-observance of hygiene rules;
the appearance of bumps. They are an extremely unpleasant and painful type of seals that appear due to the slow absorption of the drug. Occur mainly when many injections are taken. How long the bump will last depends on the measures you take.

It's important to know! If both buttocks are punctured, it is better to put intramuscular injections in the thigh or shoulder than to continue to injure the buttocks.

It is recommended to wipe the injection sites daily with a cotton swab moistened with medical alcohol, and at the first sign of seals, use absorbable ointment. What to smear, it is better to ask your doctor, most often in such cases it is prescribed "Alor", "Delobene", etc.

When a bump forms, massage and an iodine mesh will help get rid of it. And at night it is recommended to put all kinds of compresses. For example, magnesia, alcohol compress or apply a leaf of fresh cabbage (not cut). To prevent the formation of abscesses, Solcoseryl cream is used.

If the gluteal muscle at the injection site turns red, the patient has a fever, but there is no bump, most likely a purulent process has begun in the body. A similar phenomenon indicates that an infection has entered the injured site. Eucabol (an antibacterial agent) and the already mentioned Solcoseryl jelly help relieve inflammation.

It's important to know! All of the symptoms mentioned above, plus severe pain, feeling like someone is cutting you, may indicate the onset of an abscess.

Is it possible to swim after an injection in the buttock

The question of whether it is possible to wash after the injection, so as not to increase the likelihood of infection, worries many patients. It all depends on the type of injected intramuscular drug. Such restrictions should be clarified with the attending physician, he will tell you whether it is worth bathing after this medicine, limit yourself to taking a shower, or even refrain from import procedures.

Consequences of self-injection in the buttock

If you overcome the psychological barrier, it is not difficult to give yourself an injection on your own. It is only necessary to wipe the injection site with medical alcohol or peroxide, confidently insert the needle at an angle of 45⁰, and slowly inject the drug. However, if at least one of these actions is done incorrectly, complications can be very dangerous.

The negative consequences that manifest themselves if an intramuscular injection in the buttock hit the nerve:

, pulls the leg;
tingling, numbness;
heat;
edema;
seals;
bruises and other marks;
abscess.

If the injection was given properly, then negative consequences injections into the buttock inside are extremely rare, although they should not be completely ruled out. If you suspect that you have done a medical manipulation incorrectly, be sure to contact your doctor so that an unsuccessful injection does not affect your health.

Let's find out what the consequences of injections are.

cones

Seal or bump at the injection site - a dense, painful swelling. It usually occurs after performing intramuscular injections, if the injected drug is not absorbed. You are probably wondering why such phenomena are dangerous? If appropriate measures are not taken and the bump remains 1-2 months after the end of the course of treatment, an abscess may develop, damage to the sciatic nerve.

Reasons why seals appear:

high-speed injection of the drug;
short or poor quality needle;
excessive muscle tension by the patient;
an injection in the middle of the buttock;
an excess amount of medication has been injected;
injection with air in the buttock;
infection;
allergy.

The fact that the bump has appeared, you will recognize by the following signs:

when infected: swelling, fever, redness, lower back pain, buttock, pus is released;
when the nerve is injured: numbness, the injection site loses sensitivity, the pain "shoots" into the lower extremities;
if air gets into the buttock when injected (air infiltration): the formation of a seal or bump.

It's important to know! Immediately after the injection, be sure to wipe the injured area with a cotton swab with alcohol, so you reduce the risk of infection.

Folk remedies that will tell you what to do if a bump has formed and how to remove its consequences:

the iodine mesh applied within 3 days will help to dissolve the seal;
applying half a fresh potato to the sealing ball;
a compress of chewed rye bread with sugar;
applying gauze from alcohol or magnesia will help soften and remove old formations;
an ordinary fresh cabbage leaf helps to remove even old cones if it is glued with adhesive tape overnight;
aloe juice is recommended to be smeared if a large bump is inflated;
kefir compress.

How to treat such formations, a qualified doctor will tell you. Usually assigned:

Vishnevsky ointment is an effective antiseptic and anti-inflammatory agent, applied for 3-4 hours. Not used when spawned;
heparin ointment. Has anti-inflammatory and analgesic effect;
troxevasin - relieves swelling and inflammation;
Demexide solution - helps to dissolve and remove blood clots, reduce inflammation.

Bruise

If the needle enters the vessel during an injection into the buttock, it is injured and a bruise is formed.
Why, after treatment, blood accumulates in the tissues at the injection site, and painful bruises remain (reasons for this phenomenon):

incorrect insertion of the needle, as a result of which the walls of the vessels are punctured;
low-quality syringe;
poor blood clotting in the patient;
individual features (close location of vessels to the surface);
surface input;
using an insulin syringe.

The doctor will tell you what to do and how to treat a bruise. Special preparations help to get rid of this phenomenon (troxevasin, heparin ointment, traumeel and others). There are also folk recipes, telling how to remove painful formations (the same cabbage leaf, honey or rye compress). However, they can only be used if a bruise just appears, but the following symptoms are not observed:

throbbing pain;
big boss;
heat;
edema.

Abscess

This phenomenon is one of the most dangerous post-injection complications. What an abscess looks like can be seen in the photo below. It is an inflammatory, purulent formation, the treatment of which is an extremely responsible and important step.

How to determine that you have an abscess (complication symptoms):

increased sweating;
weakness;
body temperature up to 40⁰ С;
loss of appetite;
painful redness and swelling at the injection site.

Because of the danger of such a phenomenon, than to treat after an injection for an abscess, it is better to check with a qualified physician who should be contacted after symptoms are detected. Self-treatment in this case not allowed.

Seal

A slight hardening formed at the injection site is quite common. As a rule, no special treatment is required if it occurs. It is recommended that you simply inject into the other buttock until the lump is gone.

The following tips will tell you how to remove hardening after injections:

iodine mesh is the most popular way to cure induration;
vodka compress on skin pre-lubricated with cream;
cabbage leaf and others.

Except folk remedies how to treat such problems will prompt and traditional medicine. What to do and how the seals dissolve, the doctor says, usually in this case, ointments for inflammation, edema, which have antiseptic, analgesic properties, are prescribed.

Buttock numbness

When the buttock and thigh go numb after an injection, many do not take this phenomenon seriously. However, if a sensation appears and does not go away for a long time, you should sound the alarm, asking the doctor what to do and how to treat such a phenomenon. After all, a numb hip or a numb leg may indicate an abscess or nerve injury.

Inflammation

The most dangerous symptom, indicating the onset of suppuration, when it appears, mandatory treatment is required. What to do in this case - only a doctor can say after an appropriate examination, sampling necessary analyzes. On their basis, the physician determines how to treat the patient.

Purulent inflammation symptoms:

red spot on the skin;
the injection site becomes hot, the body temperature rises significantly;
pain when pressed;
external and internal fistulas are formed (in advanced cases).
How to relieve inflammation:
stop the injection of the drug until the end of the treatment of the complication;
physiotherapy procedures;
dynamics control;
the use of specialized medications.

Infiltrate

Infiltrate is a hardening formed at the injection site from its incorrect insertion, violation of hygiene rules, or for other reasons. Treatment in this case occurs, as with the appearance of cones (seals).

Why is there blood after an injection in the buttock

If after the injection blood has gone (sometimes it flows quite strongly, straight in a stream). Why is this happening? Most likely, a needle inserted under the skin made a hole in the vessel.

This phenomenon may be an accident or be determined by the individual characteristics of the organism (the proximity of blood vessels to the skin). When entering angles, it is recommended to pull the corkscrew of the syringe slightly towards you, if blood is drawn inward, you should not continue the injection.

Allergic reaction to an injection in the buttock

If the patient is allergic, the introduction of an allergen drug to him can have the most unfortunate consequences, up to anaphylactic shock.

You should immediately seek qualified help if:

there was a burning sensation after an injection in the buttock;
the injection site in the buttock itches;
itching appeared after injections on the buttocks.

How to relieve pain from injections

What can cause pain?

Pain occurs due to the formation of a place, the density of which is increased. If a non-sharp or short needle was used for the injection, this can also cause discomfort.

Other reasons include:

Incorrectly selected site for injection;

Multiple injection in the same place;

Failure to comply with disinfection standards.

The cause of pain is that there was no rapid absorption of the drug injected into the muscle. The reason could also be the rapid insertion of a needle or a muscle spasm. As a result, the formation of a painful lump.

How to relieve pain from an injection

An effective method of reducing pain is to apply a mesh of iodine in the area of compaction. You can repeat the process twice a day. It is also necessary to eat iodine-containing foods - shrimp, seaweed and so on.

A cabbage leaf can be applied to the injection site. Before that, knead it well. In some cases, you can smear the leaf with honey.

Honey cake helps to cope with pain. For this, 1 tbsp. l. honey combine with 1 tbsp. l. butter, add egg yolk and a little flour. Mix thoroughly and apply the mixture to the affected area. Repeat 2 times a day.

If the bump starts to boil, you need to buy at the pharmacy special means- balms or ointments. Which ones - ask your doctor.

In the event of a purulent site at the injection site, any antibacterial agent will do.

So that after the injection pain does not appear, it is important to do the procedure correctly - the muscle should be relaxed, the body position should be lying down. Be sure to lubricate the injection site with an antiseptic.

If after the injection there is a sharp severe pain, you should immediately consult a doctor. This can cause nerve damage.

The occurrence of pain at the injection site may indicate the onset inflammatory process. Do not neglect this. It is necessary to monitor any change after the injection and immediately consult a doctor. This will help avoid complications.

The article will talk about the reasons for the appearance of bumps and seals at the injection sites, as well as how you can quickly get rid of them.

The appearance of bumps after intramuscular injections is a common phenomenon in therapy. Their formation on the buttocks causes a lot of trouble. However, there is no need to be very upset and worried - it is easy and fast enough to be treated if you turn to a specialist in time.

Why did a bump form and remain after the injection?

Swelling and compaction of the needle insertion site is due to certain reasons. During the procedure, the substance intended for injection must enter the muscle layer, dissolve there and go further through the tissues of the body.

But if this did not happen, it means that the standards for the procedure were violated and, as a result, a bump formed. What did the nurse do wrong?

Highly administer the drug quickly, especially having an oily structure, and the medicine did not have time to spread through the muscle tissue. In the West, this problem does not exist, since special syringes are used there, with which you can inject the drug slowly and evenly.
used short needle, since the myth that a short needle will cause less pain is quite common among medical staff. Such a needle does not even reach the muscle layer, the medicine enters the subcutaneous fat and accumulates there.
Damaged the vessel during the injection, and the leaked blood formed a seal, staining it burgundy. It turned out to be a sort of swollen hematoma
Hit a nerve ending, damage to which caused inflammation, accompanied by edema. Sometimes even numbness of the injection site is possible.

IMPORTANT: Sometimes the patients themselves are the culprits of the problem, if during the procedure they could not overcome their fear and relax, or preferred to inject while standing. Only non-tense muscle tissues have a structure that allows the injected drug to be absorbed quickly and efficiently.

Why did the bump turn red and itchy after the injection?

However, it happens that the nurse did not violate the standards of the procedure in any way, and a bump with redness and itching appeared at the injection site.

This says only one thing: you have an increased sensitivity to the drug or its components, that is, simply put, an allergy.

IMPORTANT: To prevent this from happening, you must definitely do a test for the prescribed medicine. To do this, a small amount of the drug is injected subcutaneously and after 10-15 minutes the result is evaluated.

Preliminary tests should be carried out to exclude an allergic reaction, as a result of which bumps from injections may form.

How to smear bumps after injections?

It is necessary to get rid of the consequences of unsuccessful injections in accordance with the recommendations of the doctor.

However, the simplest and surest way is to apply an iodine mesh to the site of the tumor. It, warming the sore spot, dilates blood vessels and speeds up metabolism at the site of tumor dislocation, which, with regular use (2-3 times a day), will disappear within 3-5 days.

Iodine mesh will get rid of bumps and seals at injection sites

You can also use various ointments (Vishnevsky, heparin) and compresses.

Heparin ointment from cones after injections

An effective remedy for eliminating post-injection seals - heparin ointment. The benzocaine, which is part of this remedy, has a calming and analgesic effect, and heparin will relieve inflammation within 3-14 days (the period depends on the degree of neglect), provided that the ointment is used at least 2-3 times a day. Apply the product only in the direction of the muscle.

Consumer reviews on the forums are very optimistic, and the price is acceptable: from 25 to 30 UAH. for 25 grams.

Ointment Vishnevsky from cones after injections

This tool, created by the famous Russian surgeon A.V. Vishnevsky, almost a hundred years old, but its popularity and effectiveness, despite the very specific smell, does not decrease
Xeroform, which is part of the ointment, makes it a strong antiseptic, birch tar warms up, increasing blood flow, and castor oil facilitates penetration deep into the skin
You need to use the ointment in the form of a compress: apply to a bandage and attach to the sore spot, securing with adhesive tape, for 3-4 hours. The procedure should be carried out 2-3 times a day

Ointment Vishnevsky from cones after injections is used in the form of compresses

Compress from cones after injections

There are enough options in this method of treatment so that everyone can choose the most acceptable one for themselves.

Recipe number 1. Indispensable for inflammation, a cabbage leaf smeared with honey or aloe is attached to the site of post-injection infiltrate overnight. You can use a regular piece of cling film instead of cabbage.

Recipe number 2. An alcohol compress (one aspirin tablet is diluted in two tablespoons of alcohol) must be used very carefully, as you can get burned.

To do this, the place of application of the bandage folded several times and moistened in the resulting solution must be lubricated with baby cream or petroleum jelly
Then cover it all with cling film, warm it up and go to bed calmly.
If the skin is hypersensitive, alcohol can be replaced with vodka. After 3-4 days of such procedures, the bumps disappear without a trace.

Recipe number 3. If there is no purulent inflammation (abscess) on the bump, it is possible to use laundry soap: you need to moisten the place of compaction and massage with light pressure with the end of the soap. After 5-6 procedures, the “bumpy” problem disappears.

Magnesia from cones after injections

Such medicine, like magnesia, has been used in medicine for a long time and is either a white powder or a solution, with magnesium sulfate as the main component.

Magnesium compresses are rarely used in therapy, but in some cases they can show a good result.

To get rid of the infiltrate (seal), you need to moisten the bandage in a solution of magnesia, wring it out slightly, apply it to the sore spot, cover it with a film on top, warm it with cotton wool and fix it with adhesive tape.

However, it must be remembered that this medicine is effective when wet, so you need to systematically change the compress (every 2-3 hours).

There are also side effects: an allergic reaction to the components of the drug is possible.

Dimexide - quite serious medicinal product, which has anti-inflammatory and analgesic effects.

It is produced in the form of a concentrated solution, and from it, according to the instructions, a solution of the “strength” necessary for the compress is made.

RECIPE: A bandage soaked in the resulting medicine is applied to the place of compaction, covered with plastic wrap, insulated with cotton wool or flannel fabric and fixed with a plaster. The procedure should be carried out twice a day and keep the compress for at least 30 minutes. It is necessary to apply a compress until the seals completely disappear, which should occur after 3-4 days.

With all the "pluses" of this tool, you need to remember about contraindications:

Not suitable for children under 15 and people over 60
allergy sufferers
stroke survivors and heart patients
pregnant

For a long time, bumps do not pass after injections, what should I do?

There are two ways to solve this problem:

contact a specialist
use traditional methods

The doctor may prescribe one or more of the above methods of drug treatment for you, as well as send you to physiotherapy procedures, which consist of warming up with decontaminating lamps and using various electric massagers.

You, in turn, in order not to end up under the surgeon's knife, can try out several proven “grandmother's” recipes.

Recipe number 1. A compress consisting of rye flour and honey, taken in a one-to-one ratio, is applied at night for seven days.

Compresses with honey help get rid of bumps after injections

Recipe number 2. A honey cake made from two tablespoons of honey, two teaspoons of butter and two raw egg whites is applied at night and covered with cling film secured with a plaster.

Recipe number 3. A curd compress, for which the curd is heated in a water bath, is applied at night, covered with a film and fixed with either a plaster or a gauze bandage.

Recipe number 4. A white clay compress applied for two hours is also effective in combating old seals.

Recipe number 5. The panacea for chronic injection infiltrates, according to many people, is a compress consisting of honey, alcohol and aspirin. Alcohol and honey are taken in a 1:1 ratio, one finely crushed aspirin tablet is added, all ingredients are mixed and heated in a water bath. The compress is placed at night in a warm form, the place of application is pre-lubricated with a greasy cream or petroleum jelly.

The inexperience of the nurse is one of the reasons for the formation of bumps at the injection sites.

The main thing to remember is that the bumps will not disappear at once, you need a systematic and regular application of the procedures.

Video: How to treat bumps after injections? How to treat bumps after injections with folk remedies?

Treatment of some diseases is not complete without intramuscular injections. Muscles are characterized by a more extensive network of blood and lymphatic vessels, which implies complete and rapid absorption of the drug.

Injections are made in certain places with a sufficient layer of muscle tissue, distant from large vessels and nerves. The most suitable areas for manipulation are the buttock, thigh and shoulder.

Most patients safely tolerate such administration of medications, but there are also those who, due to individual characteristics, have complications in the form of leg numbness, induration, abscess, and an allergic reaction.

Causes of pain after an injection

Injection involves invasive, i.e. penetrating action with a violation of the integrity of the skin and tissues, respectively, is a priori accompanied by a painful sensation and the risk of ingestion of infectious pathogens.

Why there are negative consequences:

poor quality of the medical instrument ─ a syringe with an inappropriate needle size and insufficient sharpness;
pharmaceutical prerequisites ─ antibiotics, due to their chemical structure, can cause pain;
personal characteristics of the patient ─ each person has a different pain threshold, it depends on age, metabolism, concomitant diseases;
violation of the execution technique ─ incorrect puncture, rapid administration of the drug, non-compliance with sanitary standards.