Say no to sciatica…

The most common non-surgical approach to manage patients suffering from low back pain with sciatica is epidural steroid injections. It’s difficult to answer for how long the effect of these steroid injections will last? & can these epidural steroid injections prevent spine surgery?

Epidural steroid injections help reduce inflammation around your spinal nerves thus giving immediate pain relief. Epidural steroid injections given for sciatica when coupled with therapeutic exercise may allow patients to postpone or even avoid surgery altogether.

Disc bulge or disc prolapse causes sciatica and/or radiculopathy. The spinal nerve root in your lower back is pinched or compressed, sending pain and other neurological symptoms down the buttock and thigh, into your leg or foot.

Epidural injections may be used to treat sciatica caused by the following common lower back conditions:

  • Herniated Disc: When the inner soft contents of a disc push through the outer layers.
  • Degenerated Disc: When a disc loses fluid and shrinks, reducing in height.
  • Foraminal canal stenosis: When the bony openings for spinal nerve roots become narrow, causing compression.
  • Spondylolisthesis: When a vertebra slips over the one below it.

The outcome of your epidural steroid injection may depend on one or more of the following factors:

  • If leg pain is more than back pain: These injections are typically more effective in treating lower back pain with leg pain versus lower back pain alone. 
  • The transforaminal epidural route is better than the interlaminar route: Epidural injections can be administered in several ways. The goal is to reach the epidural space that surrounds the spinal cord. Research indicates that the transforaminal route, where the needle is inserted through the intervertebral foramen on the side of the spinal canal may target the nerve roots more specifically than the interlaminar or caudal route.
  • Choice of steroid: The steroids used for epidural injections may be water-soluble (non-particulate) or poorly soluble (particulate) steroids. The poorly soluble steroids usually have a longer-term effect.
  • Addition of anesthetics to the steroid: Some injection preparations may contain local anesthetics, which act faster than steroids and help reduce pain signals from inflamed nerves.

You may have improved pain and functional outcomes when you combine your epidural steroid injection treatment with a comprehensive rehabilitation program. Ideally, this combination utilizes the anti-inflammatory effect of the epidural steroid injection to reduce the symptoms, which in turn allows for better progress in the rehabilitation program and consequent long-term improvement.

For further queries about diagnosis and treatment visit www.painx.in for more details.

Also read: http://www.painx.in/blog/difficult-to-treat-facial-pain-anaesthesia-dolorosa/

Also read: https://www.painx.in/blog/epidural-steroid-injection-epidural-neuroplasty-for-sciatica/

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We are a team of doctors of different disciplines, specialized & dedicated to pain management. We believe in the multidisciplinary multimodal treatment of pain. We are trained in managing the worst of pain via a) Medical management b) Non-surgical minimally invasive pain procedure c) Surgical treatment Our services are affordable to patients. The modalities of treatment are evidence-based and comparable to world-class pain management centers around the world. Trusted by over 1,00,000 patients, we provide the best non-surgical pain treatment services in India. Treatment for all major chronic pain conditions like back pain, slipped disc, sciatic pain, lumbar canal stenosis, knee pain, joint pains, arthritis-like osteoarthritis & rheumatoid arthritis, neuralgic pain, headaches and migraines, cancer pains, CRPS, postherpetic neuralgia, chronic pelvic pain, urologic pain syndromes, fibromyalgia, rheumatologic pain conditions like gout, etc is provided at our centers. ADVANTAGES OF OUR PAIN CLINIC: 1. Multispecialty multidisciplinary care 2. Holistic treatment 3. Medical management as well as minimally invasive pain procedures available to cure your chronic pain ü Most of the procedures does not require any special preparation. ü No skin incision, No Bone and muscle cutting ü No general anesthesia. Almost all procedures are done under Local anesthesia in procedure suites. ü Day Care Procedures: Almost immediate recovery post-procedure with minimal restrictions after the procedure 4. Most treatment can help you avoid surgeries 5. Better Quality of Life 6. Cost-effective We make sure to use the latest and most advanced clinically-proven pain management techniques to treat your pain. We employ the most advanced modalities available globally like ozone discectomy, Ablative radiofrequency lesioning, Pulsed RFA, Cooled RFA, Platelet Rich Plasma (PRP) therapy, Prolotherapy, chemical neurolysis, spinal cord stimulator implant, an intrathecal implantable pump, vertebroplasty kyphoplasty, Botox therapy, microscopic discectomy, Laminectomy and fixation surgeries. Our doctors regularly interacting with neighborhood residents, community club members, and corporate through workshops, talks, and consultation camps. These are aimed at increasing public awareness about pain management and non-surgical options available to those dealing with chronic pain.

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