Epidural Steroids

Chronic pain originating from inflamed nerve in the spine can be effectively treated with epidural steroids. A herniated disc in the cervical or lumbar spine will invariably inflame a single or multiple nerves in the spine and will cause arm or leg pain, also described as radicular pain. Patients will report a shooting, stabbing pain radiating in arm and leg. Epidural steroids are extremely effective in reducing inflammation and therefore reducing pain. As the medication is delivered to the origin of inflammation directly rather than the oral or intramuscular route. These procedures, when performed by skilled interventional pain physician under fluoroscopic guidance, will give excellent results. In rare instances in absence of radicular pain, epidural steroids may not be as effective.  The success and safety of this procedure are heavily dependent on skill and training of performing physician. 

There is a different kind of steroids. The goal is to inject a steroid which will decrease inflammation in the long term. Will not damage any tissue where it is injected. Will not result in long-term systemic effects, like the long-term elevation of blood sugar. Transient and temporary effects like flushing, mild elevation in blood sugar in patients with diabetes are self-resolving side effects. Ohio pain center does not use depomedrol.

It is common for a facility treating chronic pain to procure steroids from a pharmacy which is considered reliable. So there is an element of trust. We believe the pharmacy will take all precautions to follow sterile precautions at all levels, obviously for the safety of patients. Unfortunately, a pharmacy in Massachusetts broke that trust and endangered health of multiple patients. My sincere condolences and empathy for all the patients and their families who have undergone such an ordeal. 

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