Stem cell therapy uses your own blood and bone marrow to help "regrow" healthy tissue in your knee so your joint can function normally again. The entire procedure is performed right in the office during a single appointment.
ESI is often recommended in combination with a comprehensive rehabilitation program, like physical therapy or home exercise, to help restore strength and core musculature to prevent future pain episodes. The ESI is injected into the lumbar spine through a medical needle. The injection is strategically placed between the protective layers of the spine and bony elements to reduce the risk of harm or injury to you. The ESI medication includes a numbing agent and a corticosteroid to reduce inflammation in the pain site. In patients that benefit from this treatment, pain relief can be felt almost instantaneously.
Epidural steroid injections are effective for about 50% of our patients, depending on the condition, but some may not feel much, or any, effect from ESIs. In these cases, our doctors will evaluate the specific circumstances to determine whether a second attempt is in order. Should a second attempt still fail to provide any relief, our doctor may recommend other treatment options. If you experience partial relief with your first ESI, our doctor may attempt a series of injections over time. Determining a treatment plan is on an individual basis and is dependent upon your unique case, so ESI should always be discussed with Advanced Spine and Pain’s (ASAP) medical professionals to determine whether the treatment is right for you before administering the steroid.
Epidural steroid injections work by controlling local inflammation and inhibiting the inflammatory response. This occurs due to the direct injection at the source if the pain. It has been found to be effective for many patients with the following indications:
ESI is NOT recommended for the following patients: pregnant, present with an infection, may have an allergic reaction to the solution, taking blood thinners, have a bleeding problem or have an uncontrolled medical problem.
If ESI treatment is right for you, you will first be given a local anesthetic to numb the area where the steroid will be injected. This inhibits the pain receptors to ensure the ESI is as pain-free as possible.
When performed properly, the risks of epidural steroid injection are minimal, but risks do include:
The steroid medication may result in side effects, but these are rare and less than prevalent than those of oral steroids. Side effects may include:
Always discuss any questions or concerns you have with a medical professional prior to being administered an ESI to be as informed as possible about your medical treatment.
Every person is different, but if the ESI is effective for pain relief, you may be able to feel the effects for any length of time from a couple of weeks to several years. While our medical professionals are unable to predict how long the treatment will last for you, many patients have exhibited notable improvements in function and pain reduction relatively quickly.
If you are experiencing pain and need relief, contact our team at Advanced Spine and Pain. Our team of highly trained and experienced medical professionals can help you decide whether the treatment is right for you.
You Might Also Enjoy...
Epidural steroid injections treat the nerves around your spine to "short-circuit" the process responsible for chronic pain. With the right treatment plan, injections can help you manage pain without long-term use of potentially harmful medication.
Even though herniated discs can cause a lot of pain, they often can be treated conservatively. But sometimes, surgical intervention is needed to relieve painful nerve compression. Learn about the two outpatient options that can help you feel better.
Wondering what your options are for treating your joint pain? The doctors at Advanced Pain and Spine offer a number of joint pain treatments to residents of Virginia and Maryland. Read this article to find out more about possible remedies.
How much do you understand about spinal stenosis? Learn more about the disease and its effects on the body.
Did you know that nine out of 10 Americans will experience debilitating back pain at some point in their lives, and 40 percent of those with chronic back pain will be diagnosed with degenerative disc disease?