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About hydrocortisone injections

Hydrocortisone injections, also called corticosteroid injections, are used to treat swollen or painful joints, or muscle pain. You may get this type of pain after an injury or if you have arthritis.

They're also used to treat painful tendons and bursitis (when the fluid-filled sacs that cushion a joint become swollen).

Hydrocortisone injections usually help relieve pain and swelling to make movement easier. The benefits can last for 2 to 3 months.

Hydrocortisone is a type of medicine known as a steroid (or corticosteroid). Corticosteroids are not the same as anabolic steroids.

Hydrocortisone injections are only available on prescription. They're usually given by a specially trained doctor in a GP surgery or hospital clinic.

In an emergency, medical staff may give higher dose hydrocortisone injections to treat severe asthma, allergic reactions, severe shock due to injury or infection, or failure of the adrenal glands.

There are different types of hydrocortisone. These include:

  • skin creams
  • tablets
  • sprays, ointments and suppositories

Find out more about other ways you can use hydrocortisone for different health conditions.

Key facts

  • After a hydrocortisone injection, your joint may feel better for several months, sometimes up to a year.
  • Your joint pain and swelling may immediately feel worse after an injection. This pain usually goes away after a few days.
  • Depending on the joint you're having treated, you may be able to have injections in the same place up to 4 times a year.
  • Hydrocortisone injections can affect your immune system, so you're more likely to get infections. Tell your doctor if you get an infection, such as COVID-19, or if you come into contact with chickenpox, shingles or measles as these infections could make you very ill.
  • If you or your child have been having hydrocortisone injections for a long time, you may need a red steroid emergency card (for adults) or an adrenal insufficiency card (for children). Ask your pharmacist or doctor if you do not have one.

Page last reviewed: 22 January 2024
Next review due: 22 January 2027