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Epidural Steroid Injections Good or Bad?

Manahawkin Sunday afternoon chatter:
“The Lions are the best football team in the league!”
“No way! The Cowboys are the best!”
Can you just hear it?
Well, those kind of opinions are thrown around amongst spine researchers, doctors, and patients, too, when it comes to the epidural steroid injection advantage. No one agrees. We at Manahawkin Chiropractic Center want to share with you some of the theories out there, so you can make a well informed decision as to your choice to incorporate them into your Manahawkin back pain treatment plan or not should they be offered as an adjunct to your care.

“They Don’t Work!”

In a side by side 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 first signs of your pain cycle. 
 epidural steroid injection outcomes
 Let’s talk at your next Manahawkin chiropractic appointment. Manahawkin Chiropractic Center 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 shares that the steroids may be better at a one year follow-up than the anesthetic alone. (3) 


Manahawkin Chiropractic Center has seen Manahawkin back pain suffers find relief when a skilled pain management doctor, and our chiropractic spinal manipulation are combined. After proper diagnosis and injection site is found by the pain management doctor, we get to work on your back with our non-surgical, gentle spinal manipulation - The Cox Technic. Read the following summary of the benefits epidural spinal injection and Manahawkin’s chiropractic method can make.

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 three 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 own. Your spine’s condition is unique to you, and Manahawkin Chiropractic Center helps Manahawkin 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 Manahawkin Chiropractic Center so that we may work as a team for your back pain relief plan be that with epidural steroids, or without. Contact Manahawkin Chiropractic Center today to discuss these or to get your post-epidural steroid injection appointment scheduled today.

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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."