Monday, May 30, 2011

Spinal epidural cortisone injection pain management nerve irritation, which is also called radiculitis an excellent treatment option for patients suffering from represent.

Injection of the various different types of leg pain, spinal stenosis foraminal, central, and lateral stenosis, including coming from radiculitis with herniated discs to come from work well. In addition, epidural injection for disc problems come from radiculitis work well. Epidurals can work well for back pain? Yes, they have, but most of the problems they may have to leg pain.

Cortisone injections in the spine patients actually "hump" on the find have. Cortisone so to speak, the "fire water" says the comfort and hope to patients in rehab work and play with their children and allowed to socialize. Cortisone not settle for anything but temporary pain they can control well.

Until we come up with something better, mainly cortisone injection. How well does it work?

The phospholipase A2 activity and peptide synthesis nerve barrier blocking nerve membrane stabilization works well.

Dorsal horn by itself to local anesthetics and C fiber activity has been shown to produce a prolonged dampening effect. Of cortisone by itself without this can provide excellent pain relief.

Fluoroscopic guidance is the current standard of care with epidural cortisone injection. Many studies without fluoroscopy a 35% epidural space showed up out of improper placement.

Here a few facts with each different type of injection are:

1. Caudal epidural injection - signs include inter laminar or transforaminal approach it is difficult to get with other methods. Usually administered when the transforaminal technique in patients after surgery is not possible. There is also a caudal injection indicated for pelvic pain. These injections are less technically demanding. Large quantities are required to hit targets, to reach 10 ml 20 ml usually L5-S1 and L4-5 from the need to reach the top is needed. Without fluoroscopy for caudal epidurals miss rate is 40% according to literature.

2. Interlaminar epidural injections Cortisone - this type of injection drug administration allows the high level of stocks. The biggest downsides to a variety of interlaminar dural tears that the headache (5%) can give rise to the highest incidence. Advantages include being very technically simple. The physicians technique "loss of resistance" is not required to be familiar with. The tail of the drug route in the spine allows for delivery in higher areas. These injections are often performed blind, without fluoroscopy, and it is a disservice to patients. Research shows 30% misplacement without it.

3. Transforaminal ESI - TESI radicular pain signals to the maximum concentration of drug delivery and be close to the site of pathology, with justification. There are many studies demonstrating efficacy. Loss of bad things happening are very rare events involved. These injections are technically the most demanding, and there is a slight risk of direct nerve trauma. A study by Weiner in 1997 that surgery could reduce these injections. Where to obtain complete pain relief was a 46% rate. Many studies have shown that 03/02 patients with these measures is able to avoid surgery. A 2010 study by Bogduk et al A prospective randomized blinded cortisone plus anesthetic, epidural space with saline vs. vs. single anesthetic see transforaminal epidurals were studied. The study also looked at epidural injection without intramuscular injection. epidural injections with cortisone and lidocaine for pain relief over 50% of patients receiving well over 50%. Twenty-five percent of patients completely pain free end. Other groups between 7% and 21% pain relief is achieved, so much less.






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Saturday, May 28, 2011

How I Recognized the Addiction of Text Messaging Syndrome

Text messaging takes syndrome and restless conversation of course, affects everyone encourages. Emily and David are great friends. As a matter of fact, I'm in love with each other. However, I experienced them with cell phones have seen a common addiction.

Many teenagers and adults, such as apparently in the hope of internal questions "which was written for me now?" And "How many messages? Received" great, of course, the question even though I believe we often miss in everyday moments, hope is beneficial. A sunrise, rain shower, a flower, a family story passed down to us over time, perhaps, or a continued conversation with her mother think of the true beauty of the fragrance.

His spring break from college for my daughter's return to the airport to drive an hour later, I addiction syndrome as a text message that I was able to identify the extent of the realized.

He rarely seen away from his cell phone as he wrote a message after the fast. My curiosity any longer can not hold when I asked, "Do you text message while you're driving?" His response, "Yes, but I just use a hand."

My next question is bolted out of my mouth, "You are to study, without text messaging?" "Oh ... Mom"

In the event you encounter an adult or teenager with the addiction, I believe it appropriate to share with you the best of circumstances, especially under the addiction progresses.

Light phase syndrome is evidence of text messages, "it is only 10 cents a message." Games, however, it seems harmless with a minimum cost.

Sounds like a lot per month 300 text messages, however, cost him an additional $ 5.00 per month was. Thus, a growing middle price addiction forum develops.

$ 20.00 per month for unlimited text messaging. This option over any range of text messages and removes the fear, however, the critical stage when you know how teenagers and adults rely on text messages.

GK Chesterton said, "One thing that makes it shine for all to the idea of ​​something around the corner .." Hope for the future is important, though, I definitely Chesterton next incoming text messages, which of course is needed in anticipation of a response I was not talking.

I'm not big so I text message. Maybe I felt like an outsider. However, I realized the deterioration of verbal communication skills. Her voice to me, "Mom, I hear" surprise announcement as he launched the next text message.

Finally, I had to ask the question, "Now you have a simple moment, one month, six months or a year when you know you will not regret spending time on the next incoming or outgoing text messages instead of focusing decided to spend time with your family and loved ones? "resume our conversation, though we had arrived at the airport.

Everyday moments are often taken for granted. Moments that occur only once, this seemingly trivial messages distract our attention from the present.



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