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Evenity injection site pain

Posted by neesie0159 @neesie0159, Oct 8, 2023

Last week I had my 3rd Evenity injections. The MA told me with the first ones that they don’t cause sore arms because they’re given subcutaneous instead of IM. I had them in the morning, by evening my arms were very painful and that lasted into the next day. When I called the rheumatology office for advice I was told this never happens. Right. Same experience the second shots, though slightly less pain. Last week I had a different MA give the injections and mentioned the arm pain, she said that shouldn’t happen. Very minimal pain that time until late afternoon, then I was strapping ice packs to my arms.
Has anyone else had injection site pain?

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sstopalian | @sstopalian | Apr 20 5:10am
In reply to @jeanneseeley "First round in arms was fine. 4 weeks later the injection on right arm seemed fine..." + (show)
Profile picture for jeanneseeley @jeanneseeley

First round in arms was fine. 4 weeks later the injection on right arm seemed fine but later was painful and after a few days pain continued to increase and go from site - way back of arm- down halfway to elbow and under armpit to base of breast and armpit in back. It hurts to the touch and if just sitting. It has been almost 2 weeks. There is no redness, bruising, or lumps- just pain. I have a great pain tolerance as had a broken pelvis, sacrum, foot and ankle and other ailments. Amgen has failed to return call and center where it was done said contact provider and her only comment was “can still continue unless shingles”.. I can’t seem to find anyone with an answer as to why this hurts after 2 weeks with pain increasing all this time and when it might dissipate

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@jeanneseeley I have learned that inaction into the abd leads to better absorption from my endocrinologist and the nurse practitioner at the infusion site.

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dmshope | @dmshope | Apr 20 9:02am

I foudn the beely was best place as there is more 'fat' there. Also I found that the techniques used by the nurse made all the difference.
Make sure the syringe is warmed up
Make sure the nurse takes a pinch of fat and does not go directly into the muscle part of belly.
My nurse alsway did an angle shot
Use arnica antiinflammatory cream after ( I suggest inflamyar by Pekana -German company)

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dmshope | @dmshope | Apr 20 9:20am

I found that the belly was best becasue it had more 'fat'. I agreee to make sure the sport is 3 inches away from navel. I foudn the techniques the nurse used made a big difference. Make sure she takes a pinch of 'fat' and goes into the fat ( not directly into stomach). My nurse went in at a slight angle.
Have the syringe at room temp. I was best with a fast smooth injection ( and not a slow drawn out injection)
Afterwards use an arnica antinflammatory cream ( I use inflamyar by Pekana from Germany)
This made all the difference.
However the medication did not work for me.. I am one of the non responders unfortunately.
Make sure to have your P1NP checked at one month and thenevery 3 months.
Sending positive energy for your healing.

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jeanneseeley | @jeanneseeley | Apr 22 6:53pm
In reply to @dmshope "I found that the belly was best becasue it had more 'fat'. I agreee to make..." + (show)
Profile picture for dmshope @dmshope

I found that the belly was best becasue it had more 'fat'. I agreee to make sure the sport is 3 inches away from navel. I foudn the techniques the nurse used made a big difference. Make sure she takes a pinch of 'fat' and goes into the fat ( not directly into stomach). My nurse went in at a slight angle.
Have the syringe at room temp. I was best with a fast smooth injection ( and not a slow drawn out injection)
Afterwards use an arnica antinflammatory cream ( I use inflamyar by Pekana from Germany)
This made all the difference.
However the medication did not work for me.. I am one of the non responders unfortunately.
Make sure to have your P1NP checked at one month and thenevery 3 months.
Sending positive energy for your healing.

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@dmshope

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dmshope | @dmshope | Apr 23 9:41am
In reply to @jeanneseeley "What is PINP" + (show)
Profile picture for jeanneseeley @jeanneseeley

What is PINP

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@jeanneseeley
P1NP is a significant bone marker for bone building activity.
CTX is a significant marker for bone breakdown activity. ( sentitive test which must be done early in morning 6-7 am, after 48 hours of no collegen, no biotin, no bone broth)
These are the primary Bone Turnover markers. (BTM)
You must read about these and understand them in order to moniter osteoporosis.
Each person has a unque baseline for these; this start point should be establihed before medication is taken; then as you began a medication there is a comparision in how you respond - or if you didnt repond. This is very important info.
I recommend reading Great Bones by Dr K McCormick. Excellent reference and hopeful. Sending postive energy.

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