Epidural Steroid Injection

Dr. Faiyaz Khan PtMPT - Orthopedic Physiotherapy, Fellowship in Orthopaedic Rehabilitation (FOR) Advanced Diploma in Nutrition and DietPhysiotherapist

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Problems like this usually gets controlled by Proper Lifestyle and Diet Management along with Patient Tailored Manual Medicine or Physiotherapy by a Qualified Physiotherapist. Straightening of Cervical is Mechanical in nature due to tightening and weakness of certain muscular and ligamentous structures which can be dealt Biomechanically by a Qualified Physiotherapist. Scoliosis again is a Mechanical Problem which can be dealt effectively by Therapeutic Exercise like Schroths Exercise. (Make sure the Cobb's angle is less than 35) Good luck! 

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Dr. Babu SingiriMBBS.D.ortho.DNB(ortho)Orthopedist

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Epidural steroid injection will give pain relief. Then start physio. If patient is having any weakness of lower limbs n more pain better go for discectomy. 

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Dr. Poonam Patel VasaniMBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management coursePain Management Specialist

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Back pain with radiation to leg and tingling is due to disc bulge or prolapse causing nerve compression. This condition is commonly known as Sciatica. In mild and initial cases, medicines like anti inflammatory drugs and analgesics help along with exercise. In simple cases of Sciatica patients can benefit from procedure called epidural steroid injections. The drug is injected in epidural space (surrounding the spinal cord) which decreases the inflammation and pain of disc pressing on nerve. The procedure is done in operation theatre by interventional pain specialist using X Ray machine. It relieves pain of Sciatica and patient can easily start physiotherapy after this. Sciatica associated with leg weakness, loss of control over urine and stools requires urgent decompression surgery. In your case you should get consultation with a pain specialist in your city and get MRI Lumbo sacral spine done and proceed accordingly with further treatment. Your neck pain can be due to muscle strain. Simple over the counter antiinflammatory drugs along with exercise will help. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SCardiologist

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Radiculopathy Is A disease of the root of a nerve, such as from a pinched nerve or a tumour and you have vertebral disc prolapse in C5 area and MRI and physiotherapy are needed in the initial stage and as you are young it is easily correctable .The symptoms of radiculopathy depend on which nerves are affected. The nerves exiting from the neck (cervical spine) control the muscles of the neck and arms and supply sensation there. The nerves from the middle portion of the back (thoracic spine) control the muscles of the chest and abdomen and supply sensation there..Fortunately, most people can obtain good relief of their symptoms of radiculopathy with conservative treatment. This may include anti-inflammatory medications, physical therapy or chiropractic treatment, and avoiding activity that strains the neck or back. The majority of radiculopathy patients respond well to this conservative treatment, and symptoms often improve within 6 weeks to 3 months. If patients do not improve with the treatments listed above they may benefit from an epidural steroid injection. 

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This is initial treatmentAvoidance of lifting and other activities that could potentially strain the neck or back or exacerbate symptoms A limited period of rest Weight loss and lifestyle changes Ice packs Heat therapy through heating pad application or warm showers Stretching techniques to give the spine more flexibility and take pressure off pinched nerves A targeted exercise regimen designed by a physical therapist Pain relievers and anti-inflammatory medications (over-the-counter or prescription) Epidural steroid (cortisone) injections than later Surgery for a bulging disc. 

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Dr. Bharath Raj .RMBBS, DNB - Orthopedics, Fellowship In Arthroscopy & Sports MedicineOrthopedist

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The epidural steroid injection is a one time injection and acts locally unlike the steroid tablets which are taken orally and associated with side effects. First take medicines and physiotherapy if it still does not settle down then go for cervical epidural injection no treatment is fool proof. Surgery may or may not be required that is to be decided in the future as time goes but cervical epidural definitely helps. 

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Dr. Vishwas VirmaniMPT, BPTPhysiotherapist

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Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily. Avoid bending in front. 

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Dr. Devender RatheeBPT, MPT - Orthopedic PhysiotherapyPhysiotherapist

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I think you r suffering from PIVD (slip disc) Go for physiotherapy sessions Bed rest atleast for 10 days Hot fomentation at back Needing at sciatica notch Back exercise. 

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Dr. Virendra RastogiMBBS, MD (Anaesthesiology)Pain Management Specialist

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You may be having disc prolapse L5/S1. I need to look your MRI Spine lumbo sacral region and the investigation like TLC, DLC, CRP, to know if the disc is protruded, extruded with or without foraminal compression. Maybe the slip disc is compressing your nerve resulting numbness. Medicine may be of some help. Non operative treatment include TFSI, Disc Fix and Percutaneous Endoscopic Lumbar discectomy (PLED) are now available. PLED is one the latest alternative to surgery which is performed percutaneous through a small hole in skin less than 1/2 inch, no blood loss, using local anaesthesia and you will be ambulatory on next day ,need hospitalization for max. 3 days. 

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You have to support your back while lying on the bed, fold a bedsheet or a towel in length wise and put it under the lumber region to support your back. Improve your sitting posture avoid forward bending in sittings and standing position and consult a physio for the exercises. 

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