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Contraindications Suspected infection in the joint Cellulitis Immunosuppression Allergy to local anaesthetic or steroids Joint replacement (relative) Side effects are rare Side Effects Risk of infection is low ( about 1 in 5000) Skin discoloration Fat necrosis Flare up of symptoms for a day or two Rise in sugar levels in diabetics- need to monitor levels carefully for about two days Technique The choice of steroid varies