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November 29, 2011
La Grande Sunday afternoon chatter:
“The Bears are the best football team in the league!”
“No way! The Patriots 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 perk. No one agrees. We at Dr. Paulette Hugulet, DC, LLC want to share with you some of the opinions out there, so you can make a wise decision as to your choice to incorporate them into your La Grande 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 soothes 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 La Grande chiropractic appointment. Dr. Paulette Hugulet, DC, LLC 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. Paulette Hugulet, DC, LLC has seen La Grande back pain suffers find relief when a skilled 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 La Grande’s chiropractic method can produce.

chiropractic spinal manipulation combined with epidural steroid injection is proven 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 no adverse effects from the spinal manipulation (flexion distraction with high velocity low amplitude adjusting) though there were 3 adverse effects with the epidural injections. This shows 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. Its condition is unique to you, and Dr. Paulette Hugulet, DC, LLC helps La Grande 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. Paulette Hugulet, DC, LLC so that we may work as a team for your back pain relief plan be that with epidural steroids, or without. Contact Dr. Paulette Hugulet, DC, LLC today to discuss these or to get your post-epidural steroid injection appointment scheduled today.