Efficacy of Injections
Although many studies show the short-term beneﬁts of epidural steroid injections, the information on long-term effectiveness is less convincing. The effectiveness of lumbar epidural steroid injections continues to be a topic of debate among many scholars. This is magniﬁed by the lack of studies conducted properly. For example, many studies lack the use of ﬂuoroscopy or X-ray to verify proper placement of the medication despite the fact that ﬂuoroscopic guidance is routinely used today. Also, many studies do not classify patients according to their diagnosis and tend to link different pain sources together. These methodological mistakes tend to make interpretation and application of study results difﬁcult to evaluate.
What are Nerve Blocks Used For?
Therapeutic nerve blocks are most commonly known for the ability to treat a patient who happens to be suffering from a painful situation. It contains an anesthetic medicine which is why it also manages acute pain.
Therapeutic nerve blocks also come in handy when it comes to identifying the source of pain in some patients. Due to the benefits of the anesthetic, it provides patients a certain allotment of time with reduced pain.
Prognostic nerve blocks have the ability to predict the outcomes of a given treatment. For instance, a nerve block could also be used to predict if surgery is a good idea to achieve success in treating pain.
PRP Platelet Rich Plasma Therapy
PRP or platelet rich plasma prolotherapy is a treatment for individuals that suffer from an acute or chronic musculoskeletal injury. The main difference between PRP prolotherapy and dextrose prolotherapy is the solution being used. The use of concentrated growth factors is considered by many to be an exciting and new cutting edge therapy that can stimulate tissue repair, and regenerate weakened torn or damaged ligaments and joints.
Cervical Block / Radiofrequency Ablation
The spine is made up of 24 bones called vertebrae that are stacked into a column. Between each vertebra is a cushion — the disk — that acts as a shock absorber between the bones. Every vertebra has two sets of bony knobs that meet between each vertebra. The point where they meet is called the facet joint. In the neck, these are sometimes called the zygapophyseal or apophyseal joints.
Trigger Point Injection for Pain Management
TPI is a procedure used to treat painful areas of muscle that contain trigger points (or knots of muscle) that form when muscles do not relax. Many times, such knots can be felt under the skin. Trigger points may irritate the nerves around them and cause pain.