New steroid alternative controversy

For many people, back pain goes away on its own or with nonsurgical treatments. Epidural steroid injections shouldn't typically be used as a first-line therapy for back pain relief, but that doesn't mean they can't play a role in treating pain. But injections won't cure the underlying cause of back pain, and they provide only temporary relief. Unfortunately, in many cases, chronic back pain can't be cured, but must instead be managed, like other chronic conditions—and patients must have realistic expectations of what epidurals can do.

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Epidural injections are often used to treat radicular pain, also called sciatica , which is pain that radiates from the site of a pinched nerve in the low back to the area of the body aligned with that nerve, such as the back of the leg or into the foot. Inflammatory chemicals (. substance P, PLA2, arachidonic acid, TNF-α, IL-1, and prostaglandin E2) and immunologic mediators can generate pain and are associated with common back problems such as lumbar disc herniation or facet joint arthritis . These conditions, as well as many others, provoke inflammation that in turn can cause significant nerve root irritation and swelling.

Dr. Tai is certified by the American Board of Physical Medicine and Rehabilitation with subspecialty certification in Pain Medicine. He is licensed as a Physician by the New Jersey State Board of Medical Examiners and as an acupuncturist by the New Jersey State Acupuncture Examining Board. He is currently practicing pain management at his office in Bridgewater New Jersey, at Robert Wood Johnson University Hospital-Somerset, and at Somerset Ambulatory Surgical Center.

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New steroid alternative controversy

new steroid alternative controversy

Dr. Tai is certified by the American Board of Physical Medicine and Rehabilitation with subspecialty certification in Pain Medicine. He is licensed as a Physician by the New Jersey State Board of Medical Examiners and as an acupuncturist by the New Jersey State Acupuncture Examining Board. He is currently practicing pain management at his office in Bridgewater New Jersey, at Robert Wood Johnson University Hospital-Somerset, and at Somerset Ambulatory Surgical Center.

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