Back pain injections
Injections are a nonsurgical treatment for low back pain. They are typically considered as an option to treat low back pain after a course of medications and or physical therapy is completed, but before surgery is considered.
Lumbar epidural steroid injections (ESIs) are a common treatment option for many forms of low back pain and leg pain. At times, the injection alone is sufficient to provide relief, but commonly an epidural steroid injection is used in combination with a comprehensive rehabilitation program to provide additional benefit.
Selective nerve root block (SNRB), is primarily used to diagnose the specific source of nerve root pain and, secondarily, for therapeutic relief of low back pain. When a nerve root becomes compressed and inflamed, it can produce back as well as leg pain. Occasionally, an imaging study (e.g. MRI) may not clearly show which nerve is causing the pain and an SNRB injection is performed to assist in isolating the source of pain.
Three facet block injections provide good but temporary relief of the patient in certain kinds of pain. The purpose of a facet rhizotomy injection is to provide lasting low back pain relief by disabling the sensory nerve that goes to the facet joint. In this injection procedure a needle with a probe is inserted just outside the joint. The probe is then heated with radio waves and applied to the sensory nerve to the joint in order to disable the nerve.
Sacroiliac (SI) joint injection, also called a sacroiliac joint block – is primarily used either to diagnose or treat low back pain and/or sciatica symptoms associated with sacroiliac joint dysfunction. The sacroiliac joints lie next to the spine and connect the sacrum with the hip on both sides. There are two sacroiliac joints, one on the right and one on the left. Joint inflammation or dysfunction in this area can cause pain. This injection can help ameliorate the pain substantially.
Botox is a therapeutic muscle-relaxing agent that works at motor nerve endings (nerves that lead to muscles). It is in a class of drugs called neurotoxins. Let a proven doctor alone try this. Brain messages to muscles enable them to move, and is transmitted by acetylcholine. Botox works to block the release of acetylcholine and, as a result, the muscle doesn’t receive the message to contract, and the spasm stops.
A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint. Typically several levels of the spine are injected in one procedure.
Consulting for injections
Tell the doctor if you are pregnant or might be pregnant, medicines you take, including any over the counter drugs. The expert alone knows whether some of them might clash with the injection he wants to give.
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