When injections go horribly wrong.

[Dr JIM]

Trying to start a story thread here. We've all had injections that have gone horribly wrong before. Let's put them here.

My latest occurred last night. Injecting my left triceps. Nothing new, i'm comfortable with that site, but ever so rarely, i miss the mark and get too close to a nerve.

After inserting the needle, i began to push on the plunger. The process was moving at a snails pace, then the plunger started moving. Moving too fast for my liking, however.

That's when the pain began. An intense burning sensation ran down into my elbow and the bend of my arm between the forearm and biceps. This has happened before, but not this intense.

i stood there laughing to myself like a psychotic. i couldn't help but laugh, thinking to myself, this is my slice of humble pie for thinking i'm a master at this.

i woke up to a swolen triceps, that when bent, hurts pretty good. Made for some uncomfortable bicep curls tonight, to say the least.

And hitting a nerve is the reason the Triceps area is NEVER used in medical practice for IM injections.

I’ve seen THREE folk w radial nerve
NEUROPRAXIA from Triceps injections, and while this condition is almost always
temporary recovery can require months
and that’s no fun since the primary motor function of the radial nerve is FINGER and THUMB extension.

Jim

 

[MisterSuperGod]

And hitting a nerve is the reason the Triceps area is NEVER used in medical practice for IM injections.

I’ve seen THREE folk w radial nerve
NEUROPRAXIA from Triceps injections, and while this condition is almost always
temporary recovery can require months
and that’s no fun since the primary motor function of the radial nerve is FINGER and THUMB extension.

Jim

Damn. That's definitely some food for thought. Looks like i'm going to have to look into alternative sites now. Thank you.

 

[TX_Hempknight]

First ever pin was right glute. It swelled up the size of a softball. Couldnt sit on it, couldnt lay on it. Had to take a couple of days off of work and you could see it bulging out when I finally put on pants. Other than that, Ive had my quads start twitching pretty good as well as pecs. Thats been the worst of it for me.

 

[JohnnyD]

And hitting a nerve is the reason the Triceps area is NEVER used in medical practice for IM injections.

I’ve seen THREE folk w radial nerve
NEUROPRAXIA from Triceps injections, and while this condition is almost always
temporary recovery can require months
and that’s no fun since the primary motor function of the radial nerve is FINGER and THUMB extension.

Jim

As someone who gets weekly sub q allergy shots I couldn’t agree more. They are supposed to inject slightly above the triceps but I’m leaner and have had one or two less than vigilant nurses inject right into my tricep. Hurts like hell, swells from the allergens , plus it’s not good to get IM allergy shots anyway.

 

[Dr JIM]

Damn. That's definitely some food for thought. Looks like i'm going to have to look into alternative sites now. Thank you.

Here's a closer look at the FOUR nerves that could be injured (depending upon injection location) when a triceps site is used.

Nail the Radial and lose finger extension
Nail the Musculocutaneous and lose either Bi's or Brachio-Radilais fct
Nail the Medial and grip strength is lost - effected
Nail the Ulnar and Wrist strength is diminished

And bc these nerves aborize/branch in several locations throughout their shoulder to wrist course sensation, would also be effected.


So really from an applied anatomy perspective there's no safe site for Tri's mate.

JIM

 

[Oldschool]

Honestly my go to place to load and prep.

Why? Hiding from your mother?

 

[Oldschool]

Here's a closer look at the FOUR nerves that could be injured (depending upon injection location) when a triceps site is used.

Nail the Radial and lose finger extension
Nail the Musculocutaneous and lose either Bi's or Brachio-Radilais fct
Nail the Medial and grip strength is lost - effected
Nail the Ulnar and Wrist strength is diminished

And bc these nerves aborize/branch in several locations throughout their shoulder to wrist course sensation, would also be effected.View attachment 109590


So really from an applied anatomy perspective there's no safe site for Tri's mate.

JIM

That axillary nerve looks to be the reason some have problems with delt inj?

Thanks in advance.

 

[DonaldPump]

Dude your not supposed to pin where you shit! Think about it.

Confucius say “poop is bad for you”

 

[Dr JIM]

That axillary nerve looks to be the reason some have problems with delt inj?

Thanks in advance.

Excellent question

But bc the Axillary nerve supplies motor and sensory innervation to the deltoid muscle ONLY it’s a very safe site (if done correctly) for IM injections.

That’s bc the nerve leaves the brachial plexus in the shoulder region and courses deep underneath the HEAD of the humerus in the AXILLA and ENDS at the deltoid muscle.

So it’s darn near impossible to nail UNLEES one is attempting to access the delts thru the ARMPIT ????

And fortunately I’ve not heard, seen or read that before - but the day is young

Of course bc the muscle is relatively small it’s capacity is limited to no more than one cc which can become problematic in most Pro BB.

Jim

 

[Dr JIM]

Sure the Deltoids are a safe site but bc the delts are tightly wrapped in fascia and the FASCIA is pain sensitive (muscle itself is relatively insensitive to pain) the problem once again is almost always the technique.

As in some noob thinking heck my delts are a weak spot so I’m gonna give em both a couple cc, today, generally just not a good idea.

So the technique matters a lot; which means an injection of no more than ONE ML that is directly centered on the muscle belly. (Of course bigger lifters may tolerate larger volumes BUT .... in this case more is likely to pose problems for the majority on this board)

Deviate as many do (I’m gonna try a lateral delt today) and the net effect is often a sore shoulder for several days.

But hey as long as the arm pit route is not on the agenda I’m good

Regs
Jim

 

[Oldschool]

Excellent question

But bc the Axillary nerve supplies motor and sensory innervation to the deltoid muscle ONLY it’s a very safe site (if done correctly) for IM injections.

That’s bc the nerve leaves the brachial plexus in the shoulder region and courses deep underneath the HEAD of the humerus in the AXILLA and ENDS at the deltoid muscle.

So it’s darn near impossible to nail UNLEES one is attempting to access the delts thru the ARMPIT ????

And fortunately I’ve not heard, seen or read that before - but the day is young

Of course bc the muscle is relatively small it’s capacity is limited to no more than one cc which can become problematic in most Pro BB.

Jim

Dare I poke further and ask if you prefer delt injection over quad injection?
And speak for your own shoulders fella in regards to volume... I'm probably 3/4 cc.

 

[Dr JIM]

Dare I poke further and ask if you prefer delt injection over quad injection?
And speak for your own shoulders fella in regards to volume... I'm probably 3/4 cc.

Good question also since both ARE recommended sites so the answer would DEPENDS upon;

- THE volume to be pinned
- THE product quality (as in can PIP be anticipated)
- AN individuals WO schedule
- And perhaps most important is USER EXPERIENCE and Developmental Level.
(Since IME noobs just don’t possess the muscle or the level of expertise required to pin anything but DORSOGLUTES!)


All that being said it’s important folk understand the Glutes ARE by far the preferred IM medical site bc
- large capacity
- minimal nerve exposure
- vigorous blood supply
- reliable Depot resorption
- minimal PIP for several reasons

And for these reasons the Glutes have become the traditional standard in AAS pharmacokinetic research.

Jim

 

[Oldschool]

Good question also since both ARE recommended sites so the answer would DEPENDS upon;

- THE volume to be pinned
- THE product quality (as in can PIP be anticipated)
- AN individuals WO schedule
- And perhaps most important is USER EXPERIENCE and Developmental Level.
(Since IME noobs just don’t possess the muscle or the level of expertise required to pin anything but DORSOGLUTES!)


All that being said it’s important folk understand the Glutes ARE by far the preferred IM medical site bc
- large capacity
- minimal nerve exposure
- vigorous blood supply
- reliable Depot resorption
- minimal PIP for several reasons

And for these reasons the Glutes have become the traditional standard in AAS pharmacokinetic research.

Jim

Good stuff. Thanks.

 

[Bigboy727]

Good question also since both ARE recommended sites so the answer would DEPENDS upon;

- THE volume to be pinned
- THE product quality (as in can PIP be anticipated)
- AN individuals WO schedule
- And perhaps most important is USER EXPERIENCE and Developmental Level.
(Since IME noobs just don’t possess the muscle or the level of expertise required to pin anything but DORSOGLUTES!)


All that being said it’s important folk understand the Glutes ARE by far the preferred IM medical site bc
- large capacity
- minimal nerve exposure
- vigorous blood supply
- reliable Depot resorption
- minimal PIP for several reasons

And for these reasons the Glutes have become the traditional standard in AAS pharmacokinetic research.

Jim

Wtf happened this guy? He isn’t calling anyone names or degrading anybody. He is answering questions and teaching us good stuff. I wonder how nice it would be to have this Jim around?

 

[mp46]

I've had blood squirt out of my glute after pulling the pin. Nearly passed out during my first injection ever, light headed, leaning on the counter and everything.

 

[Bigboy727]

I've had blood squirt out of my glute after pulling the pin. Nearly passed out during my first injection ever, light headed, leaning on the counter and everything.

@Dr JIM may shed light on this. My Dr just said there is no need to aspirate when doing an injection. The blood you’ll see after pulling out is usually a surface vein.

 

[Dr JIM]

Wtf happened this guy? He isn’t calling anyone names or degrading anybody. He is answering questions and teaching us good stuff. I wonder how nice it would be to have this Jim around?

Perhaps the difference is THE QUESTION/s rather than my answer.

Bc rest assured some on this board consider my answers on this thread condescending and bloviating while others believe them to be informative.

Maybe the AUDIENCES fund of knowledge or their reasons for being here, personal pursuits or otherwise matters MOST.

The fact IS I’m not here to please the masses but to tell it like it is from an evidence based perspective, absent the spoon, and holding of hands.

Jim

 

[mp46]

@Dr JIM may shed light on this. My Dr just said there is no need to aspirate when doing an injection. The blood you’ll see after pulling out is usually a surface vein.

I've had blood "ooze" plenty of times but this was straight squirting out a few inches. Nothing after that, no abnormal pain or swelling and in the same area I always pin.

 

[Savagesteve]

Not really any terrible experience but my buddies wife was pinning my delt (she’s a nurse) and while the was pushing the oil in my muscle locked up tight af and she freaked out. Only I can guess it it clipped a nerve or something.

The shittiest experience I had just had to deal with softball pip thanks to eo primo and I had to drive about 1200 miles the day after pinning

 

[Bigboy727]

I've had blood "ooze" plenty of times but this was straight squirting out a few inches. Nothing after that, no abnormal pain or swelling and in the same area I always pin.

I always love it when I get a silver dollar size bruise on your quad. The blood stays under the skin and drys.