Steroid injections while on Prolia/Jubbonti
Has anyone been in the situation where they had a Prolia or Jubbonti shot and a month later needed steroid shots in their hip or back? I read that it increases your risk of infection. Just wondering if anyone else has been in this predicament. After a month, 50% of the denosumab (Prolia or Jubbonti) is still in your system. I have airline tickets for a trip planned 6 months ago, otherwise I would wait longer than one month after my last injection.
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My Dr told me steroids in ANY form are bad for the bones. I will not take any more steroids no matter the reason.
I did not know that!
The current thinking is that epidural steroid injections don't pose much harm to the bones unless the doses are very high and the shots are frequent. Otherwise, they don't affect the bones the way oral steroids do.
@mkoch, I cannot understand why an epidural injection would increase infection risk. Where did you read this?
My Dr said ALL steroids cause bone issues…I didn’t say infection.
bayhorse: The physiatrist ( a medical doctor who specializes in musculoskeletal issues) who gave a steroid injection to me 9 months ago (for my back, now I need one for my hip so I can walk for my trip to the WWII Museum; I would never be able to walk through an airport or the massive museum with the condition my hip is in.) said it can depress your immune system, therefore making you more prone to getting an infection. But it only stays in your system for about 3 weeks so I just need to stay away from the grandkids (petri dishes of bacteria) and wait 3 weeks before getting a Prolia/Jubbonti injection, which also depresses your immune system. (Because I don't want a double whammy on my immune system.) My endocrinologist said the # 1 complaint/side effect she hears about Prolia/Jubbonti is bladder infections/uti. That would correlate with a depressed immune system not being able to fight off a uti shortly after being injected with this osteoporosis drug. So I guess I'll avoid my grandkids for 3 weeks after a steroid shot and avoid my husband for a few weeks after a Prolia injection. (add smiley face)
I share your concern regarding steroid injections. My rheumatologist has educated me appropriately. I had a craniotomy a year and a half ago and had severe double vision for 3 months afterward. I fell on the concrete pavers as my shoe got caught on a paver edge I didn't see as it was covered by plant overgrowth. I have been in severe pain with my hip and recently found out(MRI) that after the fall, my body produced calcium around a hip tendon as it's way of trying to heal. I need to have those deposits removed which requires a steroid injection afterward to calm the area down after the procedure. Like I said, I share your concerns about steroid injections but I need to get over this hump as I've been living my life on the couch watching tv, which isn't good for my bones either as I'm not doing any exercise to build bone.
I understand… sometimes there just aren’t any good options. I’m so sorry & pray you get relief.
Wishing you all the best,@mkoch! And thanks for the explanation.
You are correct for epidural injections do not enter the blood stream as oral tablets. They do not affect the bones. I just had two transforaminal steroid epidural injections. My spine doctor assured me there was no risk in increasing my osteoporosis risk of fractures. So, it depends on how and what kind of injections you receive. Mine were injected into the nerve endings to reduce my pain. My Dr here in Dallas is a specialist in a Spine Clinic and is a teacher of injections so i trusted his educated statement plus it is also stated in other medical sites.