instruction: hello doctor I am a 24 year old female I received a second round of a cortisone shot in my wrist on 18th may for wrist tendinitis during the injection it hurt much worse than the first shot I have been told to keep my wrist in a splint at all times my wrist is still bruised where the injection was given there is now a bump as well where I have injected hurts when touched before the first shot I had a ganglion on my wrist that popped I cannot say for certain if the bump is from the injection or the ganglion is back because of the shot I need to know if this is normal or if I should go to a clinic over the weekend I am currently on autumn wills seroquel 400 my lithium 300 my and ativan my when needed and not often
output: hello from the brief history you have given it seems like there is not much to worry about first of all I need to know some more detailed points where exactly in the wrist the shot was given I mean is it the extensor of the thumb de quervain or is it for any other finger also do you have thyearoid issues sometimes when the large volume of fluid is injected into the tendon sheath and surrounding area due to distension it can cause severe pain and patients do complain of exaggerated symptoms prior to injection small vessels must have been punctured quite normal which lead to extravasation of blood hence the bruise it will take a few more days but both the bruise and the bump should go away do apply ice packs there you will get you the necessary relief ganglion cysts are notorious for recurrence but highly unlikely to be associated or related to the injection if you can send me a clinical picture that would be better splint is fine but you do need to mobilize your wrist for a very long time otherwise you might end up having stiff wrist 3 weeks should not cause any stiffness understanding tendinitis is important you need a very specific rehab protocol and few medications and you should feel much better in few weeks time did you get your vitamin levels tested kindly revert with the info