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Epidural Steroid Injections – Good or Bad?

Mandeville 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?
 
Believe it or not, that kind of talk goes on amongst spine researchers, doctors, and patients, too, when it comes to the epidural steroid injection perk. No one agrees. We at Mandeville Chiropractic want to share with you some of the opinions out there, so you can make a well informed decision as to your choice to incorporate them into your Mandeville 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) 

“They Work!”

Intradiscal injections of anti-inflammatory corticosteroid soothes 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 at the beginning of your pain cycle. 
 
 epidural steroid injection outcomes
 Let’s talk at your next Mandeville chiropractic appointment. Mandeville Chiropractic has the experience in conservative back pain relief you are seeking.
 
“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

Mandeville Chiropractic has seen Mandeville back pain suffers find relief when an experienced pain management doctor, and our chiropractic spinal manipulation are combined. After correct 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 Mandeville’s chiropractic method can make.

chiropractic spinal manipulation combined with epidural steroid injection is proven to be safe and aid 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 no adverse effects from the spinal manipulation (flexion distraction with high velocity low amplitude adjusting) though there were three adverse effects with the epidural injections. This provides proof in which 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 own. Its condition is unique to you, and Mandeville Chiropractic helps Mandeville 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 Mandeville Chiropractic so that we may work as a team for your back pain relief plan be that with epidural steroids, or without. Contact Mandeville Chiropractic today to discuss these or to get your post-epidural steroid injection appointment scheduled today.

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