Doctor insights on:
The Best Exercises After Epidural Injections
Is RACZ catheter an option when numerous times of epidural steroid injection fails to relieve the pain? Then how many injections before considering RACZ?
For Scarring: Racz catheter is used on a procedure called epidural lysis of adhesions which is codespeak for scar tissue, assuming you've had back surgery. Generally it is used to deliver an anesthetic/enzyme mixture to break up that scar tissue but is also used for mechanical compression to breakup the tissue as well. Generally your pain/spine doctor should discuss when this is a good option for you. ...Read moreSee 2 more doctor answers
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
How many Cervical Epidural Steroid Injections can one have in the same disc before surgery is necessary?
Normal: If it does not resolve in a week, call your doctor to see what options you may have regarding this increased pain. Although uncommon, it can happen and usually will go away on its own. ...Read more
What are the best exercises 16 months post spinal cord stimulator implant surgery? Besides a recumbent bike, is Pilates an option? Weak core.
An approach: I prefer starting with a physical therapist working in a warm water pool, and doing gentle exercises initially. Later, one could start some core exercises working on back and abdominal musculature. At some point, an experienced personal trainer should get involved. The equipment is not the key ingredient, instead, the human support and interactional education. ...Read moreSee 1 more doctor answer
Does the steroid drip down the epidural space when i stand after receiving an epidural steroid injection?
Like Any Other Inj: The worse part of an epidural injection is typically the local anesthetic administered to numb the skin. After that the needle typically feels like pressure. However as the needle enters the spinal canal or around the nerve root there can be some pain that is transient. Complications can be bleeding, infection, nerve damage and paralysis, but these are extremely rare. ...Read moreSee 4 more doctor answers
Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 2 more doctor answers
After conservative tx (RX NSAIDs, PT, epidurals) for spinal stenosis what would be the next step?
Surgical Opinions: If you feel conservative attempts have been exhausted as you have listed, it's time to get two surgical consults. You need these specialists to review your MRI, past treatments and current symptoms. Getting two opinions from two separate neurosurgeons will give you the best advice. I wish you well. ...Read moreSee 1 more doctor answer
Does a epidural injection for low back pain L5 s1 disk herniated usually help in patients? What is the procedure for having a epidural injection?
Yes: It can work. In my experience 50% of patients do very well and the other half only partially helped.The procedure involves injecting meds in the epidural space which is inside the spinal canal but outside the sac which contains the nerves and spinal fluid, it is done either by feel or using x-ray guidance. ...Read moreSee 2 more doctor answers
What are the recommended physical therapy and strengthening exercises after radial sagittal band surgical repair?
Initially a splint-: -with an extension block, where you can flex but not extend later bands extend the distal inte-phalangeal-joint (distal IPJ). Since 1 band was in tact,gradually the extension block is bent to allow small increments extension. I would usually start @ about the 3-4th week, also you need to be sure to keep the other digit's motion going. @ 6th week splint removed. When splints on passive motion [email protected] ...Read more
Activity after fused: Given that rods were removed, i must assume that the fusion is solid. Therefore, there are really no restrictions for you in a solidly fused lumbar spine. Core exercises like pilates/piyo/yoga are great (your flexibility will be limited, obviously). Aerobic exercises as tolerated and continue to progress as tolerated. ...Read more
Please help! what is the best homeopathy medicine for spinal pain after spinal injection put in any operation?
It depends: There are many possible homeopathic medicines for that kind of trauma, and symptoms may vary a lot. A professional homeopath would be best to assess and treat your individual condition. But medicines such as hypericum, staphysagria, arnica, and ledum come to mind. ...Read more
How long does it usually take for an epidural steroid injection to alleviate the pain of a herniated disk?
Unknown: 30y female ?'s number epidural injections (cortisone + -Caine drug) tried before "alternative/additional" therapies. These injections are only palliative, & not curative; sometimes providing no substantial pain amelioration, & if they do the relief is only temporary. Osteopathic evaluation might lead to alternative treatments not based on incomplete clinical insight provided by MRI's. See comments ...Read more
Great option: I recommend patients try a series of 1-3 lumbar or cervical epidural steroid injections for back or neck pain from disc degeneration. This change in your disc is normal after age 16 but can become very painful. Aggravating activities include bending, twisting, overhead lifting, sguats with weights, running and jumping. The injections should make your pain symptoms progressively better for 6 mos. ...Read moreSee 1 more doctor answer
It depends: It depends on the type of steroid that was used on you. We do not use cortisone anymore for steroid injection as its effect is generally short (4 hours.). More common steroid preparations are methprednisolone or triamcinolone. It also depends if you had a series of injections or just one. Depending on how severe your radiculopathya, the effect could be less than a month to about 6 months or more. ...Read more
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 moreSee 3 more doctor answers
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