CALL 24/7 941-315-6191

STEROID INJECTIONS FOR LUMBAR STENOSIS ARE NOT EFFECTIVE

There have been many studies questioning the effectiveness of injectable steroids for spinal stenosis. I have written several blogs about this in the past. This current study showed that pain relief, if obtained lasted only 3 weeks. On the other hand, those injected with lidocaine (a local anesthetic) provided a longer lasting relief of pain. Researchers do not have an answer for this.

Their recommendations in treating spinal stenosis remains unchanged: oral pain killers, physical therapy and time. The lack of long term benefit with steroids should be considered when seeing a pain specialist.

 

OTC TENS UNITS FOR PAIN

TENS (Transcutaneous Electrical Nerve Stimulation) devices have been used for years for muscle and joint pain. Up until now, they have only been available by prescription.

Icy Hot SmartRelief, Omron Electrotherapy Pain Relief, AccuRelief TENS Pain Relief System are now available without a prescription and studies appear to show similar benefits when compared to their Rx cousins. These products, which are safe, work by transmitting low voltage electrical impulses which then decrease pain perception by the sensory nerves. These devices do not work for everyone and should not be used in patients who have a pacemaker, epilepsy or are pregnant.

Chiropractic and stroke

This is a topic that I have known about dating back to my medical residency days in the 1970’s. That is manipulation of the neck can cause strokes! This was reported in the MAYO CLINIC JOURNAL in the mid 70’s and again in a recent article in the journal STROKE. Ruptured neck arteries can occur spontaneously or be associated with car accidents or sporting injuries. However, it is well documented that it is also associated with cervical spine manipulation therapy. The moral of the story is to be gentle with your neck. Try to avoid too much extension or rotation during therapy. And, if therapy is necessary, ask your physician to refer you to a licensed and experienced physical therapist.

Foot health and choosing the right shoes

Feet come in many shapes and sizes and are put under a multitude of stresses and even more so if you are a runner.  A physical therapist can evaluate your feet and your walking/running style to recommend the proper shoe.

Common Problems

Flat feet (excessive pronation):  Excessive mobility and low arches usually result in poor support of the foot.  This can lead to pain on the inside ankle tendons, inside knee, or plantar fascia (heel pain).

High Arches (excessive supination):  Stiffness in the foot can cause poor shock absorption with impact. This can lead to arch pain, heel spur formation, or even low back pain.

Common Solutions

The solution depends on the cause of your foot problem; an evaluation by a physical therapist can determine whether it is the structure of your foot that is causing your problem or if it is weakness of your muscles.

If you have a structural problem causing a low arch then typically arch supports from your shoe or an orthotic insert can give you the support you need.

If you have a structural problem causing a high arch, then you will need extra cushion in your shoe to help absorb shock.

If you have a weakness of your feet muscles or tightness of your calf muscles a physical therapist can give you the proper exercises to relieve your pain.

If you are using your shoes for high level activities such as running, cross training, speed walking, etc  you should buy your shoes a half size larger than you would wear a dress shoe.  Your feet will expand as blood is pumped to them.

Shoes should be replaced regularly.  If you are a runner, the typical recommendation is between 300-500 miles or every 6 months.  If you see the tread on the bottom of your shoes wearing out; especially wearing out unevenly you need to replace them sooner.

 

Contact Kaizen Total Wellness to meet with a physical therapist to have your feet and gait evaluated.

(941) 747-2090

MAXhealth Primary Care

MAXhealth Primary Care

Your one source for complete, immediate, open and direct family healthcare.

Learn more

Patient Portal

Patient Portal

Manage your patient account here from the comfort and privacy of your own home

Learn more

Become a Patient

Become a Patient

It only takes a few minutes to get the best.

Learn more

Our Locations

Our Locations

Visit one of our 8 primary care locations.

Learn more