Epidural corticosteroid injection for management of chronic lower back pain

Epidural steroid injections are commonly used to treat back pain caused by a herniated disc (slipped disc), lumbar radiculopathy, spinal stenosis or sciatica. Corticosteroids are strong anti-inflammatory medications and, when placed into the epidural space, can significantly reduce inflammation around an irritated nerve that is causing back and leg pain and discomfort.

Patients with several common conditions – including lumbar disc herniation, degenerative disc disease, lumbar radiculopathy, sciatica, lumbar spinal stenosis, may benefit from an epidural injection.

Epidural steroid injections work by delivering a potent anti-inflammatory to the site of nerve impingement in the spine. Injected medications may include steroids, local anesthetics, and saline, and they can vary in volume and concentration on an individual basis.

Research highlighted, Epidural corticosteroid injections can be recommended as additional therapy only in the acute phase of the conservative management of lumbosciatic pain.

Read more: https://pubmed.ncbi.nlm.nih.gov/10853164/

According to the literature analyzed in this narrative review, there is no consensus on the use of ESIs for patients with chronic lumbar pain. ESIs seem to be effective in relieving symptoms in the short term and delaying surgery, while evidence of any long-terms benefits is still lacking. More studies are needed to better understand which patients could benefit more from epidural steroid injections.

Read more: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744824/

If you need help, feel free to leave me a comment and I would be happy to help. If you need further assistance you can always book an online consultation for a customized rehab plan.

Here is couple of links that could helps

Sciatica pain relief in 5min

4 mistakes you must avoid with chronic lower back pain,

sciatica nerve pain relief immediate effect

Annular Tear L4L5 L5S1 Disc Bulges

L4 L5 – L5 S1 best seated exercises

Spinal stenosis cause, symptoms and rehabilitation routine

Ankylosing Spondylitis core exercises

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Carlos A. Bagley, MD, of Duke Spine Center gives an overview of spine and back pain — why backs hurt and how to treat the problems.
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Top 5 reasons patients develop failed back surgery syndrome, and why Regenerative Medicine treatments like Prolotherapy should be exhausted before heading into surgery, or used instead of second or third back surgery, in order to resolve chronic back pain. If you would like to discuss your case with Dr. Hauser’s team, we would love to learn more about your pain challenges and overall health and see if it sounds like we can help you here at our center in Fort Myers, Florida. Reach out to us about your back pain through our site: https://www.caringmedical.com/conditions/prolotherapy-back-pain/

Read our more in-depth article on failed back surgery syndrome: https://www.caringmedical.com/prolotherapy-news/failed-back-surgery-syndrome-treatment-options/

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*DISCLAIMER: As with any medical treatment, no guarantees or claims of cures are made as to the extent of the response to treatment that every person experiences. The video represents only the featured person/people’s experience or opinion. Every therapy/treatment has patients who experience varying levels of success and failure. Results may not be the same from patient to patient, even with a similar diagnosis, as the body’s internal status is unique to each individual patient.

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