Epidural for back pain?
Epidural infiltration (also called analgesic epidural or "epidural block") is a common treatment option available to control many forms of low back pain and sciatica (or "lumbosciatalgia" in medical terms), for which it has been used since 1952 , continuing to constitute a ...
- Hypotension. ...
- Reduced bladder control. ...
- Itchy skin. ...
- Sense of nausea and vomiting. ...
- Backache. ...
- Bad headache. ...
- Development of an infection at the injection site. ...
- Formation of an epidural hematoma.
The ultrasound-guided infiltrations are made with disposable material and following the rules of sterility. The patient is made to lie on the bed in a position that facilitates access to the target structure (prone or on the side) and, after an injection of local anesthetic, the actual infiltration is carried out.
Other patients may complain of chronic back pain, sometimes up to several months after undergoing an epidural. Back pain may be associated with the relaxation of the muscles that occurs after the epidural or it may be due to the childbirth treatment.
Epidural infiltrations are invasive analgesic methods performed by anesthetists in the operating room or in dedicated clinics. They are performed on patients with hernia protrusions in the cervical, dorsal, lumbar or sacral area.
Ice can be used at the sting site to contain the resulting pain; Additionally, it may be important to keep an eye out for signs of infection, such as growing pain, redness, and swelling that last longer than 48 hours.
The patient should rest for the next 12 hours and it is advisable to apply ice to the joint. It is important to stop demanding physical activities during the infiltration cycle.
After the operation, the patient can gradually begin to drink and eat: it starts with water and only when this is tolerated does it switch to solid foods. This depends on the patient's condition and the type of operation. If he has had an operation on his legs or arms, he can also drink immediately.
But today's results show that the times of labor are more or less the same both with a continuous epidural and with placebo only: in the first case the average duration was 52 minutes while in the second case it was 51 minutes, almost overlapping times and that they do not denote a difference to be attributed to anesthesia.
It may not be comfortable, and now we'll see why, but it's not painful. Let's talk about the technique of execution. As I told you before, a catheter is inserted, so a kind of very deep puncture has to be done which causes the same pain as a simple intramuscular puncture.
An infiltration is nothing more than the injection of a medicine into an area of the body affected by pain. It is a rather simple therapy that is performed on an outpatient basis, as only a syringe and skin disinfection are needed to avoid possible infections.
Joint infiltration procedures consist of injecting a drug into a joint, in direct contact with the part that has an inflammation or a painful state.
Ozone therapy ”an infiltration session can cost between 50 and 70 Euros.
- non-steroidal anti-inflammatory drugs;
- major analgesic opioids;
- local anesthetics;
- combinations of analgesic drugs.
Epidural anesthesia is performed by injecting anesthetic drugs into the epidural space, an area a few millimeters thick (between 3 and 6) within the spine that runs along its entire length. This space is positioned before the dura mater, which contains the spinal cord.
Those who intend to request an epidural must make a preventive anesthetic visit. In addition, a blood test must be performed in the last month of pregnancy to evaluate the blood count and some parameters relating to coagulation (prothrombin time and activated partial thromboplastin).
If the hospital provides for it, it can be requested as a freelance: the cost varies according to the specialist's tariff, generally from 800 to 2000 euros.
Only 16% of women give birth with an epidural.
The ability to give birth while avoiding the painful part of the procedure goes by the name of Painless Childbirth. It is a technique that makes use of an epidural anesthesia applied by introducing a catheter into the epidural space through which the anesthetic substance is injected.
- drink at least 2 liters of water per day.
- pasta or rice or bread.
- reduced fat yogurt.
- white meat preferably grilled or boiled or oven or steamed.
- fish but not fried fish (boiled or steamed)
- vegetables dressed with a little olive oil.
AFTER A SPINAL ANESTHESIA
If the patient feels pain at the point of insertion of the needle-cannula, the doctor may resort to the administration of painkillers, such as paracetamol.
Following the administration of anesthesia the reflexes are slowed down or inhibited and in case of food present inside the stomach this could go up through the esophagus and, in the worst case, take the path of the lungs causing a severe form of pneumonia ( aspiration pneumonia).
The infiltration aims to inject a drug (based on cortisone or a lubricant with hyaluronic acid) directly into the painful site, which can be a joint, a tendon or a nerve. It is more effective than a drug given orally, works in a few hours and generally for several months.
The duration of infiltrations with hyaluronic acid is, however, variable, showing benefits even after 7-8 months from the last injection.
After infiltration, it is necessary to leave the joint at rest for at least 24 hours, applying the ice pack every 2-3 hours for about 20 minutes; loads and strains on the glenohumeral joint must be avoided for 7 days.