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Post injection pain : Causes and when to worry.

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  1. #1
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    Post Post injection pain : Causes and when to worry.

    Posting this to help newbie people play safe in this game.



    Time after time I hear of people experiencing injection pain with both UGL
    and pharma grade gear. I have decided to put together a little guide and
    although most of it won’t be new information to you it doesn’t harm to remind
    our self from time to time.

    IMO there are 3 causes of injection pain.

    1) Tissue Irritation
    This is probably the most likely cause of post
    injection pain and the least serious. Tissue irritation is likely to start 12-24
    hours after injection, pain can be mild to moderate depending on the level of
    tissue irritation and the volume injected. The injection site is likely to swell
    within the muscle, maybe red and likely to be warm and very firm to the touch.
    The pain and swelling will start to fade after 72 hours and can last over a week
    in the worst cases. The most likely causes of tissue irritation are:

    The steroid hormone crashes out of the solution in the depot. This causes
    crystallisation of the steroid hormone, this in turn places a lot of pressure on
    the nerve endings in the muscle belly causing knotting, swelling and pain - this
    is most common in long chain esters, high mg/ml concentration anabolic steroids
    and steroids compounded with less than idea oil blends.
    A reaction to the
    acid compounds within the ester. With the metabolic breakdown of the ester
    attached to the hormone free form acids are released which can cause the muscle
    tissue rapid irritation at the injection site – this is most common with
    propionic acid of the propionate ester. Poor quality raw materials also liberate
    more freeform acids.

    Excessive preservative. If too much benzyl Alcohol is used to formulate the
    solution inflammation and pain may result. Pharma grade usually contains 0.9%
    Benzyl alcohol where the common senseu states UGL products contain on average
    2%. Anything above 1.2% offers no added anti-microbial effects. Due to water
    soluable nature of benzyl alcohol tissue irritation of this nature has been
    known to “travel” as the excessive alcohol disperses via the blood stream. This
    is most common with injection into the quads (vastus lateralis).The pain travels
    down toward the knee. This may however be in part due to lymphatic drainage and
    leads me nicely to my next point.

    Ice and ibuprofen may help with the swelling. Hot baths, showers and massage
    of the injection site may help to distribute the injection and reduce pain.

    2) Hitting the lymphatic system.
    Hitting the lymphatic system is very
    rare. The lymphatic system is as vast as the circulatory system but the standard
    injection sights (Glute, ventro-glute, medial delts and vastus lateralis) are
    generally void of lymphatic nodes. If a lymph node is hit with an injection pain
    is likely to be severe and edema vast. The swelling will come on very fast and
    be extensive. It is also likely to “travel” along the lymph system to the next
    lymph gland. This is most noticeable with a vastus lateralis shot where the
    swelling tracks down toward the back of the knee. Unlike the edema experienced
    with tissue irritation (within the muscle only) the edema with a lymphatic
    puncture will be both inter and intra-muscular with a moderate amount of
    swelling just underneath the skin giving it a softer puffy feel. This can be
    tested for by pressing the swollen area with your finger, if in indent remains
    you have a more systematic edema and more than just local tissue irreation. The
    other most noticeable difference is that the swelling should not be warm/hot to
    touch.
    Ice and ibuprofen may help. The affected area must be rested and the
    patient can expect pain and swelling to start to disperse after 72 hours and
    last at least 10 days. The painful area must not be massaged.

    3) Infection and abscess.
    So now to the most serious reason for injection
    pain. An infection will start in the same manner as tissue irritation with local
    pain and swelling, with heat and redness around the muscle. The major difference
    is that after 72 hours tissue irritation should start to subside, if the area is
    indeed infected this pain and swelling will get worse. The swelling will change
    in nature becoming more systematic and edema will start to form under the skin
    becoming softer and more spongy (as described with a lymphatic puncture).

    There are many reasons why an infection can manifest, below are some of the
    most common examples.
    Poor injection technique. Correct, and sterile
    injection technique is a must. You must make sure the injection site and rubber
    stopper is clean and swabbed with an alcohol wipe.

    Also the moisture from the alcohol swab must be allowed to dry before
    preparing to inject. It is extremely rare but if the alcohol is not allowed to
    dry the bacterium has not been allowed adequate time to be killed off. If this
    partly destroyed bacterium was then pushed into a muscle through an
    Inter-muscular injection the bacterium can “evolve” into a superbug. My wife’s
    horse died this way due to an impatient vet.

    You should always use a clean and new syringe barrel and pin and not allow
    the pin to touch anything before you inject. Avoid pinning through a hair
    follicle or hair and don’t be tempted to inject too quickly. Injecting too
    quickly can increase the risk of infection as this in turn increases injection
    trauma.

    Not rotating injection sites. The risk of infection is massively increased if
    the same injection site is used over and over again without giving it time to
    recover. The more an injury (injection trauma) is irritated (re-injected) the
    more likely it is to become infected. Think back to being a child and picking
    that scab on your knee excessively and then being told “I told you so” when it
    becomes a yellow puss infected mess.

    Contaminated Gear. IMO this is probably the least common cause of infection
    with oil based injections (I cannot say the same for water based injections).
    This is a no brainer really. Use a reputable UGL or pharma and avoid water based
    suspensions.

    What to do in the case of an infection.

    So the pain and swelling has not subsided and the edema is pitting and moving
    outside the confides of the muscle fascia after 72 hours. With an infection the
    body is attempting to contain the bacterium and prevent it from reaching the
    circulatory system by forming a cyst. This is essential to prevent blood
    poisoning. Firstly you need anti-biotics to help the body combat the infection,
    so it’s off the doctor’s office ASAP. The quicker you start treatment the better
    chance you have of preventing the cyst growing and leaving a nice big hole in
    the muscle. The problem here is that the bacterium and infection is contained
    within a cyst which makes it very difficult for the anti-biotics penetrate.

    IMO the single most important thing you can do to ensure a rapid recovery,
    prevent a creator forming in the infected muscle and avoid a “cut and drain” is
    to self aspirate the cyst. After 4-5 days of pain and after starting the
    anti-biotics. Take a syringe barrel at least 1ml larger than the injected volume
    and a very large gauge pin (18 gauge is ideal). This may hurt but the after
    effects are well worth it. Directly over the injection site the abscess will be
    the most swollen part, maybe discolored and will be spongy to touch.

    Swab the area very well and slowly penetrate the 18g pin directly into the
    abscess. Keep pushing the pin in and gentaly aspirating every few millimeters
    until you hit the cyst. Slowly aspirate the cyst. You should be able to draw out
    the initial volume injected and then some blood and puss. You can expect to
    drain out 3ml from a 2ml injection 4-5 days post injection. This will give your
    immune system and the anti-biotics the best chance of fighting the infection.
    Always complete the course of anti-biotics even if the symptoms and swelling
    subside.

    I once had a minor abbess probably most likely due to poor injection
    technique. From that day on I have always had impeccable injection technique. I
    also suggest having a few 18g pins on standby and anti-biotics in place if this
    is possible for you.

    Posted by redman

    Site disclaimer: In now way should you consider this to be medical advice. As
    always this article is the point of view of the author and the author alone.
    It's merely to show you what he did. If you choose to follow it, That would be
    your choice. I would recommend seeing your family doctor, or any doctor.

  2. #2
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    Dude you should write a book. Your knowledge and information has been a huge blessing to this board! Really Glad your here

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    Quote Originally Posted by Darkshadowlander View Post
    Dude you should write a book. Your knowledge and information has been a huge blessing to this board! Really Glad your here
    Thanks darkshadow. I just like helping people so that people can be little bit safer in this game. My duty here is to educate people I guess.

  4. #4
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    Another good post.

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    I like most of this - especially the part about seeing the doctor if you have an infection. However, I don't recommend anyone try to self-drain an infection. Most will totally eff this up and make things worse. If the antibiotics don't work, go back to the Dr.!!!

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    ^^^ all good information-OD

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    Post injection pain : Causes and when to worry.

    Great post

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    Quote Originally Posted by GSRacer View Post
    I like most of this - especially the part about seeing the doctor if you have an infection. However, I don't recommend anyone try to self-drain an infection. Most will totally eff this up and make things worse. If the antibiotics don't work, go back to the Dr.!!!
    ^^^ this.

    To warn you guys further more on not doing self draining, watch this video

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    Re: Post injection pain : Causes and when to worry.

    Best Advice: Rotate your injection sites so that you do not hit the same spot more than twice a month.

  10. #10
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    I pinned test -e , 5 days ago . I injected in my delt ,with a 271/2 gauge pin. I did the proper injection techniques and was very carefull to make sure everything was sterile. The next day it felt like sombody hit me with a baseball bat as hard as they could in this area. Its been very painfull. Today the pain has gotten better , but the area is still swollen ,red and hot . I have not got any flu like symptoms yet in the five days, also this is the first pin Ive sunk in 10 years . Could this be just from being too rough with the injection ? Iam due too pin again ,as iam doing 250mg twice a week , but nervous as fuck to have this happen to the other side as well. As far as gear quailty ,I have no reason to think that its the problem.

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    Post injection pain : Causes and when to worry.

    Quote Originally Posted by Maverickshock View Post
    I pinned test -e , 5 days ago . I injected in my delt ,with a 271/2 gauge pin. I did the proper injection techniques and was very carefull to make sure everything was sterile. The next day it felt like sombody hit me with a baseball bat as hard as they could in this area. Its been very painfull. Today the pain has gotten better , but the area is still swollen ,red and hot . I have not got any flu like symptoms yet in the five days, also this is the first pin Ive sunk in 10 years . Could this be just from being too rough with the injection ? Iam due too pin again ,as iam doing 250mg twice a week , but nervous as fuck to have this happen to the other side as well. As far as gear quailty ,I have no reason to think that its the problem.
    You didn't pin deep enough into the muscle. I did the same thing and had the same result. I know it's not the gear b/c I've been using it for a while now.

  12. #12
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    the barrel is only , 1/2 inch long . on the pin i used . how long did it take to go away for you bro ?

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    ewwww ,, I think Iam starting too see the lite where I have fucked up ,,, if some people wanna chime in here ,,, Ill confirm it

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    So Iam deff assuming ,,the 27 1/2 inch , 1/2 barrel was no where deep enough for a proper injection , correct?

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    Post injection pain : Causes and when to worry.

    Quote Originally Posted by Maverickshock View Post
    So Iam deff assuming ,,the 27 1/2 inch , 1/2 barrel was no where deep enough for a proper injection , correct?
    Ya I don't think it's deep enough. Do you know your bf? I thought I was pretty lean but it didn't work for me. But some people pin with slin pins and do fine. I just experienced the exact same thing and I know for a fact it's not the gear. I suppose I could have screwed up the pin but I believe it's just not deep enough and it's almost like doing a sub-q injection.

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