Private Steroid Injection Therapy

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Private Steroid Injection Therapy

You might also have a local anaesthetic by spray or injection to numb the skin before the hydrocortisone injection. Hydrocortisone injections are used to treat swollen or painful joints, such as after an injury or if you have arthritis. Steroid injections, are anti-inflammatory medicines used to treat a range of conditions. If a woman needs to take steroid tablets whilst she is breastfeeding, prednisolone is usually recommended.

  • Very rarely, you may get an infection in the joint at the time of injection.
  • If you are currently breastfeeding , please discuss with  your therapist  – a leaflet produced by Breast Feeding Network in 2014,  has been produced to give you guidance in this area.
  • The joints most often injected are the shoulder, elbow, knee, hand, wrist or hip.
  • This might be recommended for injections in areas such as hip joints, neck or lower back.
  • You may be able to have a hydrocortisone injection into the same joint up to 4 times in a year.

If you need to take medication for diabetes with corticosteroids, your blood glucose levels will usually need to be checked more regularly. Your dose of diabetes medication may then need to be adjusted. Anticoagulant medicines are medications that make the blood less sticky.

Steroid Injections – Patient Information

Hydrocortisone is a type of medicine known as a steroid (or corticosteroid). They can be used to treat problems such as joint pain, arthritis and sciatica. Corticosteroids can weaken your immune system and make you more vulnerable to infection.

  • The cortisone which will reduce inflammation in the joint, and anaesthetic which will provide immediate pain relief.
  • Your doctor or other healthcare professional might call these short-acting soluble steroids.
  • Steroid treatment for arthritis and related conditions can be taken as tablets or given as injections into the affected area.
  • If you need a follow-up injection, the amount of hydrocortisone could go up or down.

It is important you monitor your blood sugar levels after a steroid injection. Side effects of injections given into the blood tend to be similar to side effects of steroid tablets, such as increased appetite, mood changes and difficulty sleeping. In most cases, a single steroid injection is sufficient but in other cases you may need another injection.

Do steroid injections make you put on weight?

Therefore we recommend that patients who have been diagnosed with diabetes should always discuss with their GP before booking for a steroid injection. If it is agreed by your GP that you can proceed with the steroid injection, it is important that you are extra vigilant of your blood sugars for around two weeks after the injection. If you feel unwell or are worried after the injection, you should speak to your doctor.

Accessing medicines self-help guide

A corticosteroid injection is a powerful anti – inflammatory and
can be very effective in giving pain relief when soft tissue or
joints are inflamed. The skin around the injection site will be cleaned legal steroids uk sale with antiseptic and an anaesthetic spray or cream may be applied to numb the area. A needle is gently inserted into the affected area and the steroid medicine is then injected through the needle.

Steroid injections can also be called corticosteroid, cortisone, or hydrocortisone injections, or may be referred to as injection therapy. Spinal steroid injections are also known as Epidural Steroid Injections. See the Spinal Injections page for further information on all spinal injections. A steroid injection is given to help reduce inflammation and pain either in a joint or soft tissue.

If the joint becomes more painful and hot, you should seek medical attention immediately, especially if you are also feeling generally unwell. The injection releases the hydrocortisone slowly into the part of your body that is painful or swollen. Like other steroids, it works by calming down your immune system. This reduces inflammation and helps to relieve the pain and swelling.

CAN I TAKE OTHER MEDICATIONS ALONG WITH THE STEROID INJECTION ?

If you’re having an injection to relieve pain, it may also contain local anaesthetic. Depending on the cause of your pain, you may be asked to rest the area for a short period after the injection. This does not usually mean total rest, but
refraining from activities that make your pain worse, after which you should try to gradually return to full function.

You may also be shown some exercises to do whilst you are in the clinic, or referred for physiotherapy treatment. If you are having other
medical treatment within six weeks, you should tell the treating clinician that you have received a corticosteroid injection. Steroid injections use a medicine called corticosteroid which reduces inflammation in your joint to relieve pain and allow you to move your joint to more easily. There are two kinds of steroid injections used in spinal degenerative (wear and tear) problems.

You may be asked to wait at the practice or clinic for a short time, to make sure you feel OK. It’s usually best if a friend or family member can drive you home. So it can be a good idea to arrange for friends or family to drive you home.

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- Expert Advisor -

Brandi Shotwell

Brandi Shotwell is a Principal at Reno Capital Management in Dallas, Texas concentrating on debt and equity. With over 20 years’ experience in finance and real estate, Brandi has had leadership involvement in over $1 billion in real estate projects ranging from commercial acquisitions to commercial development.  She has organized funding acquisitions and development opportunities for multifamily investors, high net worth individuals, municipal growth areas, and manufacturing clients. Prior to joining RCM, Brandi was Vice President at Edge Capital Markets in Dallas, Texas.  Preceding Edge, she was Vice President of Coronado Bay Capital where she was the top producing originator of the company.  Previously, she was a founding partner of Global Mortgage USA. Brandi attended Purdue University Northwest where she studied business and marketing.

- Expert Advisor -

Dugan Kelley, Real Estate & SEC Attorney

Dugan P. Kelley co-founded Kelley Clarke, PC with the mission to deliver big firm expertise and experience to the local community. Kelley Clarke currently serves clients throughout the United States with its principal offices in Prosper, Texas and Santa Barbara, California. Mr. Kelley chairs the firm’s securities and real estate practice group, assisting clients in all phases of multi-family, commercial, and residential acquisitions or sales. Throughout Mr. Kelley’s career, he has assisted clients in structuring real estate transactions in excess of $2 Billion. Currently, Mr. Kelley provides syndication and securities services for clients throughout the United States, assisting clients in all phases of their acquisition and sale of commercial and residential real-estate assets.

Mr. Kelley’s real estate expertise includes transactional services for his clients ranging from commercial loan closings, real estate private equity capital raises, joint venture agreements, commercial leasing, business acquisitions and general commercial real estate services for multi-family syndicators, investors, and developers.

Throughout Mr. Kelley’s 20 years of experience, he also has tried numerous cases in state and federal courts, administrative courts, and arbitration. With over $100 million in verdicts, settlements, workouts, and millions in settlements prior to trial, Mr. Kelley understands that there isn’t a one-solution fits all for every case. Mr. Kelley routinely advises real estate investors and other entrepreneurs about entity selection, corporate formation, risk assessment and other related transactional needs. Mr. Kelley also represents a number of companies and family businesses in providing advice and counsel in the capacity as outside general counsel.

Mr. Kelley was previously a partner with Cappello & Noel, one of the nation’s foremost complex commercial litigation firms, in Santa Barbara, California. While at Cappello, Mr. Kelley successfully prosecuted and defended major commercial litigation involving a variety of commercial matters including lender liability, contract and transactional disputes, and fraud. Prior to his tenure at Cappello, Mr. Kelley was a litigator at Bonne, Bridges, Mueller, O’Keefe & Nichols in Los Angeles where he successfully defended healthcare professionals and healthcare institutions involved in malpractice suits. Mr. Kelley’s practice also included defending employment claims against professionals and the County of Los Angeles. Prior to moving into the civil sector, Mr. Kelley successfully prosecuted criminal matters.

In addition, for several years, Mr. Kelley was an adjunct law professor teaching fundamental legal skills, legal research and writing, and moot court to law students in the Orange County area. From 2008 through 2016, Mr. Kelley has been selected as a “Super Lawyer Rising Star,” with only 2.5% of attorneys recognized as the best attorneys. Mr. Kelley routinely acts as a mediator for other attorneys or as settlement counsel for complex litigation matters that require a unique solution. Mr. Kelley is a best selling author of Purpose, Passion & Profit and is frequent speaker and lecturer at events. He also serves on a number of non-profit Boards, including Treasured Vessels Foundation, which has a purpose for ending human sex trafficking and providing shelter to those victims of human sex trafficking.

Mr. Kelley and his wife, Michelle have 3 boys. The entire Kelley family is actively involved in giving back to their local church and community.  Contact Kelley | Clarke to help you in your next transaction.

- Strategic Partner -

Brent Kawakami, PE

Brent is a real estate investor, entrepreneur, and a Registered Professional Engineer in the State of Texas with extensive experience in acquisitions and underwriting of properties in the multi-family arena.

Mr. Kawakami has been investing in Real Estate since 2012 where he focused on buying, rehabbing, and renting single family rentals in the Dallas, Texas area. In 2015, he began his transition from single family to multi-family where he has acquired over 450+ multi-family units across, Texas, Georgia, Kansas, and Ohio. His current focus is acquisitions and works closely with many syndicators to help vette and determine through critical analysis of underwriting and reviewing market factors to determine if a property is a go or no go for pursuing with a Letter of Intent. At the same time, he works with Sellers Brokers nationwide to help foster relationships for syndicators in key market areas.

As a result, of his experience and top-notch reputation, this has allowed him to become an integral team member of General Partnerships when underwriting private placement transactions for the syndicate team as well as providing transactional support through quantitative proforma models.

Mr. Kawakami graduated with a Bachelor of Science in Electrical Engineering from the University of Texas in Austin. Mr. Kawakami is originally from Hawaii and currently resides in the DFW Metroplex. Brent also spent over 13+ years in the private sector where he worked as consultant engineer in the power/energy industry, working in various roles in design, construction, and project management. Brent has led numerous multi-million dollar projects and has been responsible for the development of over $1B in construction projects for such leading edge companies such as Oncor.

- Strategic Partner -

Mark Kenney

Mark Kenney is a seasoned real estate investor, entrepreneur and founder of Think Multifamily along with his wife Tamiel. Mr. Kenney started his real estate career over 20 years ago and has extensive experience in property valuation, acquisition, and operations. He has a passion for helping others succeed in the multi-family arena.

Mr. Kenney is invested in over 9,000+ units across 7 states and has a top-notch reputation among the multi-family investment community for providing exceptional value to investors and the community while being easy to work with.

Mr. Kenney is a 1993 graduate at Michigan State University in Accounting and advanced his career by becoming a CPA. Mark has also provided IT technical and business consulting for 20 years and is leveraging his vast IT experience to bring new creative technologies that will help others in the multi-family space. He has worked for large organizations such as KPMG Consulting, EDS, SAP, and HP; he founded Simplifying-IT in 2008 which provides IT services to fortune 500 companies.

- Managing Partner -

Karla Gonzales, FINRA Series 7, 50, 52 & 63

Karla is an entrepreneur, Real Estate Investor, and experienced Investment Banker and a Vice President with a well-known Wall Street investment banking firm. She currently is a Registered Representative with the following licenses through FINRA: Series 7, Series 50, Series 52, and Series 63. In the last six years, she has completed nearly 200 municipal bond financings totaling more than $4.0 billion.

As a result, of this experience and top-notch reputation, this has allowed her to become an integral team member of the General Partnership when underwriting private placement transactions for the syndicate team as well as providing transactional support through quantitative proforma models. Her skillset also allows her to be involved in preparing investor presentations, attending and presenting before potential clients, and fostering ongoing client relationships with multi-family investors.

Ms. Gonzales graduated Cum Laude with a Bachelor of Science in Finance from the University of Texas at Dallas. She is currently invested in single family and multi-family properties with over 900+ units in Texas, Georgia, Kansas, and North Carolina. Ms. Gonzales is originally from Michoacán, Mexico and is fluent in both English and Spanish helping to serve our Spanish speaking investors.

- Team Principal / Managing Partner -

Robert Gonzales, AIA, IIDA, LEED® AP BD+C

R

ob Gonzales, AIA, LEED® AP BD+C, is a Real Estate Developer for one of the top real estate firms in Dallas-Ft. Worth Metroplex where he develops and manages the infill of Class A+ luxury multifamily communities with first-class amenities in Dallas, San Antonio, Austin, Ft. Worth, Midland, Irving, Frisco, College Station, Mansfield, Leander, Colorado Springs, CO, Phoenix, AZ, and the Carolinas.

Mr. Gonzales is also an entrepreneur, real investor, and has over 16+ years of Project and Management experience as a Registered Architect, Registered Interior Designer, and Commercial General Contractor, including 11 years as a LEED® Accredited professional with a specialization in Building Design & Construction.  His experience includes work on over 80+ major vertical building projects and facilities valued at over $1.90 billion dollars.

Mr. Gonzales’ project experience, design background, graphics capability, and experience with multi-family commercial construction among other facilities allows him to be as asset providing cost-effective solutions during the due diligence period when collaborating with the General Partnership for decisions involving design challenges, rebranding, design, and constructability reviews. In addition, Mr. Gonzales helps provide transactional support to the General Partnership when underwriting private placement transactions for the syndicate team by keying on his skills that he gained earlier in his career by working as an Investment Banker and Registered Representative for a well-known Wall Street firm. 

Mr. Gonzales currently operates in the capacity of Team principal/General Partner and Asset Manager (i.e. Operator) on over 1,200+ units in 6 states across the southeast (i.e. Texas, Kansas, Georgia, Arkansas, North Carolina, and Florida) with a reputation among the multi-family investment community as having the ability to source deals, underwrite/analyze deals, be an effective Operator, Capital Raiser, and providing cost-effective design solutions, and focuses much of his time rebranding, and repositioning properties.

Mr. Gonzales received his Bachelor of Arts and Master of Architecture degree from Texas A&M University. He is currently invested in single family and multi-family properties while making his home in both Texas and Florida having lived in Austin, San Antonio, Houston, Tampa, and South Florida (including Weston, Ft. Lauderdale, and Miami), and now having recently returned back to Dallas in the past 5 years.