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Therapeutic Blocks

  • The rationale for utilizing local anesthetic and corticosteroid injections for treatment of the lumbar spine was based on the efficacy of these injections to control inflammation.

  • Corticosteroids (CS) relieve pain related to inflammation resulting from disk degeneration or injury due to chemical and immunological factors

    • Seen in patients without a compressive lesion on radiological evaluation.
  • Suppress ectopic discharges in the injured nerve- nociceptive axon activity

  • Facilitate recovery from conduction block in nerve compression injury

  • Prevent and suppress edema, production of chemical inflammatory mediators, fiber deposition, capillary dilatation, cellular migration and phagocytic activity

  • Inhibits scarring and promotes lysis of adhesions

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