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Severe hay fever is an unpleasant allergic condition that can be a real problem for extreme sufferers, especially in certain parts of the UK where the allergen count tends to be high – whether it is flower pollen (such as rapeseed) or tree pollen (such as silver birch). Apparently, there are 3 billion trees in the UK, that’s 47 for every Briton. Treatment for severe hay fever is with a corticosteroid injection similar to the treatment given for joint problems and inflammatory conditions such as tennis elbow and frozen shoulder.