The tradeoff involves shorter usability since the solution lacks antimicrobial protection
Potential risks Serious risks and adverse events include: Allergic reaction to the medications or dye used in the injection Shoulder infection Depigmentation of the skin around the injection site (a whitening of the skin) Local fat atrophy around the injection site (thinning of the skin) Rupture of a tendon located in the path of the injection Nerve damage near the shoulder joint Bleeding at the injection site In addition to the above, corticosteroid injections increase the risk of: High blood pressure High blood sugar Decreased immune function Decrease in bone mineral density Bone infection (osteonecrosis) Reproductive hormone imbalance Metabolic changes (eg, increased appetite, weight gain, and fluid retention) These risks are typically associated with higher doses of corticosteroids, multiple injections, and for people with underlying medical conditions such as diabetes and heart problems

Among firms that offer health benefits with 200 or more workers, 5% of firms with 200 to 999 workers, 10% of firms with 1,000 to 4,999 workers, and 18% of firms with 5,000 or more workers have direct contracts with hospitals or health systems to provide services to enrollees separate from their health plan contracts
Rizzo believes, will help patients better weigh the risks of their treatment before accepting their prescription
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