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Epidural steroid injection for sciatica and spinal stenosis is of unclear effect. [1] The evidence to support use in the cervical spine is not very good. [3] When medical imaging is not used to determine the proper spot for injection, ESI benefits appear to be of short-term benefit when used in sciatica. [4]
Microdiscectomy (or microdecompression) is a minimally invasive surgical procedure in which a portion of a herniated nucleus pulposus is removed by way of a surgical instrument. [2] The purpose of this procedure is to relieve the pressure and reduce the local inflammatory reaction around a nerve root, caused by the herniated nucleus pulposus.
Damage can be so severe that nerve regrowth is impossible, and the nerve damage will be permanent. In cases where the nerve has been damaged but is still capable of regrowth, recovery time is widely variable. Surgical intervention with decompression of the cauda equina can assist recovery. Delayed or severe nerve damage can mean up to several ...
No general anesthetic necessary: the risks of nerve injury or thrombosis are significantly reduced; less cardiac cycle stress [6] Immediate pain relief directly after the surgery procedure in 90% of cases [6] Direct access to the sequester of the herniated disc [6] Cost-saving method due to the reduced length of hospital stay [6] [7]
It may result in back pain, pain or sensation in different parts of the body, and physical disability. The most conclusive diagnostic tool for disc herniation is MRI, and treatments may range from painkillers to surgery. Protection from disc herniation is best provided by core strength and an awareness of body mechanics including good posture. [1]
Symptoms of the condition include lower back pain, back stiffness, numbness or weakness in the feet, difficulty walking or standing for longer than a few minutes at a time, and sciatica (leg pain).