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Information for Patients and Friends

 

Categories > Medical Procedures > Epidurals

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EPIDURAL PRODECURES

Epidural steroid injections are administered in pain clinics throughout the world. Epidural anaesthesia is also a common treatment for pain in pregnant women in delivery rooms. The overall goals include elimination or reduction of pain. Though an invasive procedure itself, another goal is to prevent need for more invasive treatments including surgery.

Though a common procedure in pain management clinics,questions arise as to their safety and effectiveness. A review of studies indicates that there is indeed controversy regarding them and disturbing reports of serious neurological damage to otherwise healthy individuals. Arachnoiditis is one of those adverse outcomes.

Patients, for the most part, submit to epidural steriod injections trusting that there will be no adverse reactions. Reports to ASAMS support groups indicate that many persons developing arachnoiditis as the result of an epidural procedure were not fully informed of the risks. Due to its association with arachnoiditis, we are presenting epidural related information.

 

SEE ALSO:

Medical Procedures: Epidurals: Childbirth Labor and Delivery
Medical Procedures: Epidurals: Epidural Agents

 

Anatomy of the Epidural Space (On Site)
Thanks to Andrew M. Elizaga, MD
The Anatomy of the Epidural Space consists of illustrated notes about the components making up and associated with the epidural space. These are used by students learning about regional anesthesia at the University of Washington in Seattle. It includes visual illustrations and radiological images accompanying the written descriptions of lumbar, thoracic and cervical epidural anatomy.

 
Arguments For and Against Epidurals (OFF-SITE)
 
On this page is a link to an Arachnoiditis medical study, and it is on the medical study page.
 
Epidural Blood Patching (OFF-SITE)
Stephen Gatt
One method of treatment for post-dural puncture headaches.

 
Epidural Headache With A Late Onset (Printer-friendly version of entire document)
Anonymous, reprinted from Epidural.net

Discussion of late-onset epidural headaches.


Epidural Steroid Injection FAQs (Printer-friendly version of entire document)
Redding Anesthesia Associates Medical Group

Redding Anesthesia Associates Medical Group's website is located at: http://www.reddinganesthesia.com/. It deals with scientific information related to peri-operative care and pain management.

Included among the topics of interest regarding pain management is a list of Frequently Asked Questions related to chronic pain management such as Spinal and Epidural Anesthesia, Facet joint injections, Epidurolysis (Racz Procedure), Dorsal Column Stimulators, Discography and others.

ASAMS wishes to thank S A Dhruva MD, for giving ASAMS permission to post the article Epidural Steroid Injections from their Frequently Asked Questions list and for permission to link to their very informative website.


Epidural use of steroids in the management of back pain and sciatica of spinal origin (OFF-SITE)
NOTE: Article is in Adobe Acrobat PDF format - Adobe Acrobat 4.0 or later required
The National Health and Medical Research Council

The National Health and Medical Research Council (NRMRC), Canberra, Australia completed a report in 1994 entitled "Epidural use of steroids in the management of back pain and sciatica of spinal origin." The report examines the value of epidural use of steroids in the management of back pain and is prepared primarily for use by health care professionals. The link above presents the Executive summary and recommondations of the NHMRC.

We gratefully thank The National Health and Medical Research Council for granting permission to post this valuable information and to link to the website for the complete report.


 
Manbit.com (OFF-SITE)
Manbit Anaesthesia Software
Links of interest on the home page include:
 
These two sections contain information related to epidurals in childbirth and are informative regarding epidurals in general. Among the numerous variety of articles are:
This site has excellent information and links. We sincerely thank Phil Dey for giving us permission to link to Manbit.com

 
Midwifery Today E-News Volume 1, Number 9: Epidurals (OFF-SITE)
A publication of Midwifery Today, Inc.
Specific sections of interest are items 4, 5, and 6: "Epidural: Convenient Intervention?," "Mom's Post-epidural Fever Affects Baby," and "Abstract From Henci Goer's book Obstetric Myths Versus Research Realities," respectively.

Link to a Video of an Epidural Procedure (OFF-SITE)
Link by permission from the author Donal Shanahan
University of Newcastle upon Tyne, UK website tutorial

 

 

 

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