“Doc, I just want one of those epidurals to get rid of the pain.”
Really, you want a large needle stuck into your spine? Do you know what could happen to you if you have an epidural spinal injection? Usually, nothing bad happens at all. The complication rates are very low . 1 At the most, you might get some flushing , increased pain or persistent numbness. If you are a diabetic, you might experience a spike in your blood sugar levels temporarily . None of those complications are really a big deal; so the epidurals seem worth the risk to most people. But most people don’t know that rare serious and potentially fatal complications from these “safe” procedures have been reported.
A few people have become paralyzed as a result of having an epidural injection. 2, 3 This complication is thought to be caused by a disruption in the blood supply to the spinal cord. A spinal cord injury is a most unfortunate and unforeseen risk from an epidural steroid inj...
Like most people, you probably know someone that is struggling with a painful knee. Arthritis of the knee is common as a person ages, especially in those with previous injuries to the knee. At first one might try to use over-the-counter medications like ibuprofen or acetaminophen. Eventually, the pain becomes overwhelming and medical help is sought.
For a really inflamed knee, the doctor’s first inclination is to inject it with steroids. The steroids help for a temporary period of time after which time a person returns to the doctor asking for another shot. Unfortunately, too many steroid shots cause damage. So, a doctor cannot inject the knee too many times without risk of further harm. In the past couple of decades, other types of injections have become available and are suitable alternatives to steroids without the nasty side effects.
The first alternative to steroid injections to become available was the synthetic hyaluronic acid (HA) injections, also known as ...
On October 5, I reported a recall of three lots of methylprednisolone acetate manufactured by the New England Compounding Center that could impact Migraine treatment. (See Methylprednisolone Recall Could Impact Migraine Treatment .) Methylprednisolone is sometimes used in nerve block injections for Migraine, so we all needed to be aware of the recall if we were considering this treatment.
Today, the FDA has issued an additional statement through their Medwatch program. To be sure you have all the available information, here's information about that statement:
FDA Statement on Fungal Meningitis Outbreak: Additional Patient Notification Advised
AUDIENCE : Pharmacists, Risk Managers, Pain Medicine
ISSUE : As a result of the ongoing investigation of New England Compounding Center (NECC), a patient with possible meningitis potentially associated with epidural injection of an additional NECC product, triamcinolone acetonide, has been identified through active surveillan...
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