10 Ways to Make Intramuscular Testosterone Injections Less PainfulAre there ways to reduce the pain associated with IM Testosterone injections? A Beta hcg test males search or Facebook post will yield all kinds of conflicting information. This review of scientific studies sets the record straight on minimizing post-injection pain from IM injections. With Steroid injection into deltoid injections, Testosterone is deposited deeply into vascular muscle tissue. Some injection sites are more prone to pain than others.
10 Ways to Make IM Testosterone Injections Less Painful
Are there ways to reduce the pain associated with IM Testosterone injections? A Google search or Facebook post will yield all kinds of conflicting information. This review of scientific studies sets the record straight on minimizing post-injection pain from IM injections.
With IM injections, Testosterone is deposited deeply into vascular muscle tissue. Some injection sites are more prone to pain than others. Areas of the body with less subcutaneous fat are generally less painful injection sites. The ventrogluteal site has less subcutaneous tissue and a thicker muscle mass than the dorsogluteal site. Therefore, the needle has a better chance of reaching the muscular tissue in the ventrogluteal area than in the dorsogluteal area.
In various studies it was found that most injections given to the dorsogluteal site delivered medication into the fatty tissue. Pain receptors are found within the subcutaneous layer, not in muscle tissues and so injections administered into subcutaneous tissue may be more painful. Rotating injection sites is a must! Give an injection site a week or two off before injecting there again.
This helps to limit injection site reactions and the formation of scar tissue. It has been found that necrosis of the muscle will occur after any IM injection no matter what medication is injected. The only variable is the size of the necrotic lesion and the severity of it.
Forceful placement of a volume of fluid into a closed space will cause damage. In other words, the surrounding muscle and tissues in the immediate area of the needle tip are subjected to the pressure of the mass of fluid that has been instilled into the area, which causes pressure necrosis.
The toxicity of the medication, the volume injected, and even the speed at which the injection is given also will influence the size of the necrotic lesion. The needle used to inject should be long enough to penetrate through the subcutaneous tissue into the muscle mass, or the patient will have more pain.
The typical needle gauge used to inject testosterone is between 22 and It would stand to reason that using a smaller gauge needle would reduce injection pain, but researchers have disagreed on this on this point.
Gill, and Flanagan, Just Say No to Blunts! The volume of injection can contribute to post-injection pain. Smaller, more frequent injections are likely to cause less pain than larger injections administered bi-weekly or every few months in the case of long acting T. Injection technique is another consideration when evaluating post-injection pain, but research in this area is also conflicting.
In one study, the Air-lock AL injection technique was found to be more effective at reducing pain caused by IM injection versus the Z-track ZT method Najafidolatabad, Earlier studies also found AL was a better method for avoiding seepage of the medication, which is associated with lower absorption and pain Quartermaine, and Mac Gabhann Does injection speed play a role in post-injection pain?
There are different injection protocols for different medications, so advice you find online about this may or may not apply to your Testosterone injection.
For example, with the IM injection of vaccines, massaging the site of injection is highly discouraged as it can push the medication into the subcutaneous layer, reducing effectiveness and potentially causing irritation. Given that subcutaneous administration of Testosterone has been proven effective why would the migration of T. Massaging the injection site can push the T. Discussions on nursing forums , as well as journal articles, indicate that massaging the injection site is an out-of-date technique Beyea, Forty percent of all people know that.
However, the findings of a study indicated that massage was effective in reducing pain perception of adult patients after the administration of an intramuscular injection. What about applying pressure before an injection? A study found that this lessened post-injection pain. Subjects in a study reported also lower pain intensity scores with manual pressure applied before injections, suggesting that this could be an effective means of decreasing post-injection pain Chung, The common dorsogluteal injection site is no longer recommended.
Doing T shots in your butt? Choose your gear wisely. Use a needle that is long enough to penetrate deep into the muscle. Use a larger gauge needle for drawing up, then switch to a smaller gauge needle to inject.
Re-visit your injection technique. Are you injecting straight in or does the trajectory of the needle shift during injection? Small tweaks to your technique might provide big wins in reducing post-injection pain. Warm up and relax. Have a hot shower or bath before your injection to warm up the injection site.
While injecting, keep the muscle relaxed and unflexed. Warm up your T. Hold the vial in a closed fist for a couple of minutes, run it under hot water or place it on a baseboard heater for a minute to warm the T. Warm oil in a warm muscle will produce less pain than cold oil in a cold muscle! After sterilizing the injection site with alcohol, let the skin dry. Penetrating the skin with the needle before the alcohol has evaporated can cause a stinging pain sensation.
Apply manual pressure to the injection site for 10 seconds before your injection. Be sure to maintain sterility! After your injection, reduce pain and swelling by applying topical Arnica gel or cream, and then ice the injection site. Some people swear by it, so massage the site after injection if you think it helps! Pain after an IM Testosterone injection is very common but there are numerous things you can do to minimize and even eliminate post-injection pain.
In the end, every body is different and what works for one guy may not work so well for another. Comparison of the pain severity, drug leakage and ecchymosis rates caused by the application on tramadol intramuscular injection in Z-track and Air-lock Techniques. Which site is more painful in intramuscular injections? The dorsogluteal site or the ventrogluteal site?
Gill and Mark R. Does Needle Size Matter? J Diabetes Sci Technol. Effect on pain of changing the needle prior to administering medicine intramuscularly: Quartermaine S, Taylor R.
A comparative study of depot injection techniques. A comparison of two depot injection techniques. Comparison of intramuscular injection techniques to reduce site discomfort and lesions. Katsma D, Smith G. Analysis of needle path during intramuscular injection. The effect of injection speed on the perception of intramuscular injection pain. Effects of injection duration on site-pain intensity and bruising associated with subcutaneous heparin.
The Medscape Journal of Medicine. Administration of medications via the intramuscular route: Effect of massage on pain perception after administration of Intramuscular Injection among adult patients. Using pressure to decrease the pain of intramuscular injections. J Pain Symptom Manage. An experimental study on the use of manual pressure to reduce pain in intramuscular injections. Joshua is the Editor and Publisher of TransGuys.
He lives in rural Canada. This is an excellent, thorough review of the info out there on IM injections for T. I would add to this to talk to your healthcare provider about the possibility of switching to subcutaneous injections. I was working with these kids when I started T, and asked my doctor if there was anything stopping me from injecting subcutaneously instead of intramuscularly.
Everyone needs to find the right technique for their own hormone delivery, but I wish other trans men were informed by their healthcare providers that there is a less painful option out there that might work for them.
Sub-q is definitely growing in popularity. Pain receptors are in that sub-q layer, not in muscle, so I find it surprising that sub-q scores as well as it does on post-injection pain. Studies indicate that one of the reasons is because sub-q injections are lower volume. Another factor in terms of volume is the concentration of T. Great article to help us understand what we can improve or add to ensure a smooth injection process. I got a bit lost and confused as I was reading it.
I want to make sure I absorb all the information and understand it correctly. Thanks for all your work and help compiling and report.
I added some links to explain airlock vs. Anything else in particular that I can clarify? Do I need to pinch the skin first then inject or make the skin tight in the thigh before injecting.