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Self-injection tips and techniques

Started by James Cox6 · · 👁 4 views · 6 replies

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Participants James Cox6Sam Castillo7Sam Hall15Scott Allen10
James Cox6 James Cox6 Active MemberOP
150 messages
joined Mar 2009
#1 ·
Looking for some advice or help here

Does anyone else here do injections of any kind? 😁 Self-administering shots

Basically, I’m injecting 0.6 of Heparin subcutaneously every single morning—hitting the fatty tissue at a 45-degree angle.😁

The issue is, my skin gets incredibly itchy. When I inject into my arm or leg, the site swells up into a lump, and that swelling spreads out about 5 cm around the puncture. Plus, I occasionally hit a capillary, which leaves the whole area bruised up. 🤷😕

My skin is pretty thick and dark, so veins aren't really visible—I'm basically stabbing blindly. 🙄

So, my questions are:

- Does anyone else deal with regular injections? (Whether it's Heparin, insulin, B-vitamins... whatever therapy you're on)
- For those who do—is it okay to apply ice to the injection sites to help with the swelling, lumps, itching, or irritation?

Thanks in advance
Sam Castillo7 Sam Castillo7 Member
31 messages
joined Mar 2009
#2 ·
James Cox6 said:Looking for some advice or help here

Does anyone else here do injections of any kind? 😁 Self-administering shots

Basically, I’m injecting 0.6 of Heparin subcutaneously every single morning—hitting the fatty tissue at a 45-degree angle.😁

The issue is, my skin gets incredibly itchy. When I inject into my arm or leg, the site swells up into a lump, and that swelling spreads out about 5 cm around the puncture. Plus, I occasionally hit a capillary, which leaves the whole area bruised up. 🤷😕

My skin is pretty thick and dark, so veins aren't really visible—I'm basically stabbing blindly. 🙄

So, my questions are:

- Does anyone else deal with regular injections? (Whether it's Heparin, insulin, B-vitamins... whatever therapy you're on)
- For those who do—is it okay to apply ice to the injection sites to help with the swelling, lumps, itching, or irritation?

Thanks in advance

Look, once you hit yourself with Heparin, you cannot rub it, press it, or massage it—period. Don't even think about it. You inject, pull the needle out, and that's it. Leave it alone!

Try using your left thumb and index finger to pinch the fatty tissue on your leg or arm, then slowly—and I mean *slowly*—inject the Heparin into that pinched area. The slower you go, the less it hurts. When people do it in the stomach, that's how they grab the tissue to inject.

I don't do my own shots, but since I've been given Heparin plenty of times, I know the drill and all the little quirks. They actually used me as a training dummy for an intern once😬 so I've seen the whole process step-by-step.

Maybe one of the moms on here will chime in—they're usually doing daily shots in their legs and arms too. Someone probably figured out the perfect system by now.😁 😉
Sam Hall15 Sam Hall15 Active Member
225 messages
joined May 2006
#3 ·
When administering heparin, you might notice some minor bruising at the injection site. As long as there isn't any redness, heat, or significant pain, there is no cause for concern. A helpful technique is to rotate your injection sites regularly... and since you are using subcutaneous LMWH, simply pinch the fatty tissue with two fingers, insert the needle fully, and inject slowly.
James Cox6 James Cox6 Active MemberOP
150 messages
joined Mar 2009
#4 ·
Sam Hall15 said:When administering heparin, you might notice some minor bruising at the injection site. As long as there isn't any redness, heat, or significant pain, there is no cause for concern. A helpful technique is to rotate your injection sites regularly... and since you are using subcutaneous LMWH, simply pinch the fatty tissue with two fingers, insert the needle fully, and inject slowly.

Thanks for clearing that up, but should I be pushing the air out?

My Fraxiparine (5700 IU 0.6) comes with an air bubble in the prefilled syringe...

The instructions say not to expel the air, but they also say to inject into the abdominal fat.

Since I'm not injecting into my stomach fat (I was told thigh or arm instead), what's the deal with the air? They told me that since there's a higher chance of hitting a vessel (capillary) in the leg or arm, it's better to push the air out.

So, what's the catch here? What's the actual difference between injecting with or without that air?

Thanks
James Cox6 James Cox6 Active MemberOP
150 messages
joined Mar 2009
#5 ·
Sam Castillo7 said:Look, once you hit yourself with Heparin, you cannot rub it, press it, or massage it—period. Don't even think about it. You inject, pull the needle out, and that's it. Leave it alone!

Try using your left thumb and index finger to pinch the fatty tissue on your leg or arm, then slowly—and I mean *slowly*—inject the Heparin into that pinched area. The slower you go, the less it hurts. When people do it in the stomach, that's how they grab the tissue to inject.

I don't do my own shots, but since I've been given Heparin plenty of times, I know the drill and all the little quirks. They actually used me as a training dummy for an intern once😬 so I've seen the whole process step-by-step.

Maybe one of the moms on here will chime in—they're usually doing daily shots in their legs and arms too. Someone probably figured out the perfect system by now.😁 😉

I sanitize with alcohol before the shot...

Sam Castillo7 said:Look, once you hit yourself with Heparin, you cannot rub it, press it, or massage it—period. Don't even think about it. You inject, pull the needle out, and that's it. Leave it alone!

Try using your left thumb and index finger to pinch the fatty tissue on your leg or arm, then slowly—and I mean *slowly*—inject the Heparin into that pinched area. The slower you go, the less it hurts. When people do it in the stomach, that's how they grab the tissue to inject.

I don't do my own shots, but since I've been given Heparin plenty of times, I know the drill and all the little quirks. They actually used me as a training dummy for an intern once😬 so I've seen the whole process step-by-step.

Maybe one of the moms on here will chime in—they're usually doing daily shots in their legs and arms too. Someone probably figured out the perfect system by now.😁 😉


So far I haven't been pinching the skin, just injecting... but I'll give it a shot.

Sam Castillo7 said:Look, once you hit yourself with Heparin, you cannot rub it, press it, or massage it—period. Don't even think about it. You inject, pull the needle out, and that's it. Leave it alone!

Try using your left thumb and index finger to pinch the fatty tissue on your leg or arm, then slowly—and I mean *slowly*—inject the Heparin into that pinched area. The slower you go, the less it hurts. When people do it in the stomach, that's how they grab the tissue to inject.

I don't do my own shots, but since I've been given Heparin plenty of times, I know the drill and all the little quirks. They actually used me as a training dummy for an intern once😬 so I've seen the whole process step-by-step.

Maybe one of the moms on here will chime in—they're usually doing daily shots in their legs and arms too. Someone probably figured out the perfect system by now.😁 😉

I know—and keeping them in the fridge helps too; they sting less when they're cold.

Sam Castillo7 said:Look, once you hit yourself with Heparin, you cannot rub it, press it, or massage it—period. Don't even think about it. You inject, pull the needle out, and that's it. Leave it alone!

Try using your left thumb and index finger to pinch the fatty tissue on your leg or arm, then slowly—and I mean *slowly*—inject the Heparin into that pinched area. The slower you go, the less it hurts. When people do it in the stomach, that's how they grab the tissue to inject.

I don't do my own shots, but since I've been given Heparin plenty of times, I know the drill and all the little quirks. They actually used me as a training dummy for an intern once😬 so I've seen the whole process step-by-step.

Maybe one of the moms on here will chime in—they're usually doing daily shots in their legs and arms too. Someone probably figured out the perfect system by now.😁 😉

I'm waiting on her like she's the second coming.😁

Look, I've already poked myself about 80 times in these last 4 months... there's barely any skin left to use. It's every single day and I'm not even halfway through this pregnancy yet.🙂
Sam Castillo7 Sam Castillo7 Member
31 messages
joined Mar 2009
#6 ·
James Cox6 said:I sanitize with alcohol before the shot...

So far I haven't been pinching the skin, just injecting... but I'll give it a shot.

I know—and keeping them in the fridge helps too; they sting less when they're cold.

I'm waiting on her like she's the second coming.😁

Look, I've already poked myself about 80 times in these last 4 months... there's barely any skin left to use. It's every single day and I'm not even halfway through this pregnancy yet.🙂

Absolutely. 👍

James Cox6 said:I sanitize with alcohol before the shot...

So far I haven't been pinching the skin, just injecting... but I'll give it a shot.

I know—and keeping them in the fridge helps too; they sting less when they're cold.

I'm waiting on her like she's the second coming.😁

Look, I've already poked myself about 80 times in these last 4 months... there's barely any skin left to use. It's every single day and I'm not even halfway through this pregnancy yet.🙂

Give it a shot like this tomorrow—you’ll see a massive difference. When I first started getting heparin shots, the nurses at the ICU were always in such a frantic rush that they’d basically just toss the needle at you from across the room—I honestly thought I was going to scream from the pain. Later on, an older nurse finally stepped in, grabbed a bit of my fatty tissue, and actually took her time with the injection. Once I figured out there was a right way to do it, I made sure to remind every nurse who came near me to "get a good grip on the fat" before they even thought about poking me.😉 Look, just try to relax whatever part of your body you’re actually getting stabbed in. For instance—and I'm serious here—I always bend my knees whenever I'm taking a needle to the stomach. It helps.

James Cox6 said:I sanitize with alcohol before the shot...

So far I haven't been pinching the skin, just injecting... but I'll give it a shot.

I know—and keeping them in the fridge helps too; they sting less when they're cold.

I'm waiting on her like she's the second coming.😁

Look, I've already poked myself about 80 times in these last 4 months... there's barely any skin left to use. It's every single day and I'm not even halfway through this pregnancy yet.🙂

Take it easy, okay? Just stretch that tissue out—slowly—and you’ll be fine. Seriously, don't even worry about the blood thinners compared to everything else you've already pushed through. You've totally got this!👍
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#7 ·
James Cox6 said:Thanks for clearing that up, but should I be pushing the air out?

My Fraxiparine (5700 IU 0.6) comes with an air bubble in the prefilled syringe...

The instructions say not to expel the air, but they also say to inject into the abdominal fat.

Since I'm not injecting into my stomach fat (I was told thigh or arm instead), what's the deal with the air? They told me that since there's a higher chance of hitting a vessel (capillary) in the leg or arm, it's better to push the air out.

So, what's the catch here? What's the actual difference between injecting with or without that air?

Thanks

Honestly, whoever gave you that "expert advice" doesn't know what they're talking about.

The absolute best spot for low-molecular-weight heparin is the subcutaneous tissue in your abdomen—just circle around your belly button like you're reading a clock face.

And you definitely shouldn't be pushing that air out beforehand! The whole reason those little bubbles exist in heparin shots is to act as a seal, preventing the medicine from leaking back up toward the skin surface or into the lung area of the subcutaneous layer, which stops those nasty bruises that happen when the heparin spreads out too much under the skin.

Basically, you want to aim the needle almost vertically (between 45 and 90 degrees) into a fold of skin you've pinched with your other hand, so that the air bubble goes in last, right after the medication.

Besides, that bubble is laughably tiny; there's zero chance of you accidentally pushing enough air directly into your heart to cause an embolism.

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