Medications for the Injection Procedures

Medications for the Injection Procedures

Injection procedures use three primary classes of medication: local anesthetic agents, neurolytic agents, and corticosteroids. All of these medications have multiple clinical applications and are documented to be safe and effective when used appropriately. It is incumbent on the practitioner to understand the efficacy, complications, and common side effects of these agents. Anesthetic Agents The mechanism of local anesthetic action is a reversible block of ion flux through the axon’s sodium channels. By blocking transmission from the peripheral nerves, no…

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Injection Procedures

Injection Procedures

Injection of medications in proximity to nerves, muscles, and skeletal structures (bursae, joints, and tendons) provides an important intervention in the management of pain and dysfunction. These medications can provide analgesia, reduce inflammation of the affected structure, and promote tissue healing directly and indirectly through facilitation of rehabilitation. Commonly, local anesthetics are used for immediate anesthesia and analgesia, corticosteroids are used to control inflammation, radiopaque contrast is used to assist any fluoroscopic confirmation, and vasoconstrictors are used to prolong local…

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Caring for Your Joints at Home

Caring for Your Joints at Home

(ĐTĐ) – Just as the tread on your tires wears away over time, the cartilage that cushions your joints can wear away, too, in a condition known as osteoarthritis. And without enough cushioning, the bones of a joint will hurt when they rub against each other.   Frayed cartilage can't heal or grow back. "There's no way to reverse the arthritis once it has started," says Michaela M. Schneiderbauer, MD, an orthopedic surgeon at the University of Miami Miller School…

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10 Serious RA Symptoms to Never Ignore

10 Serious RA Symptoms to Never Ignore

(ĐTĐ) – Painful, swollen joints are a hallmark of rheumatoid arthritis. But for people with RA, it's not the only thing to watch out for.   A result of the body’s immune system attacking its own tissues, rheumatoid arthritis requires more than just managing the pain. Other symptoms that might even seem unrelated to the condition may pose a threat. “This is a disease process, not just something that happens in the joints,” rheumatologist Joan Bathon, MD, tells WebMD. “It…

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Pain Types and Classifications

Pain Types and Classifications

(ĐTĐ) – It's safe to say most of us are not big fans of pain. Nevertheless, it is one of the body's most important communication tools. Imagine, for instance, what would happen if you felt nothing when you put your hand on a hot stove. Pain is one way the body tells you something's wrong and needs attention. Tiếng Việt >> But pain — whether it comes from a bee sting, a broken bone, or a long-term illness — is…

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Fibromyalgia Medications

Fibromyalgia Medications

(ĐTĐ) – There are many different medications used to treat fibromyalgia symptoms, including pain medicines, sleeping pills, and antidepressants. Some fibromyalgia medicines help ease pain. Others boost mood and improve sleep. Working with your doctor will help you find the right fibromyalgia medication to add to your treatment regimen. That way, you can manage your symptoms effectively.   What is the initial treatment for fibromyalgia? The first medication doctors will often try for people with fibromyalgia is an antidepressant, which…

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Joint Replacement: Risks vs. Benefits

Joint Replacement: Risks vs. Benefits

(ĐTĐ) – After a skiing injury 30 years ago, Bert Pepper, MD, got osteoarthritis in his left knee. "I stopped skiing and gave up tennis, running, and other sports that are tough on the knee," he says. "I turned to speed-walking to stay fit, but the knee kept me from walking at a good pace."   As his pain got worse and walking became harder, he looked into having a knee replacement. It's not a decision to make lightly, says…

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Rheumatoid Arthritis: Avoiding 6 Common Mistakes

Rheumatoid Arthritis: Avoiding 6 Common Mistakes

(ĐTĐ) – Most people with rheumatoid arthritis can live full, active lives despite their disease. But living a good life with RA often means you need to work at managing your disease and get the help you need. Take care to avoid these six common mistakes.   RA Mistake 1: Not Seeing a Rheumatologist If you’re like most people with RA, the first doctor you saw for your joint symptoms was a primary care physician. But a specialist has more…

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A Blood Test for Fibromyalgia?

A Blood Test for Fibromyalgia?

(ĐTĐ) – A new blood test may predict fibromyalgia, a condition that can be hard to diagnose. Research about the new test was presented Sunday at the annual meeting of the American College of Rheumatology in San Diego.   EpicGenetics of Santa Monica, Calif., developed the test, called the FM/a test, says Bruce Gillis, MD, MPH. Gillis is the company’s CEO and an assistant professor of medicine and emergency medicine at the University of Illinois College of Medicine. “It is…

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Prescription or Over the Counter, Pain Pill Mistakes Common

Prescription or Over the Counter, Pain Pill Mistakes Common

(ĐTĐ) – Sharing prescriptions, hoarding expired drugs, and more no-nos for taking prescription and over-the-counter pain medications.   It’s been a hard day, and Joe’s back is killing him. His wife has some Percocet left over from a trip to the dentist, and there’s that big bottle of Tylenol under the sink, so Joe grabs a couple of each and washes them down with a slug of beer. Luckily for Joe, he’s a fictional character invented for this article. But…

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