Comprehensive Pain Management
(Formally known as Franklin Pain and Wellness and Warwick Pain)

Attleboro, MA(508) 236-8333
Franklin, MA(508) 507-8818
South Kingstown, RI (401) 234-9677
Warwick, RI(401) 352-0007

Franklin, MA • (508) 507-8818
Warwick, RI • (401) 352-0007
South Kingstown, RI • (401) 234-9677

Franklin Pain and Wellness Center

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Epidural Steroid Injections – Franklin, MA

Joseph Coupal - Wednesday, May 31, 2017

One of the most commonly performed pain management procedures is the Epidural Steroid Injection or ESI, used to provide pain relief from spine-related conditions, such as pinched nerves or spinal stenosis. It is completely different from the kind of epidural given to treat labor pain for women during childbirth.

Labor and delivery epidurals are performed by an anesthesiologist in the hospital and create numbness and weakness below the waist. No steroid is used, but a strong anesthetic medication is delivered through a catheter, providing pain relief and total lack of feeling. A woman having an L & D epidural will not be able to walk until the numbing medication wears off.

The type of epidural injection used to treat spinal and limb pain is different in several ways. It is performed in a doctor’s office in a procedure room, using special X-ray equipment called a C-Arm. A type of X-ray guidance called fluoroscopy is used, which gives the doctor a real time image of the spine.

The doctor injects anti-inflammatory steroid medication, not numbing medication, and the patient does not have weakness or lack of feeling as a result. To determine the best location for medication to be placed, during your ESI you should be asked about your symptoms, get a physical exam and compare the location of your pain to the MRI or CT scan ordered for you. A small injection of numbing medication is given where the epidural is to be inserted. The needle is placed correctly and a small amount of contrast dye is injected. This dye confirms the optimal placement for the injection. The steroid is injected and the needle is removed. This type of epidural does not produce significant numbness or weakness and the patient can walk immediately after the procedure.

There may be some soreness or bruising at the injection site but the application of ice helps. Patients can also take Tylenol for discomfort. After the epidural steroid injection, you must have someone drive you home because the injection may cause dizziness, which will pass after a few hours. It is recommended that you avoid taking a bath for 24 hours after the injection, but you can shower any time.

All epidural steroid injections carry a small risk for complications, such as infection at the injection site, a puncture of the dura, post-injection headache or an allergic reaction to the contrast dye used. All of these, should they happen, are easily treatable, do not cause paralysis and are not life-threatening if treated.

Pain relief is usually not immediately felt from the steroid, but from the numbing medication that is combined with the steroid. This pain relief is temporary and passes in a few hours. Steroids generate a reduction in inflammation, usually resulting in a decrease in pain. This effect will typically be seen within 3 to 5 days.

Often times, patients report being very nervous about having an ESI. Many incorrectly equate it with the kind of epidural given in Labor & Delivery. Some think that the shot could potentially paralyze them or that some other horrific side effect will happen afterwards. Epidural Steroid Injections are very safe and effective when given by a trained pain management specialist.

For more information epidural injections for pain, contact Comprehensive Pain Management in Franklin, MA.

Source: Daily Press

Tips To Help You Live with Chronic Pain

Joseph Coupal - Thursday, May 04, 2017
  1. Learn deep breathing or meditation to help you relax.
    Deep breathing and meditation are techniques that help your body relax, which may ease pain. Tension and tightness seep from muscles as they receive a quiet message to relax.
  2. Reduce stress in your life. Stress intensifies chronic pain.
    Negative feelings like depression, anxiety, stress, and anger can increase the body's sensitivity to pain. By learning to take control of stress, you may find some relief from chronic pain. Several techniques can help reduce stress and promote relaxation. Listening to soothing, calming music can lift your mood -- and make living with chronic pain more bearable. There are even specially designed relaxation tapes or CDs for this. Mental imagery relaxation (also called guided imagery) is a form of mental escape that can help you feel peaceful. It involves creating calming, peaceful images in your mind. Progressive muscle relaxation is another technique that promotes relaxation.
  3. Boost chronic pain relief with the natural endorphins from exercise.
    Endorphins are brain chemicals that help improve your mood while also blocking pain signals. Exercise has another pain-reducing effect -- it strengthens muscles, helping prevent re-injury and further pain. Plus, exercise can help keep your weight down, reduce heart disease risk, and control blood sugar levels -- especially important if you have diabetes. Ask your doctor for an exercise routine that is right for you. If you have certain health conditions, like diabetic neuropathy, you will need to be careful about the types of activities you engage in; your doctor can advise you on the best physical activities for you.
  4. Cut back on alcohol, which can worsen sleep problems.
    Pain makes sleep difficult, and alcohol can make sleep problems worse. If you're living with chronic pain, drinking less or no alcohol can improve your quality of life.
  5. Join a support group. Meet others living with chronic pain.
    When you're with people who have chronic pain and understand what you're going through, you feel less alone. You also benefit from their wisdom in coping with the pain.
  6. Don't smoke. It can worsen chronic pain.
    Smoking can worsen painful circulation problems and increase risk of heart disease and cancer.
  7. Track your pain level and activities every day.
    To effectively treat your pain, your doctor needs to know how you've been feeling between visits. Keeping a log or journal of your daily "pain score" will help you track your pain. At the end of each day, note your pain level on the 1 to 10 pain scale. Also, note what activities you did that day. Take this log book to every doctor visit -- to give your doctor a good understanding of how you're living with chronic pain and your physical functioning level.
  8. Get a massage for chronic pain relief.
    Massage can help reduce stress and relieve tension -- and is being used by people living with all sorts of chronic pain, including back and neck pain.
  9. Eat a healthy diet if you're living with chronic pain.
    A well-balanced diet is important in many ways -- aiding your digestive process, reducing heart disease risk, keeping weight under control, and improving blood sugar levels. To eat a low-fat, low-sodium diet, choose from these: fresh fruits and vegetables; cooked dried beans and peas; whole-grain breads and cereals; low-fat cheese, milk, and yogurt; and lean meats.
  10. Find ways to distract yourself from pain so you enjoy life more.
    When you focus on pain, it makes it worse rather than better. Instead, find something you like doing -- an activity that keeps you busy and thinking about things besides your pain. You might not be able to avoid pain, but you can take control of your life.

For chronic pain treatment and management, contact Comprehensive Pain Management in Franklin, MA.

Source: WebMD

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