Epidural Injection

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The #1 MISTAKE Back Pain Sufferers Make

By Dan Lieberman, MD In medicine the right treatment depends on understanding exactly what is wrong. The challenging thing about the lower back is that there are so many different problems, and even more treatments. In addition, the stakes are high. It is NOT just about relieving your pain; the wrong treatment is risky, sucks [...]

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What you need to know to get rid of RADICULOPATHY!

Radiculopathy is a problem with a nerve root typically caused by compression or inflammation due to a herniated disc, bone spur causing spinal stenosis (narrowing).   MRI is the best test to show the cause of radiculopathy.  A diagnostic block is the definitive proof a radiculopathy is causing your pain.  The treatment for radiculopathy is to […]

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When should I get an MRI of my back?

Magnetic resonance imaging (MRI) is a crucial tool in helping us get rid of pain coming from your back. Since there’s no radiation or risk to an MRI almost everyone with back pain would like to have one to get a good picture of what is going on inside them. But when should you really [...]

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EPIDURAL INJECTION

EPIDURAL INJECTION

Root pain begins in the low back, and shoots down the leg in a narrow band like electricity.  In most cases, root pain is the result of inflammation of a nerve root.  Steroids reduce inflammation.  Since the nerve roots are in the epidural space, epidural steroid injection can therefore reduce root pain by reducing inflammation.  The problem is that epidural steroid injections last for about 100 hours, while root pain last more than 12 weeks in half the cases. Common sense has confirmed a number of studies which show epidural injection is not a good treatment for root pain. However, 100 hours of relief is better than nothing at all, and even temporary relief of the pain confirms it is really coming from the nerve root, and not some other source. Epidural injection can be utilized as a test to confirm the cause of your pain.