Some people have bruising all the way to the arm pit.My first injection was the worst and i didnt swell or itch no where near as bad with my other injections.Julie the manager at the clinic keeps people talking so they dont watch the manipulatation.Once the lidocaine is in you wont feel any thing.I was talking to Julie when he did my pinky and doc was talkin too, then he says by the way,your finger is straight now.Just like that.Just have some pain pills for the first few days.By this time next week you be lookin good.Dave