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However, repeated corticosteroid injections carry risks, including: Weakening of the surrounding ligaments Fat pad atrophy Skin discoloration Potential tendon rupture with excessive use Alcohol Sclerosing Injections Alcohol sclerosing injections offer an alternative to corticosteroids

But, if symptoms haven't improved at all, then it could be that you need more frequent jabs

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The absence of upper motor neuron signs in this case may also be related to the limited detectability of subtle deficits in older adults