When anti -inflationary and analgesics There are not enough of them, people with Chronic back pain They usually belong to hospitals. There, after evaluating their incident, they choose some intervention, which reduces their condition as much as possible. A Epidural injectionsThis is notorious for a while, after which it may be necessary to act in the same way. This is undoubtedly one of the most common options. However, the expert team has just published in British medical journal (BMJ) The report in which this type of intervention is recommended.
They do not advise her because she is dangerous. It is true that it can become The injection is not administered wellBut this is something unusual if health staff is well trained. Some may also assume Side effectsBut no new one was found that is more appropriate. The fact is that, according to a study conducted by these experts, it does not seem that these injections are useful in relation to chronic back pain. At least No more than a placebo.
For this reason, this should not be exposed to side effects, no matter how they are. The authors of the publication admit that it will be difficult to change such a rooted concept. It is possible that other groups of scientists conduct the same experiments. Confirm thisIn the meantime, in the meantime, they insist that injections in the column are unnecessary health costs, whether state or private, and intervention for a patient who can be avoided. Now what is an alternative? There is a difficult part of this story.
The reasons why injections are advised in the column
In fact, the study that has just been published in BMJ This is a review, both Random essays How Observation studies. The first are those in which a group of patients accidentally exposed to treatment or placebo, and then Compare each other’s resultsThe field on the other hand, with observational research, there is not so much a preliminary methodology. The results of the use of concrete processing to a group of people are simply observed.
In total, they were considered 13 proceduresIncluding both random essays and observation studies. All these are procedures that are usually used to treat Chronic NOT -CANTSENERAL Pain in the back.
When considering the results of all these studies and putting them in common: “I came to the conclusion that there was no evidence of a certain confidence. procedure or procedure“On the other hand,” all evidence of low and moderate certainty suggests that There is no significant relief for axial pain (in a certain area of the spine) or root pain (It is emitted from the spine to hands or legs) for injection in the spine compared to placebo procedures. Therefore, “they strongly recommend your use.”
These injections include injections Crazy anesthesiaL, as an epidural anesthesia, but also in steroids or combination of both. In addition, the advantages in Radio frequency ablation Added to the injection of steroids. Thus, no benefit from chronic back pain contributes to the column.
What are the alternatives of back pain?
Unfortunately, there are no alternatives that are effective in treating back pain. Its authors claim that it would be interesting to more carefully investigate “establish the consequences Interventionist procedures In important results for patients, such as the use of opioids, a return to work and the quality of sleep. ”
It is also known that diet intervention can also help some patients with back pain. In short, it would be necessary to see how certain changes in habits can be, so as not to resort to much more invasive interventions than to complete them, they do not work. At least it seems that if we take into account the study of this panel of experts.
Source: Hiper Textual
