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It shouldn't be too bad after about 12h or so. Along with the steroid, you should get some local anesthetic that should take care of most of your pain. If you have persistent pain or certainly worsening pain, you should be concerned for infection and contact your doctor. Not bad. Keep some ice on it off and on at the beginning to keep down inflammation. It might ache a bit for a day or two, but no big deal.

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Q: How bad is pain following steroid injection in shoulder?
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