Jump to content

Clexane injection advice please
Injecting a child

  • Please log in to reply
20 replies to this topic

#1 lishermide

Posted 11 January 2013 - 09:03 AM

I hope this is OK here, I though it might be a good place to catch the experience of EB'ers original.gif

DD13 is having to have daily Clexane injections for the next 6 weeks due to being immobilized in broomstick casts. She has Factor V Leiden, so docs are worried about the potential for blood clots.

She's become a bit of an expert at needles lately, but had the first Clexane shot in hospital yesterday and cried at the pain. She's terrified at the thought of the next one, let alone 6 weeks of them. I know there would be lots of experienced clexane users here on EB, so thought I might tap into that.

I've thought of EMLA cream, though have been told by some that it really only helps where the needle goes in, not with the deeper pain/burning. Ay experience there?

Injection site tips? She is very slim, so hard to find anywhere with fat lol.

Has anyone else had to deal with this for a child?

#2 Bluestocking

Posted 11 January 2013 - 09:10 AM

Might have been a one of thing that it hurt so much? I've given quite a few, most patients don't even wince despite the fact I'm a student biggrin.gif

Don't rub the injection site. It will bruise and be a lot more painful. Rotate where you give the needle each day. If she is skinny, you will need to pinch the skin to give it, or give it at an angle. I prefer to pinch the skin.

See how she goes with the next one.

#3 Bluemakede

Posted 11 January 2013 - 09:13 AM

I have no advice for the pain, but injections should be abdomen, lower, stay away from the belly button though. I've also given them many times in the outer thigh (it was policy on a ward I was on), though I'd check with the dr if you decided to inject there.

Pinch the skin up to give more fatty tissue and slowly release. And don't alco swab before hand (not sure if you are or not, but clexane becomes more painful if you wipe as it removes the oil from the needle).

Hopefully someone will have better tips for you to deal with the pain.

#4 lishermide

Posted 11 January 2013 - 09:16 AM

She'd already had 4 needles without a whimper earlier in the day. I don't doubt it hurt. From what I've read and been told she's absolutely not alone in finding it very painful.

Her skin was pinched. It went in slowly.

Pinched skin at an angle?

#5 lishermide

Posted 11 January 2013 - 09:17 AM

Bluemakede, they did alcohol swab first. So that could have been part of the problem. Thanks.

#6 kwiggle

Posted 11 January 2013 - 09:18 AM

I agree with your daughter - they always hurt me!  Both DH and I have had to have it at various times and he calls me Dr Dracula when I give it to him too slowly, so a medium pace for the injection is my tip.  EMLA might help a little, but probably won't take away the sting.  She might feel better using it though, sometimes the placebo effect is very valuable!

#7 Therese

Posted 11 January 2013 - 09:18 AM

A few years ago my youngest had to have clexane after getting a DVT.  She has some other big medical issues so the Dr's and nurses were intent on making this as painfree as possible as she needs lot of other interventions.

We were told that it does hurt.

We ended up using a different needle than the one on the clexane. A thinner needle which meant we needed to draw it up differently every day but it was supposed to make it less painful.

And no alcohol swabs either as that makes it sting.

EMLA is a tricky one. It takes an hour to numb the site which can just add to the fear as she is waiting for the needle if that makes sense.

Good luck, I hope it all goes well.

#8 Satay Chicken

Posted 11 January 2013 - 09:25 AM

I've done about 70 Clexane injections during my time TTC so a bit of experience  wink.gif

I personally found having a hot shower, then straight after sitting on the loo so I could see what I was doing and be able to grab some fat (although I would have alot more than your daughter), insert the syringe on a 45 degree angle with the sharpest point going into the skin first.  Doing it this way I never really had any pain and no bruzing. I think the skin is softer and more subtle after being damp and warm.

All the very best, I know its pretty tough...

#9 elmo_mum

Posted 11 January 2013 - 09:26 AM

i had clexane daily for 7weeks, most times it didnt hurt

the nurses "pinched" the skin - and just quickly did it!

hugs to your daughter

#10 lishermide

Posted 11 January 2013 - 09:30 AM

Just a bit of experience Satay Chicken wink.gif I just knew EB would be the right place to ask.

We're not up to trying showers yet. Double casts with bar across, plaster can't get wet. Sponge baths only here until we get a bit better at maneuvering. These casts are so heavy!

Thanks Therese, sorry you've been through this with your child too.

#11 Nepheline

Posted 11 January 2013 - 09:34 AM

I've got nothing helpful to add but just wanted to express my sympathies for your family! I had to google what a broomstick cast is..... your poor daughter! Does she have to have it on for long?

#12 NFT

Posted 11 January 2013 - 09:55 AM

I've been on clexane for months at a time, and also injected it hundreds of times. The needle does seem to be a little harder to insert than others. I found it hurt less if you "darted" it into taut skin quite quickly, then use your index finger to tap the medication in at a medium pace. Emla did help (it may have been psychological).

#13 Wishing2011

Posted 11 January 2013 - 09:59 AM

I have to take Clexane daily. I pinch my skin and push the needle in (that doesnt hurt much). it is the medication that stings afterwards. I inject it slowly while slowly releasing the skin. Some days it stings some days it doesnt. I don't rub it. I usually just get up and walk around afterwards.

#14 kez71

Posted 11 January 2013 - 10:05 AM

i have taken clexane daily for the last 28 weeks and will continue until 6 weeks after baby is born, also due to factor V Leiden. I use a cube of ice to numb the spot before injecting straight down 90 degrees. Mine are done around my belly. sometimes they sting a bit, sometimes i feel nothing. sometimes they bleed and bruise, but mostly its nothing at all.

A friend did one for me the other night and put it in at an angle and it was the most painful one ive ever had, so i recommend straight in, no angle.

#15 Wishing2011

Posted 11 January 2013 - 10:08 AM

yeh me too. I tried once on an angle and it was the most painful one I injected too

#16 megalula

Posted 11 January 2013 - 10:09 AM

I've done a lot of these too. My advice is really different. I watched a youtube video that advised icing afterwards and that really helped. Also I would go in really slowly and come out really slowly as at the same time as releasing the pinch on the skin. Never a bruise!

But maybe try my approach as a last resort? It seems I am going quite against the grain!

#17 lishermide

Posted 11 January 2013 - 10:16 AM

Minimae, she's in it for 6 weeks for now. Casts come off late February.

For anyone interested in the story....she has Avascular Necrosis of the Hip, meaning the hip lost blood supply at some point, and the bone in the ball of her hip has died and is breaking down. Possibly because of her all-consuming gymnastics, but also possible it just happened for no good reason at all. We are working madly at stopping the breakdown and rebuilding the bone before she finishes growing. It's very similar to Perthes Disease in children.

She has been non weight bearing on crutches for over 8 months. She had surgery in July called a Core Decompression where they drilled holes up through the femur into the middle of her femoral heap (ball) and injected Stem Cells, aimed at stopping the breakdown and re-establishing growth. She also goes for regular treatment by infusion to help her lay down new bone.

The last MRI showed lots of fluid and inflammation around the joint, causing the ball to be pushed out of the socket somewhat. Cue steroid injection and casts yesterday to help reduce the fluid and re-contain the hip in the socket.

The good news is that the arthrogram yesterday showed no further breakdown from the previous MRI at this stage, so we are really cheering to have some good news original.gif

I just whipped down to the chemist and have EMLA on hand. Fingers crossed. At almost $20 for a 5g tube this stuff had better be miracle cream!

Edited by lishermide, 11 January 2013 - 10:17 AM.

#18 Wishing2011

Posted 11 January 2013 - 10:18 AM

But for me its not the needle that stings.. its the medication itself that stings afterwards. Hopefully EMLA can help that?

poor girl sounds like she has been through alot

Edited by Wishing2011, 11 January 2013 - 10:19 AM.

#19 Bluemakede

Posted 11 January 2013 - 11:20 AM

QUOTE (lishermide @ 11/01/2013, 09:17 AM) <{POST_SNAPBACK}>
Bluemakede, they did alcohol swab first. So that could have been part of the problem. Thanks.

That may have been the problem. Clexane needles are coated the alco wipes remove the coating effectively blunting the needles. I find they are already quite a hard needle to administer they seem to need a harder push to get in the skin compared to heparin etc.

Also don't angle it, they're meant to be 90 degrees they have a shorter needle than other subcut needles. Also ensure the air bubble is at the top of the syringe (injected last) it seals the injection site.

#20 lishermide

Posted 11 January 2013 - 12:22 PM

If I don't angle it won't I hit muscle though? Or not because I've pinched it up.

#21 nik_klinger

Posted 11 January 2013 - 12:27 PM

QUOTE (Satay chicken @ 11/01/2013, 10:25 AM) <{POST_SNAPBACK}>
I've done about 70 Clexane injections during my time TTC so a bit of experience  wink.gif

I personally found having a hot shower, then straight after sitting on the loo so I could see what I was doing and be able to grab some fat (although I would have alot more than your daughter), insert the syringe on a 45 degree angle with the sharpest point going into the skin first.  Doing it this way I never really had any pain and no bruzing. I think the skin is softer and more subtle after being damp and warm.

All the very best, I know its pretty tough...

Same, definitely at an angle but I actually do it before going into the shower (must try after).

1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users


Newborn baby found in a nativity scene

Police are trying to trace a woman who abandoned a baby boy in the manger of a church nativity scene.

Life would be harder without my kids

The Humans of New York Facebook page is well known for sharing touching, real stories from one of the world's biggest cities – and it's just hit the heart of parents everywhere.

Mum dresses as Wonder Woman for last day of chemo

A Brisbane mum dressed up as a superhero to celebrate the end of her chemotherapy and created a moment her family will remember forever.

How a raisin can predict a toddler's IQ

All you need to assess a child's future intelligence is a plastic cup and a raisin, according to new research.

Former Hi-5 member's cannabis hope

Former Hi-5 star Tim Harding hopes a cannabis-derived drug will help control his daughter's epilepsy, which sees the four-year-old suffering between 50 and 100 seizures a day.

The top 5 reasons your toddler throws a tantrum

Whilst to the outside world little people may appear to have it easy, it's actually not always the case – just ask any toddler who's had their toast cut up the wrong way.

Glenn McGrath thought he'd lost his wife and baby

Australian cricket ledged Glen McGrath has spoken about the moment he thought he might lose his wife, Sara and their baby daughter, Madison.


Inside my Centrelink nightmare

Mother Bec Smith has been trying for months to access Centrelink payments. A "serious error" is preventing her.

Warnings over push for hourly childcare billing

Australia's peak childcare body has called for caution around the Turnbull government's push for childcare centres to charge parents by the hour, not by the day.

Cate Blanchett thought about adopting for years

Cate Blanchett says her recent adoption of a baby girl had nothing to do with wanting a daughter after having three sons.

Kate Walsh: 'I can't have kids'

Grey's Anatomy star Kate Walsh has revealed she is unable to have children because she has experienced early menopause.

The parasite that could boost fertility

The Tsimane women of Bolivia are often revered as among the most fertile in the world - on average having 10 children in their lifetimes -- but some are even more fertile than others.

Family may sue cousin over genetics

A Melbourne couple is suing the Royal Children's Hospital for failing to diagnose a genetic disorder in their first child - an error they allege caused them to have another child with severe disabilities.

Strange things mums have done in labour

While most women in labour focus on the upcoming birth of their baby, some women do more interesting things.

Michael Clarke reveals baby's name

When Michael Clarke said he was wrapped around the finger of his little princess, he wasn't joking.

The logistics of breastfeeding twins

Our life is more or less divided into neat four hour parcels of time and it's hard to get much of anything done in the time between feeds.

How to stop people ruining Christmas

We can make a conscious effort about how we react to those curly Christmas day scenarios that can send us up the wall, or should we say chimney.

Lots of formula offers for desperate mum

The mum who was down to her last three tins of baby formula said she had received hundreds of calls and offers to send her formula.

Surviving breast cancer while pregnant

It was last thing Rebecca O'Donnell expected at 30 weeks' pregnant. One morning, while putting on her bra, she felt a pea-sized lump in her right breast.

Cot sheet brands for the nursery

With so many awesome cot sheet options these days, we thought we'd put together a list of go-to brands for you to seek out for your baby's bed.


What's hot on EB

How I survived breast cancer while pregnant

It was last thing Rebecca O'Donnell expected at 30 weeks' pregnant. One morning, while putting on her bra, she felt a pea-sized lump in her right breast.

Grieving father's letter to Bataclan terrorists: "...this little boy will threaten you by being happy and free"

A grieving father whose wife was killed in the attacks on the Bataclan Theatre last weekend has written an open letter to her killers.

5 challenges of motherhood - and how to see them differently

Despite the smiles, the sloppy kisses and the pure magic children bring to our lives, it's hard to deny that motherhood can be tough.

4 challenges of being a new dad - and how to face them

Becoming a parent is challenging – and that applies to both mums and dads.

My battle against antenatal and postnatal depression

I was five months pregnant when I realised I needed help.

Children swapped at birth will not be returned to biological parents

A boy and girl accidentally swapped on the day they were born will stay with the families who have raised them, a South African court has ruled.

A quarter of men believe they get 'man periods'

A British study has revealed one in four men believe they have a monthly cycle.

Baby deposit

How much do you need to save for a 'baby deposit'?

It's fairly straightforward to calculate a house deposit, but how much money do you need to save up for a baby?

Dad's beautiful note to his wife, a nurse

To anyone else it might just look like a picture of a mum having a nap with her toddler.

'I was a complete schmuck': Mike Baird opens up about his wife's postnatal depression

When his wife Kerryn was not well following the birth of their daughter, NSW Premier Mike Baird buried himself in his work.

Mum's desperate plea as whooping cough alert issued

A desperate mother has shared a heart-breaking video of her baby struggling to cope with a coughing fit caused by pertussis.

Coffee could help you live longer

New US research found people who report drinking three to five cups of coffee a day are less likely to die prematurely from heart disease, suicide, diabetes or Parkinson's disease.

The joy and dread of playdates

To live vicariously through your child is to rediscover anxieties you thought dead and buried.

Sick baby could die without scarce special formula, mum says

Lizzie Cann is down to her last three tins of a special formula in short supply.

Adorable toddler's strop foiled by squeaky shoes

We're probably all familiar with the pouty bottom lip and tightly crossed arms of a tot mid-strop.

More sex during World Cup created more baby boys

More sex during South Africa's World Cup meant a disproportionately high number of boys were born nine months later, a new study has found.

Win one of two ABC Shop prize packs in time for Christmas

What a boon it would be to have your toddler's Christmas gifts covered this year. We have two awesome ABC Shop prize packs to give away to two lucky winners.

Do fitness challenges really work?

Fitness challenges aren't new. There's Michelle Bridges 12WBT and a bunch of other programs if you really want to lose weight.

What are pregnant women Googling?

Pregnancy is a huge change for any woman, so it's natural we'll have questions - and turn to Google to ask them.



Can't decide?

Check out the Essential Baby Names section for some inspiration

Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.