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Sore Injection Sites..

SAMMYSDAD

New member
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Aug 22, 2004
Messages
63
Hey guys,
I've seen a lot of posts about this type of stuff lately here and on other sites and I felt I needed to point a few things out that I've learned over the past couple of years. I have personally seen more people than I care to mention with infections over the last year or so and even more recently (it seems that dirty gear and crazy injection volumes have brought on an epidemic). I happen to be around a lot of people who are using and I have helped a few out so when ever anyone in my area thinks they had a bad shot they have come to me with the old "do you think I need to see a doctor?" question. Now I am not trying to come off like a know it all. Everthing I say here was told to me by a Doctor that I have sent these people to. I am only restating his knowledge to help people before they let things go far.

Some things anyone using needs to know:

1. Not all infection is accompanied by a "detectable" fever. Especially in the first few days. If an infection goes untreated too long you will have to have it drained. If the body encapsulates it and you get an abcess the doc will be going in with a knife.

2. Massaging of the injection site immediately can cause some of the liquid to travel back up the needle path and deposit under the skin. Your body cannot absorb it from there and it will cause an infection. That's not to say don't rub it-it's just something to think about if you get sore and inflamed and you are SURE that it can't be an infection becuase you did everything right-it can.

3. Injecting in the arms too deep and depositing the solution under the muscle between the muscle and the bone will cause an infection as the body cannot absorb it efficiently there either. This will also happen if you deposit the solution between muscles as well. The solution needs to be injected right into the belly-this is why most Doctors will hit the glutes where there is less chance of missing the middle of the belly. Not too mention less possible nerves.

4. If you think there's no way your stuff can be dirty or you use perfect sterile technique, think again. The doc said he has had many people he's given shots to (all kinds-not just roids) come back with infections. Slip ups happen and if he can mess up and he does it for a living what makes us think we are infallible.

5. If you get an infection and you go and see the doc immediately he will probably put you on Keflex. The pain will dissipate by the next day and within a week or so all traces will be gone. If you wait too long he will have to drain-or worse cut it-and you will have a nasty scar and a hole in the muscle.

6. If your doc wants to cut it or drain it immediately, ask him about trying an antibiotic for a couple of days first. Even in an infection thats gone a couple of weeks there is still a chance it will go down-if youre lucky.

I will give three quick examples:

John: Shot himself in the left glute with 1cc Tren on a sunday. Monday morning he was sore but thought it was normal and shot his other Glute with another cc of tren. Tuesday morning he gets up and his left glute is on fire but the right is fine. By the end of the day he can't sit down. He calls me on tuesday night and I beg him to go to my Doc. He says he's going to give it another day and Wed morning he wakes up (after very little sleep) and his left glute is twice the size of his right and it is noticeable to everyone without even being pointed out. He goes to the ER and the doctor gives him an hour speech on roid abuse then drains it by cutting a 2" ditch and leaves the wick in and tells him to change the gause a couple of times a day (no antibiotic was given). A week later he's still in pain. I send him to my guy who puts him on an injectable antibiotic and the next day the pain is subsiding 3 days later he stiches up the hole. A couple of weeks go by and he's good as new. My Doc said if he was treated with a regular dose of Keflex he would have been fine in 3 days. The doc said that the tren was fine (or else he would have had the infection on both sides) but he must've had some bacteria on the skin surface and get pulled in by the needle.

Mike: Not the brightest bulb in the circuit. Shoots 2 cc's of sust 250 into each bicep. An hour later he can't even straighten his arms. His biceps are visibly swolen and red. His "buddy" the all knowing steroid guru patrick tells him to soak in hot water than massage the hell out of them. Mike comes to me a few days later with 21" arms (they were only about 18 before-lol) and asks my advice. I send him to my Doc and he says that the hot water thinnned out the oil and the massage forced it back up the needle track under the skin where the body couldn't break it down and an infection ensued. Keflex to the rescue and 3 days later no more pain and arms back to their origional size within another week. (since then he's had 3 more infections-all treated immediately and all 100% recovered-the Doc is starting to think he's an idiot though)

Eric: Hit his quads with some QV enanthate. Had trouble bending his leg. It got really bad after about a week but Eric is an aminal and just upped his percocet consuption. SIX MONTHS LATER he still hadn't gotten it looked at and was sick all the time. He finally passed out at a dance club and was rushed to the ER in an ambulance. After a 6 hour operation and 50% of his quad removed he was moved to ICU for a few days until he finally came home about 2 weeks later. If you look at his quad now it looks like someone removed it with a chain saw.

The moral of the story: If you think it is even remotely possible that it could be an infection go to your doctor. If it's not: the worst thing that's happened is you wasted $10 on a co-pay for peace of mind. If it is: you may save yourself an unneeded surgery and a lot of headache. This post is in no way meant to be a diagnosis or to be used in place of a physicians advice. I just want to make sure people seek out proffesional help before it's too late.
 
WHAT DO WE DO?

How do you stop an infection from forming????? Inject very very slowly????? How long should it take to inject 1 cc, a half hour?
 
Hey Sammysdad.


Looks like a good post

Couple questions.

You said The doc said that the tren was fine (or else he would have had the infection on both sides) but he must've had some bacteria on the skin surface and get pulled in by the needle

How would the Dr. have an idea what caused it? I can think of at least 3 different things that COULD have done it.

Ok so say we accept that the infection was caused by some bacteria on the skin surface. How do you prevent that? I have heard that alcohol wipe does NOT get rid of the bacteria that if you want to do it right the only thing that would work is bedidine solution.

I send him to my Doc and he says that the hot water thinnned out the oil and the massage forced it back up the needle track under the skin where the body couldn't break it down and an infection ensued Again HOW did the Dr. know the oil came back up the inject trail and caused the infection? Is that even POSSIBLE to know what caused it?

How do you avoid getting an infection?

You said massaging CAN cause and infection so what are you suppose to do massage or not?

What other antibiotics could you use instead of Keflex as I do not have access to that?

Ok so say you think you have an infection how EXACTLY does the Dr. determine if you have and infection or not? I do not have a $10 co pay I have a $95 per visit minimum and a $75 + charge for blood work + who knows how much for the prescription which they fill right at the Dr.s office. So even if it is NOT an infection it will run $170, and would think there are other guys in the same boat as myself.

Do you think a person could determine if they have an infection and start yourself on Keflex?

And last but not least are you medically trained that you know all of this? If not what experience do you have besides hearing guys have a bad shot and you send them to your Dr.?


Hope you take these in the manner in which they are asked which is to increase the safety of myself and all the bros on this board.

Thanks
 
Last edited:
I really appreciate this info..Sammysdad has obviusly been around the block a time or two..I learn something everyday on this board...

Thanks again buddy.... :)
 
overall

good info.. to take into consideration
 
Crowler said:
Hey Sammysdad.


Looks like a good post

Couple questions.

You said The doc said that the tren was fine (or else he would have had the infection on both sides) but he must've had some bacteria on the skin surface and get pulled in by the needle

How would the Dr. have an idea what caused it? I can think of at least 3 different things that COULD have done it.

Ok so say we accept that the infection was caused by some bacteria on the skin surface. How do you prevent that? I have heard that alcohol wipe does NOT get rid of the bacteria that if you want to do it right the only thing that would work is bedidine solution.

I send him to my Doc and he says that the hot water thinnned out the oil and the massage forced it back up the needle track under the skin where the body couldn't break it down and an infection ensued Again HOW did the Dr. know the oil came back up the inject trail and caused the infection? Is that even POSSIBLE to know what caused it?

How do you avoid getting an infection?

You said massaging CAN cause and infection so what are you suppose to do massage or not?

What other antibiotics could you use instead of Keflex as I do not have access to that?

Ok so say you think you have an infection how EXACTLY does the Dr. determine if you have and infection or not? I do not have a $10 co pay I have a $95 per visit minimum and a $75 + charge for blood work + who knows how much for the prescription which they fill right at the Dr.s office. So even if it is NOT an infection it will run $170, and would think there are other guys in the same boat as myself.

Do you think a person could determine if they have an infection and start yourself on Keflex?

And last but not least are you medically trained that you know all of this? If not what experience do you have besides hearing guys have a bad shot and you send them to your Dr.?


Hope you take these in the manner in which they are asked which is to increase the safety of myself and all the bros on this board.

Thanks

Crowler,
The Doctor that I speak of is obviously giving his opinion/best guess in each case of what most likely caused the infection based on the particular circumstances. Of course there are other possible causes but these are also possible-there is really no way to be 100% sure of the cause without invasive procedures. However, everyone he has treated has cleared up (and there have been over 20 that I know of in the past 6-7 months) so he has a good track record. I am not medically trained, however, I started out as pre-med then switched my focus and ended with a degree in biology with a minor in chemistry so I do have a little background in medicine and sterile technique. However, the purpose of my post was to point out that infection is serious and needs to be treated. And there are other possible causes than poor injection technique so when things go bad we don't rule out infection based on the fact we wiped first and we know our gear is clean because we trust the source.
 
Thanks for the info.

ANyone know if it is true alcohol really doesn't kill bacteria only betidine does?

Anyone know how a Dr. determines it IS an infection and then prescibe the anitbiotics or do most guys just start anitbiotics if they think it is an infection to be safe?


Anyone know an anti biotic as good as Keflex?
 
Yes isopropyl alcohol will not kill bacteria...

THe little alcohol wipes only wipe bacteria away from the injection area and stops bacterial growth momentarily. This would be bacterial static. Now bacterial cidal which means the substance actually kills the bacteria. Betadine is bacterial cidal. We use it in the OR to prep for surgery. Betadine actually needs about 3 minutes to work well. Later.
 
you can get Keflex at a ton of online pharmacies with no issues. I have a bottle laying around for just in case. The moment an injection site gets sore, I keep my eye on it, if it gets red, I start taking 250mgs 5 x day with 800mgs of motrin to prevent swelling.
 
mark86 said:
How do you stop an infection from forming????? Inject very very slowly????? How long should it take to inject 1 cc, a half hour?

Exactly. What do you suggest would be the best way to inject??
 
SAMMYSDAD,
I got a question for ya. As you may have read I injected 375mgs of IP test E monday and now I have a golf ball sized knot and the redness is traveling down my arm. I dont think its infection because it happend to fast but Im no expert. Is there anyway I can tell for sure if its too much ba or infection? what would you do?
 
bigdho said:
SAMMYSDAD,
I got a question for ya. As you may have read I injected 375mgs of IP test E monday and now I have a golf ball sized knot and the redness is traveling down my arm. I dont think its infection because it happend to fast but Im no expert. Is there anyway I can tell for sure if its too much ba or infection? what would you do?

I am not an expert either but I would recommend seeing a doctor. IMO Redness should not be travelling down your arm if you injected in the muscle. However if you went too deep or injected between muscles the fluid could travel. Just because the pain was immediate doesn't mean it's related to the infection. You may have hit a nerve which caused the pain then got an infection from a bad injection. If the redness is on the surface it could be because the liquid came back out the needle track and is traveling under the skin. The cause at this point is irrelevant. I would go to your doc asap.
 
zephyr22 said:
THe little alcohol wipes only wipe bacteria away from the injection area and stops bacterial growth momentarily. This would be bacterial static. Now bacterial cidal which means the substance actually kills the bacteria. Betadine is bacterial cidal. We use it in the OR to prep for surgery. Betadine actually needs about 3 minutes to work well. Later.

The bacteriocidal effects of betadine aren't even totally effective. Actually skin is impossible to sterilize by any means other than fire (high heat). So you heard it here first. Everyone torch a small segment of skin before injecting, it's the only way to prevent infection.

But yeah, alcohol really doesn't do much to sanitize skin because it dries too quickly. It would need to be wet on the injection spot for 30-60 seconds to make a real difference. Like Zephyr said, alcohol is just basically wiping away some of the bacteria, which is better than nothing, but if you're trying to STERILIZE then the only real way is with fire. That's why you just take what precautions you can and see a doctor if something goes wrong. I've never had a problem. Maybe it's because I never worry about it ;) .
 
bigdho said:
Exactly. What do you suggest would be the best way to inject??

My post was not to say people are injecting wrong. It was to point out that no matter how careful you are or how sure you are that your stuff is legit accidents happen (even to doctors) and if they do you need to get it looked at. It's all too easy to say "my stuffs clean, I use good technique etc.." and explain away a possible infection as just a sore injection site. When ever we put a foreign substance in our body we run the risk of complications. Obviously these risks increase if our source was not a pharmacy and our product is not human grade etc..

My suggestion? As for best technique, unless it's SEO stick to the glutes, make sure the needle stays clean, clean the membrane on the top of the bottle before sticking in the needle and drawing the solution, change needles after filling syringe, clean the heck out of the area you will inject, draw back to make sure no blood, inject slowly. The glutes sheer size alone can help cut down on the risks of everything but dirty gear. You could run all your gear through a fiter that will remove the bacteria. You can buy one online. You can cook it at 220 to sterilize it. And if worst comes to worst and you end up having an abcess losing a few ounces of muscle from your ass rather than your arm it isn't a bad trade.
 
220 won't sterilize. I wrote a post on that in another thread.
 
Thanks for the info, Im going to buy some Keflex and in the mean time Ill go see my doc.
 
bigdho said:
Thanks for the info, Im going to buy some Keflex and in the mean time Ill go see my doc.

Good luck. I hope everything turns out ok.
 

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