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Oxford University Hospitals NHS Foundation Trust

Coronavirus / COVID-19

If you have a new continuous cough and/or high temperaturedo not come to our hospitals.

Follow the national advice and stay at home for seven days. For most people, coronavirus (COVID-19) will be a mild infection, but for some of our patients it is a higher risk. Please help us to help you.

Important information about non-urgent inpatient operations and outpatient appointments.

From Monday 23 March we will not allow any visitors to our hospitals – with a few exceptions.

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Intra-articular steroids

Intra-articular steroids are injected directly into the inflammed joint. This increases the concentration of the medicine where it is most needed and reduces the effects on the rest of the body.

We use one of the following when injecting intra-articular steroids:

  • Local anaesthetic (such as EMLA cream)
  • Entonox (reduces the feeling of pain and anxiety)
  • General anaesthetic

In general, we expect there to be an improvement within 24 hours which lasts for at least 3 - 6 months.

We may re-inject joints that have not had a lasting response, but try to avoid doing this more than 4 times per year.

If repeat injections of the joints are required, we will generally recommend starting methotrexate or recommend a new drug if the current one has not worked well enough.