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Below is a quick description of angles as they relate to different types of injections: Intramuscular Injections are administered at a 90 angle and the following injection sites are recommended for this type of injection: Infants of less the 18 months - Vastus Lateralis Thigh Muscle

Place towels on the cooling packs to avoid direct contact with the injection pens

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Ice packs placed directly against a vial can freeze the adjacent liquid

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A 2014 paper summarized the role of cortisone in tendinopathies this way, Overall it is clear that the local administration of glucocorticoid has significant negative effects on tendon cells in vitro, including reduced cell viability, cell proliferation and collagen synthesis.There is increased collagen disorganisation and necrosis as shown by in vivo studies.The mechanical properties of tendon are also significantly reduced.This review supports the emerging clinical evidence that shows significant long-term harms to tendon tissue and cells associated with glucocorticoid injections. Another 2014 paper gives one possible mechanism for cortisones damaging effect on tendons