Epidural Steroid Injections – Good or Bad?

11/29/2011
Groton Sunday afternoon chatter:
“The Lions are the best football team in the league!”
“No way! The 49ers are the best!”
Can you just hear it?
 
Well, that kind of talk goes on amongst spine researchers, doctors, and patients, too, when it comes to the epidural steroid injection benefit. No one agrees. We at Hutter Chiropractic Office want to share with you some of the opinions out there, so you can make an educated decision as to your choice to incorporate them into your Groton back pain treatment plan or not should they be offered as an adjunct to your care.
 

“They Don’t Work!”

In a comparison study of actual caudal epidural steroid injections to saline injections, neither is recommended for chronic lumbar radiculopathy. (1)

epidural steroid injection outcomes

Let’s talk at your next Groton chiropractic appointment. Hutter Chiropractic Office has the experience in conservative back pain relief you are seeking.

“They Work!”

Intradiscal injections of anti-inflammatory corticosteroid relieves low back pain in Modic Type I disc changes. (2) Now, Modic type 1 disc changes are early changes in the degenerative process. So it [may well be|might be|looks like it is]11] good to use steroids early on in your pain cycle.


“They Work 50/50!”

Caudal epidural injections with local anesthetic with or without steroids might be effective in patients with disc herniation or radiculitis. One study shares that the steroids may be better at a one year follow-up than the anesthetic alone. (3)

A COMBINATION: Chiropractic & EPIDURAL SPINAL INJECTION

Hutter Chiropractic Office has seen Groton back pain suffers find relief when a skilled pain management doctor, and our chiropractic spinal manipulation are combined. After proper diagnosis and injection site is determined by the pain management doctor, we get to work on your back with our non-surgical, gentle spinal manipulation - The Cox Technic. See the following summary of the benefits epidural spinal injection and Groton’s chiropractic method can produce.

Chiropractic spinal manipulation combined with epidural steroid injection is written to be safe and beneficial in the treatment of patients with radiculopathy – arm pain or leg pain – with the spine being the origin of the pain. As a matter of fact, in a study of 80 patients treated and followed for one year, there were 0 adverse effects from the spinal manipulation (flexion distraction with high velocity low amplitude adjusting) though there were 3 adverse effects with the epidural injections. But, chiropractic treatment after epidural steroid injections is a safe, non-surgical option. (4)
 
          
Lumbar Spine    

Cervical Spine

  significant improvement 37% 50%
  temporary improvement 42% 30%
  no change 22% 20%

Your spine is your spine. Its condition is unique to you, and Hutter Chiropractic Office helps Groton back pain sufferers get rid of lower back pain all the time! We can help you.

Read more about epidural steroids. Talk with your pain doctor and your chiropractic professional here at Hutter Chiropractic Office so that we may work as a team for your back pain relief plan be that with epidural steroids, or without. Contact Hutter Chiropractic Office today to discuss these or to get your post-epidural steroid injection appointment scheduled today.

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