i just had my 4th injection for pain management this year. they don't want to write a scrip for pain killers. 1 shot just didn't give the results i needed. so i had to get it redone under x-rays. so my new Dr. ordered a blood planel. my blood sugar number jumped big time. so now i need another test in 3 months. be careful if you need a steroid shot for pain. it looks like it was my last one. they start to lose its effects with each additional one you take. looking for more options.