I had an MRI in May. The images showed excessive fluid buildup and inflammation in the bursa, and a small incomplete tear in my rotator cuff. The tear is in line with the fibers of my cuff, much like a split in a seam. It’s unclear whether I had the tear before the shot or whether the shot caused it. I’d had no prior symptoms, and Annunziata says the shot might either have caused the tear – if the needle went into the cuff – or stirred up a prolonged inflammatory response in the area, causing the tear to become painful.
In the past, it has been rare for any kind of psychological treatment alone to eliminate needle phobia, and it has almost never been helpful for those who experience the vasovagal (fainting) type of needle phobia (unless the psychotherapist has an unusual amount of knowledge about vasovagal needle phobia). For a many needle phobics, though, psychotherapy or hypnotherapy may be a necessary first step in eliminating needle phobia. Because discussions of needle procedures may cause some needle phobics to experience loss of consciousness with convulsions and potentially other serious medical problems, all psychotherapy or hypnotherapy should be done with great care. It is usually preferable that such treatment either be conducted directly by a psychiatrist (who is also a medical doctor) or in an environment where advanced medical treatment is rapidly available (such as by a psychotherapist or hypnotherapist whose office is in the same building as, and in very close proximity to, the offices of well-equipped medical doctors).
Knowledge of how to give cattle injections or shots, be it sub-subcutaneously (SQ; under the skin), intramuscularly (IM; directly into the blood supply of the muscle), or intravenously (IV; directly into the vein, usually the jugular vein), is very important in order to be able to vaccinate or treat cattle with vaccines or medicines, respectively. A cow, bull, heifer, steer or calf does not have to be sick in order to be given an injection, many cattle that are perfect healthy are required to get injections or shots for annual vaccinations or booster shots.