back pain

TREATMENT FOR HERNIATED DISK

A herniated disk can press on the nerves in your spine and cause pain, weakness and sometimes numbness. Sometimes these symptoms can be severe enough to disrupt your life.

Most of the time the problems from your herniated disk should start to improve on their own within a few weeks. In the meantime, try one or more of these treatments to help you feel better.

Rest

Take it easy for a few days. Rest can relieve swelling and give your back time to heal. While your back hurts, avoid exercise and other activities where you have to bend or lift.

Medications

Take an over-the-counter pain medicine like ibuprofen or naproxen. These medicines can help relieve your pain and bring down swelling. Just don’t use these for more than 10 days without talking to your doctor.

Physical Therapy

Some exercises can help improve the symptoms of a herniated disc. A physical therapist can teach you which exercise strengthen the muscles that support your back.
Physical therapy programs also include:

  • Aerobic exercises – such as walking or riding a stationary bicycle
  • Ice and heat
  • Stretching exercises to keep your muscles flexible
  • Electrical muscle stimulation
  • Ultrasound therapy

Injections

If rest, pain relievers, and physical therapy don’t help with your pain, your doctor can inject steroid medicine into space around your spinal nerve. This is called an epidural injection. The steroid can help bring down the swelling, help you move more easily, and ease pain from a herniated disk.

Surgery

Most people with a herniated disk don’t need surgery. Rest and other treatments should start to improve your symptoms within 4 to 6 weeks. But if your pain doesn’t improve, surgery might be an option.

Talk to your doctor about surgery if:

  • You’re not getting relief from pain relievers, injections, and physical therapy.
  • Your symptoms keep getting worse.
  • You have trouble standing or walking.
  • You can’t control your bowels or bladder. https://www.nhs.uk/conditions/slipped-disc/
Back pain and steroids

BACK PAIN AND STEROIDS INJECTION

Most back pains calm down over a few weeks when taking over-the-counter medication, staying as active as possible and including physical therapy. This form of treatment is conservative management of back pain.

For some back pain, the conservative management may not relieve the agony of pain soon enough especially if the back pain is caused by an irritated spinal nerve.

A range of steroids exist, some are short-acting which works almost immediately but they only give short lived relief. Longer-acting steroid takes around a week to work but can last for several months. The clinician who will be performing the injection will choose the most appropriate steroid medicines and dose for your condition and symptoms.

WHAT HAPPENS AFTER THE INJECTION?

If you have local anaesthetic, your pain will be relieved within minutes but may wear off after an hour or two. It usually takes several days for the effect of the steroid to fully begin to work.

Local anaesthetic may cause numbness and make it difficult to drive as a result you may wish to arrange alternative transport home after injection.

If you had an injection into the joint you should try to avoid strenuous exercises for two days after the injection. If you are having an injection around a tendon, you may be asked to avoid heavy impact and loading activities for two or three weeks.

POSSIBLE SIDE EFFECTS

  • Pain at the injection site.
  • Occasionally people may notice a flare-up of their pain within the first 24 hours after injection. This usually settles itself within a couple of days.
  • Injections can occasionally cause some thinning and changed in the colour of the skin at the injection site. In rare cases, a steroid injection into muscles or joints can cause an indentation in the skin around the area.
  • Infection. Very rarely, an infection can occur in the joint. If the joint becomes more painful and hot, you should seek medical attention immediately especially if you are also feeling generally unwell.
  • People are often concerned around the possibility of steroids related side effects such as weight gain. One of the advantages of the steroids injection, compared with steroids tablets, is that the injection dose can be kept at a low dose. This means the chances of these systemic side effects are very rare.
  • Other possible side effects include facial flushing, temporary changes in mood. https://www.nhs.uk/conditions/steroid-injections/
Epidural Steroid Injections

EPIDURAL STEROID INJECTIONS

Some people who suffer from back pain are given epidural steroid injections to try help relieve their back pain. A person receiving these injections is only given few a year, usually 2 and in most cases not more than 3 injections a year. Do you know the reason why they are given few injection?

… its because there’s a chance that these drugs might weaken your spinal bones and nearby muscles. This is not caused by the needle, its a possible side effect of steroids.

Epidural steroid injections contain drugs that mimic the effect of the hormones cortisone and hydrocortisone. When injected near irritated nerves in your spine, these drugs may temporarily reduce inflammation and help relive pain.

Steroid injections also disrupt your body’s natural hormone balance. Delaying repeat injections allows your body to return to its normal balance. This is the reason why these injections are not give too frequently.