Drug compounding centers are not regulated by the high standards that drug producers must meet. Most compounding centers are regulated by state agencies and not by the stricter FDA rules that are applied to drug producers. This current outbreak of fungal meningitis, joint infections, and other infections such as epidural abscesses related to products used to treat patients is likely to change this "oversight or regulation" situation. Currently, several high-ranking politicians are demanding stricter regulations be set up for drug-compounding companies. The FDA commissioner, the NECC cofounder, and the director of the Massachusetts Board of Registration in Pharmacy are scheduled to meet with a congressional panel on Nov. 14, 2012. Confidence in compounded drugs can be brought back to the many doctors and patients who need to use them only if such incidences of contaminated drugs from compounding centers are substantially reduced or eliminated.
With the numerous points we have to choose from for our steroid injections most will find the glutes and lateral (side) deltoid head to be the most comfortable and convenient points of administration. Injection sites such as calves and traps are highly warned against; although in terms of adequate injection sites they are fine, they can produce a fair amount of pain in the individual. No matter where you choose to inject always practice sanitary methods; do not reuse needles or syringes, clean the area thoroughly before injection and always sterilize with alcohol beforehand.
The subacromial corticosteroid injections for the rotator cuff disease and intra-articular steroid injection for adhesive capsulitis are quite beneficial. However the impact of these injections can be short-lived. Experts suggest that a more extensive research is required to study the efficacy of the corticosteroid injections for shoulder pain. There are other issues that also need to be clarified. The most important amongst these is whether the factors like accuracy of needle placement, anatomical site, frequency, dose and type of corticosteroid influences the efficacy of the injection.