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November 29, 2011
Montreal Sunday afternoon chatter:
“The Patriots are the best football team in the league!”
“No way! The Vikings are the best!”
Can you just hear it?
 
Believe it or not, those kind of opinions are thrown around amongst spine researchers, doctors, and patients, too, when it comes to the epidural steroid injection benefit. No one agrees. We at Dr. Hoang's Chiropractic Clinic 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 Montreal 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 actual 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 beginning of your pain cycle. 
 
 epidural steroid injection outcomes
 Let’s talk at your next Montreal chiropractic appointment. Dr. Hoang's Chiropractic Clinic has the experience in conservative back pain relief you are seeking.
 
“They Work 50/50!”
 
Caudal epidural injections with local anesthetic with or without 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 alone. (3) 

A COMBINATION: chiropractic & EPIDURAL SPINAL INJECTION

Dr. Hoang's Chiropractic Clinic has seen Montreal back pain suffers find relief when an experienced pain management doctor, and our chiropractic spinal manipulation are combined. After correct diagnosis and injection site is found by the pain management doctor, we start on your back with our non-surgical, gentle spinal manipulation - The Cox Technic. Read the following summary of the benefits epidural spinal injection and Montreal’s chiropractic method can produce.

chiropractic spinal manipulation combined with epidural steroid injection is written to be safe and aid 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 0 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 Dr. Hoang's Chiropractic Clinic helps Montreal 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 Dr. Hoang's Chiropractic Clinic so that we may work together for your back pain relief plan be that with epidural steroids, or without. Contact Dr. Hoang's Chiropractic Clinic today to discuss these or to get your post-epidural steroid injection appointment scheduled today.