November 29, 2011
St Peters Sunday afternoon chatter:
“The Rams are the best football team in the league!”
“No way! The Vikings are the best!”
Can you just hear it?
 
Well, those kind of opinions are thrown around amongst spine researchers, doctors, and patients, too, when it comes to the epidural steroid injection advantage. No one agrees. We at Old Mill Chiropractic want to share with you some of the presumptions out there, so you can make a wise decision as to your choice to incorporate them into your St Peters 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 verified caudal epidural steroid injections to saline injections, neither is recommended for chronic lumbar radiculopathy. (1) 

“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 at the first signs of your pain cycle. 
 
 epidural steroid injection outcomes
 Let’s talk at your next St Peters chiropractic appointment. Old Mill Chiropractic has the experience in conservative back pain relief you are seeking.
 
“They Work 50/50!”
 
Caudal epidural injections with local anesthetic regardless of the use of steroids might be effective in patients with disc herniation or radiculitis. One study shows that the steroids may be better at a one year follow-up than the anesthetic by itself. (3) 

A COMBINATION: chiropractic & EPIDURAL SPINAL INJECTION

Old Mill Chiropractic has seen St Peters back pain suffers find relief when a skilled pain management doctor, and our chiropractic spinal manipulation are combined. After correct diagnosis and injection site is worked out by the pain management doctor, we start on your back with our non-surgical, gentle spinal manipulation - The Cox Technic. See the following summary of the benefits epidural spinal injection and St Peters’s chiropractic method can make.

chiropractic spinal manipulation combined with epidural steroid injection is proven 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 no 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. Your spine’s condition is unique to you, and Old Mill Chiropractic helps St Peters 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 Old Mill Chiropractic so that we may work together for your back pain relief plan be that with epidural steroids, regardless. Contact Old Mill Chiropractic today to discuss these or to get your post-epidural steroid injection appointment scheduled today.