Doctor insights on:
Epidural Lipomatosis Treatment
Depends: It depends on the symptoms/signs, the person is having. If causing pain, space-occupying lesion effects on a nerve or the cord itself, resulting in weakness in the extremities (one or more), then surgical removal would be needed, and also it provides a specimen for making the correct diagnosis, and to ascertain prognosis. ...Read more
The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more
I was diagnosed with spinal epideral lipomatosis but have not taken steroids and am not obese. What else could be the cause?
About 3/4 of spinal epidural lipomatosis (SEL) cases are associated with long-term corticosteroid use or obesity. Other causes include Cushings disease/syndrome, hypothyroidism, and prolactinoma (a pituitary tumor). A number of cases are idiopathic, with no known cause.
http://thejns. Org/doi/pdf/10.3171/foc.2004.16.4.12 ...Read more
See below: Epidural steroid injections are not indicated for the treatment of mechanical lower back pain. They may be use in a selected fashion for injection near a nerve root to reduce nerve root irritation associated with radicular pain such as numbness and tingling. This is a conservative management to try to avoid operative intervention. An evaluation by an orthopedics surgeon and the management of mechanical lower back pain and treatment recommendations would be recommended. ...Read more
What are my options for sciatica after an epidural did no work. I have tried physical therapy, accupuncture.?
May Want to Repeat: Epidural injection. There is a synergistic effect with injections in which you may receive more relief when 2 or more injections are used together. If you are not improving even after the 2nd injection, I would consider other options like radio frequency ablation or even stem cell therapy has shown good results. Otherwise it may be a trip to the surgeon to discuss your options. ...Read more
For the past weeks I've been undergoing therapy for a bulging disc including epidural injections in neck. I feel a knot in my lower back. Any idea?
You may have LS dic: Lumbar and cervical discs often appear in the same patients. Consult your spine doctor. ...Read more
Whatcauses extreme spasims across both hips and back have had epidural treatments with no help. Also chiropractic and physical therapy and no help
Many things: Epidural steroid injections work best with pain that radiates down one or both legs from a disc bulge. Back pain by itself or muscle spasms don't respond to the epidural as well. Your pain may be coming from facet joints, sacro-iliac joints or many other causes. Talk to your doctor about where she thinks the pain is coming from and what other options there may be for treatment. ...Read more
If epidural steroid blocks have not elevated my sciatic nerve pain, what treatments are recommended?
Facet Joints?: Maybe the pain is coming from your facet joints and you may be candidate for facet injections and/or radiofrequency ablation for longer lasting relief. Speak with your doctor regarding your options. In some situations spinal cord stimulation is an option, however surgery should also be considered at that time as well. ...Read more
Herniated disc. What does this MRI report mean? I am doing physical therapy. Should I still get an epidural shot? Does massages make it worse?
Where?: At your young age a true herniated disc in your lumbar spine that is causing both pain in your lower back and down your leg (esp. Past your knee) is a signifigant problem.Physical therapy, nsaids may be helpful. See a good spine specialist (either ortho or neuro surgeon before you begin lesi's (injections).Massage can be helpful temporarily and will do no harm. Avoid 'manipulations'. Gl! ...Read more
I have lower back pain. Pain feels like it is on the pain. I did have an epidural due to csection several months ago. Is it due to this? Treatments?
ESI & back pain:
There might be no relation between your back pain the previous epidural injection.
The back pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement. ..
The treatment depends on the cause of the pain. It might include physical therapy, exercise, medications, injections....
Please see a pain specialist for evaluation and treatment. ...Read more
I have chronic lower back pain. I chose physical therapy instead of an epidural injection. Which is more effective or should I do both?
I heard Epidural steroid injections are (cervical spine) not FDA approved. It makes me worried to get the injection. Are there any other treatments?
You didn't state: Your problem.Get a more detailed answer ›
I have a herniated disc in my neck c4-5. The ortho dr is urging me to have an epidural or at the least trigger point shots. The chiro is saying no. Is physical therapy good for this or adjustments?
Diagnosis first: The injections are to confirm clinically what the pain generator is he is trying to figure out what pain is coming from where, the disc causes refered pain but usually not tenderness confirming the working diagnosis for pain is alwys a good idea. ...Read more
Hv herniated disc, severe arm/neck/back pain & ortho has recommended epidural injection b4 phys therapy. Wld like other opinions if inj should be 1st?
Herniated disc: I would agree with your doctor, based on severity of the pain. If in doubt, you can always seek second opinion. ...Read more
Does the eperderal give really bad back pain? I got the eperderal in 2004 and two weeks ago I started getting back pains. I went to a place that does massage therapy it helped I was abel to bend down but then when I put my pants on I can barley left my le
There: There are cases in which a woman experiences pain in the area of a previous epidural, however this is more common if there is some accompanying abnormality like disc disease. I would be more likely to consider this an option if there was significant pain or complications at the time of original epidural anethesia. ...Read more
Hi doctor I have epidural headache for two months. It is two days gone then come back this is routine. What is your advice to permanent cure?
Blood patch: If not already done, a blood patch may speed recovery. If not, evaluation by a neurologist is recommended. ...Read more
Piles = Hemorrhoids:
There are three steps to self treating hemorrhoids (blood clots in the rectal veins).
1. Soak: keep the area clean so that infection doesn't set in.
2. Soften your stool: keep from bearing down hard when having a bm so that the clot doesn't grow
3. And finally, steroids to shrink up the inflammation. ...Read more
Aluminum chloride: Antipersperants with aluminum chloride are good--need liquids or gels with higher concentration. The canadian hyperhidrosis advisory committee treatment guidelines recommends an aluminium chloride hexahydrate salicylic acid gel as initial treatment for underarm, hand or feet. Botox can be used under the arms. Oxybutinin (ditropan) is a pill. See http://www. Nlm. Nih. Gov/medlineplus/ency/article/0072. ...Read more
MR Guided u/s tx: Exablate is mr-guided ultrasound treatment. A list of providers may be found at www. Insightec. Com. In california there are centers for fibroids and for cancer. The fibroid centers are at universities in sandiego and la and the bone metastases centers are at standford and the city of hope, and I hope you find this information to be useful. ...Read more
For herpes sores?: Oral antiviral medications are helpful in preventing or clearing up herpes sores. Topical antiviral creams are somewhat helpful but not as helpful as oral medications. To treat an outbreak, one should start the medication as soon as possible to get the best effect. To prevent future outbreaks, one can ask his primary care doctor about preventive options. ...Read more