Spinal Injects

Spinal Injects

Injections of a epidural steroids and an arthritis drug did not significantly ease sciatic pain for patients in a new study. In recent years, the number of epidural steroid injections has soared. This is likely because surgery and analgesic drugs have not consistently created lasting relief for many sciatica patients, the researchers of a Annals of Internal Medicine study suggested. Despite the growing use of steroid injections, this study adds to the growing body of research raising questions about the long-term efficacy of epidural steroids for sciatica treatment.

In the study, 81 patients with sciatica were divided into three treatment groups by type of injection: epidural steroid, etanercept (a type of arthritis drug), and a saline solution used as a control. Neither epidural steroid or etanercept significantly relieved radiating leg and low-back pain, and neither produced significant changes over the saline solution. Etanercept may have actually hindered improvements in functional capacity and disability, Crystal Phend of Medpage Todaywrote. These results are particularly disappointing given that each injection can cost up to $500-700.

Notably, the epidural steroid group did have slightly better results than the etanercept group. Although these changes weren't statistically significant, the researchers suggested that epidural steroid injections may produce "modest, short-term relief" for some patients.
Chiropractic care may produce more long-lasting results. Studies have shown that chiropractic can be just as effective as surgery without the added costs and risks.

Cohen S, White R, Kurihara C, Larkin T, Chang A, et al. Epidural Steroids, Etanercept, or Saline in Subacute Sciatica A Multicenter, Randomized Trial. Annals of Internal Medicine 2012; 156(8): 551-559.
Phend, Crystal. Shot Delivers Scant Relief for Back Pain. Medpage Today. April 17,2012. Accessed April 23,2012. http://www.medpagetoday.com/PainManagement/
Pittman, Genevra. Spinal injections may not aid lower back pain. Reuters Health. April 16, 2012. Accessed April 23,2012. http://www.reuters.com/article/2012/04/16/us-spinal-injections-idUSBRE83F17P20120416.
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Tagged as charlotte chiropractor southpark 28209, epidural steroid injection, sciatic nerve, sciatica treatment.

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Why Chiropractic is the Best Solution for Sciatica Pain

Sciatica and chiropracticSciatica and chiropractic
Sciatica pain is often so debilitating that it forces people to miss work and other normal activities.  Of all patients with low-back pain, sciatica patients have the highest level of disability (1).  In fact, patients with sciatica are disabled for an average of 72 days according to Norwegian public-health records.
Fortunately, a recent study offers hope to sciatica patients: chiropractic care can speed the recovery from sciatica flare ups and allow patients to return to work sooner (2).

The study evaluated 44 Norwegian workers after they came to the hospital with severe sciatica pain. Most of those patients had been experiencing pain for three or more weeks prior to their hospital visit.
The hospital chiropractor examined each patient to evaluate his/her posture and gait, range of motion, and palpation of the lumbar spine.

The chiropractic then performed various joint adjustments to the spine and other limbs that had been injured through patients compensating for pain. Ice treatment was also used to relieve soft tissue soreness.Patients were treated daily in the hospital and later three times a week for the first two weeks. Some patients needed additional follow-up treatment but typically did not exceed 14 treatments.

In matter of 21 days, 91% of patients returned to work full-time. Two patients returned to work part time. Researchers concluded this study demonstrates the potent benefits of collaboration between chiropractors and orthopedic surgeons. Chiropractic care can put an end to your sciatica pain so you can begin living your life fully again.

Posted in chiropracticChiropractic NewsSciaticasciatica treatmentUnderstanding Sciatica
  1. Arana E, Marti-Bonmati L, Vega M, et al. Relationship between low back pain, disability, MR imaging findings and health care provider. Skeletal Radiology 2006;35(9):641-7.
  2. Orlin JR, Didriksen A. Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an orthopedic department. Journal of Manipulative and Physiological Therapeutics 2007;30:135-139.