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Doctor insights on: Cortisone Injection Spine

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Explain kenalog (triamcinolone) facet joint injections?

Explain kenalog (triamcinolone) facet joint injections?

Why?: Although i used to give them, studies by deyo, et al, and others more recently, have shown little benefit over a systemic steroid injection. The injection is delivered to the facet joint, the true synovial joints of the spine. Afcet joints problems are likely if you have pain with backward extension of your spine. ...Read more

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Dr. Brian Le Dr. Le
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Will epidural steroid injection help a sciata nurve?

Dr. Brian Le Dr. Le
6 doctors agreed:
Will epidural steroid injection help a sciata nurve?

Yes: An epidural steroid injection is a minimally invasive procedure that delivers steroids via a needle directly into the epidural space to help reduce inflammation. It is effective for sciatic pain. ...Read more

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Is a cortisone injections the same as epidural steroid injection?

Is a cortisone injections the  same as epidural steroid injection?

Well: Technically no difference, they are probably the same. However, if the cortisone injection is not done under an x-ray machine (fluoroscopic c-arm) then it could be that the cortisone injection may be just that an injection into the muscle like a trigger point injection. Speak with your doctor to get clarity about what you will be getting. ...Read more

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Is an epidural steroid injection helpful for spinal stenosis pain?

Is an epidural steroid injection helpful for spinal stenosis pain?

Yes: Very helpful. Speak with your doctor regarding your options for treatment. ...Read more

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Which physician performs epidural steroid injections?

Which physician performs epidural steroid injections?

Several: Usually done by anesthesiologists and physiatrists both of whom practice chronic pain management. ...Read more

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What does epidural cortisone shot involve?

What does epidural cortisone shot involve?

Epidural steroids: This entails injecting a potent anti-inflammatory medication into the outermost part of the spinal canal - the area outside the dura. Your provider can give you all the risks, benefits, and alternatives, but a needle is placed into the back so that the pain relieving medication can be delivered in the immediate area of the pain. ...Read more

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Can cortisone injections fix shoulder pain?

Can cortisone injections fix shoulder pain?

Sometimes: In properly indicated cases, cortisone injections may fix shoulder pain. Its usually helpful for pain from arthritis, and bursitis in the setting of an intact rotator cuff. Its not very helpful for rotator cuff tears, or labral tears. ...Read more

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After epidurals, will facet joint injections still work?

After epidurals, will facet joint injections still work?

Facet Joint Pain: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. This is used to determine pain from facet joints. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...Read more

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What is the difference between epidural cortisone injections and epidural steroid injection?

What is the difference between epidural cortisone injections and epidural steroid injection?

Cortisone is steroid: Cortisoneis a steroid but not one that we use often (if ever) for injection in the epidural space. ...Read more

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Can steroid injections in sacroiliac joints treat sacroiliitis?

SI joint: Hi, it depends what is causing the sacroiliitis, there are many different causes for SI joint inflammation like trauma, infection, arthritis, inflammatory diseases like ankylosing spondylitis. The treatment plan for all these are different. Steroid injection can work for simple osteoarhtritis of the SI joint. ...Read more

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Can an epidural injection help syatica?

Can an epidural injection help syatica?

Maybe: You've indicated you're 80 years old with history of liver transplant. You have to weigh risks against benefits of a procedure. The risk of infection or epidural abscess is greater in someone who's immune suppressed. If the cause of your pain is mechanical compression due to extensive spine degeneration epidural may help but for a very short while. I would look into medications such as gabapentin. ...Read more

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How long does a caudal epidural steroid injection provide pain relief for compressed disks?

Great Question: Unfortunately, there is no good literature to give exact amount of time that a patient might expect to receive relief from any type of epidual steroid injection. Caudals are usually done for spinal stenosis or complex fused spines fo relief of pressure on nerve structures. No two spines are alike. They are like snow flakes and fingerprints and so different are patient responses. ...Read more

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Is prolotherapy better than cortisone injection for chronic wrist arthritis?

Is prolotherapy better than cortisone injection for chronic wrist arthritis?

Prolotherapy/options: Hard to be sure but try and see. I might consider PIT injections in subcutaneous areas with PRP into the joint. Fee in the $1,000 ranges. ...Read more

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Can a person get cervical and thoracic spine pain after a lumbar transforaminal epidural steroid injection?

Can a person get cervical and thoracic spine pain after a lumbar transforaminal epidural steroid injection?

Yes: It is not that common but can be seen. The pain should be transient and short lived. If worsening, accompanied by headaches, fevers, weakness in the extremities, the doctor should be notified immediately. ...Read more

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Whats bilateral lumbar facet injection?

Whats bilateral lumbar facet injection?

For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read more

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Can cortisone shot alleviate piriformis syndrome?

Can cortisone shot alleviate piriformis syndrome?

Potentially: This is very possible. Sometimes physical therapy focused on stretching and flexibility is enough. Sometimes this along with a steroid injection can alleviate the symptoms. Consult with your physician to see if you are a candidate for this. ...Read more

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Will taking cortisone shots relieve degenerative arthritis pain in joints?

Will taking cortisone shots relieve degenerative arthritis pain in joints?

Possibly: Joint injections with corticosteroids can be very beneficial in arthritic joints . You can see what your specialist recommends and how long they last for you. One has to be careful in limiting steroid use to limit complications. ...Read more

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Epidural spinal injection side effects for ankylosing spondylitis?

Epidural spinal injection side effects for ankylosing spondylitis?

No difference: Epidural injections can be done to relieve pain and inflammation from a number of spinal conditions; risks are the same. Tenderness at the injection site is common but doesn't last long. More serious problems such as bleeding, infection, or nerve damage are very rare but possible; these injections should only be done by trained physicians. ...Read more

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Does a CT guided injection help posterolateral disc herniation?

Does a CT guided injection help posterolateral disc herniation?

Yes, very accurate: Ct guided procedure gives excellent "accuracy" in guiding the needle to the exact location to be injected. The process involves highly trained docs/technicians to get incredible pin-point accuracy. Best of luck if you are undergoing the procedure. ...Read more

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Will a steroid injection fix piriformis syndrome?

Cortisone: Piriformis syndrome failed on drug therapy responds to cortisone shots. ...Read more