Less commonly steroid injections or surgery may be done. The Botox injections tend to be painful. It is administered by intermittent injections or continuous subcutaneous infusions. Two options are intravenous iron injections and blood transfusion. Efforts may be used to try to speed hair regrowth such as cortisone injections. Medications may include NSAIDs, acetaminophen, or steroid injections. If this is not effective steroid injections or surgery may be recommended. Initial treatment is typically with steroid injections into the affected area, and physical therapy. Triggers may include inflammatory skin conditions, burns, intralesional steroid injections and abrasions. Botulinum toxin injections have shown limited success. She is treated with daily insulin injections. Ice, heat, ultrasound, steroid injections, and compression can also help alleviate pain. Research shows that tendons are weaker following corticosteroid injections. Pegvisomant has to be administered subcutaneously by daily injections. Pernicious anemia can be easily treated with either injections or pills of vitamin B.