You wake up one morning to find that slight twinge in your hip has become significantly painful. Youve tried icing and ibuprofen but the pain is now severe and demands medical attention. What are you expecting the doctor to do?
As a weekend warrior, you expect some aches and pains following your regular game but that twisted ankle you experienced last weekend continues to hurt with every step. Once again, the typical home treatments, the familiar rest-ice-compression-elevation, have helped, but not enough. Greater expertise is needed.
The arthritic knee, damaged playing college sports, has been bearable for years, but that joint has become progressively more symptomatic over recent months. What are the options? Some pain relief is desired.
These are all common scenarios. A frequent answer to these question is an injection. Many physicians first recommendation for various problems will be an injection. But what exactly is being administered? Most people are aware of a few of the options, yet a plethora of substances can be administered via injection. Injection therapy is a technique practiced for many years and continues to be utilized as a safe, easily performed procedure in an office or out-patient setting.
Specifically, an injection is the act of putting a liquid, especially a drug, into a persons body using a needle and syringe. This is a technique for delivering drugs without significant quantities of the drug spreading throughout the body. Intra-articular injections, those performed into a joint, have a number of physiologic and practical advantages over systemic medications (such as those taken by mouth), including safety.
Many fear injections. Certainly, the pain produced can occasionally be considerable but, more often, is minimal to mild. Others have allowed hearsay and rumor to rule their decision making, claiming they shouldnt have any injections because theyre going to do more harm than good. It is true sometimes the relief is temporary, but if you dont want to have surgery, an injection is an approach for musculoskeletal conditions that should be attempted. It may only give you a few months of pain relief, but it is usually worth trying.
As anyone who has had more than one injection can attest, the symptoms produced by the procedure itself can vary greatly. When larger structures are injected, the procedure tends to be more painful. Yet, there are a variety of methods to reduce the discomfort. As you would expect, technique is a critical factor. Pushing the liquid in faster, although shortening the duration of the process, is more uncomfortable. Thus, patience on the part of the health care provider is beneficial.
Buffering the solution is helpful when the solution is acidic, as is often the case when local anesthetics are used. Understandably, a smaller needle will produce less discomfort, although some medications will not get through certain sized needles. Additionally, the use of an ethyl chloride or cold spray numbs the skin for an instant but greatly reduces the initial pain of penetration.
Injection therapy can be used to achieve many different goals, other than just pain relief. The administration of a local anesthetic, a medication which temporarily produces a sensory blockade, can be used for diagnostic purposes. If some particular body part is injected with an anesthetic, and the pain previously experienced is gone while the numbing agent is active, then we can surmise that structure is causing the pain.
Clearly, the benefits of an injection will depend largely on what is injected. Without question, the most commonly utilized medication is some type of corticosteroid, commonly referred to as cortisone, although that particular medicine is no longer in common use. Corticosteroids are not harmful when used appropriately, and have many different uses. Corticosteroid injections can be therapeutic and diagnostic. They reduce inflammation by inhibiting the production of a number of inflammatory substances. But because they can cause some thinning of tissue, they can be put into a cyst or scar tissue to reduce its mass.
Injections directly into an arthritic joint avoid conventional barriers to joint entry. Intra-articular injections are a minimally invasive procedure and can be performed easily in an outpatient setting, with a short recovery time. Again, there is a drastically lower risk of side effects or systemic toxicity due to this delivery method. Intra-articular corticosteroids are approved by the FDA, although concerns remain regarding the duration of its effects, and their safety profile. And if the situation leading to inflammation is not addressed, predictably, the relief of the steroid injection will be transient.
All medicines have some side effects, including steroids. When used unwisely, what was once a benefit can be a complication. Common side effects are a loss of skin fat, discoloration of the skin, and increased blood sugars. This latter effect is of particular concern in the diabetic population. Uncommon side effects, more likely when used inappropriately, are tendon ruptures or ligament tears.
Patients may be disappointed when they are told the injection recommended may be helpful for only a short time. For each pathology injected, the duration of relief can vary greatly. There are no guarantees with any medical procedure, and this includes injection therapies. The possibility it can provide relief and make some condition better seems a realistic goal, as opposed to trying to give a patient a specific timeline.
Over the last few decades there has been tremendous research into new therapies, with great interest in regenerative medicine. The basic concept is to find healthy ways to improve the bodys healing processes. Some of these newer techniques involve an injection. Some examples include PRP injections (platelet-rich plasma), stem cell therapies, and amniotic membrane injection. Benefits of regenerative medicine techniques include an improved safety profile and, maybe most important, the direct targeting of the biochemistry of osteoarthritis. An increase in movement may be seen, as well as improved muscle strength. They seem to be useful in treating repetitive stress injuries that havent healed properly or completely. Maybe most consequential is the reduction of pain levels. The hope is these novel methods may allow some to avoid surgery and can even lead to healing.
One concern with these new technologies is the lack of large scale clinical trials to back up these claims. Long-term clinical studies are needed to increase the evidence available about them, and so earn consideration in treatment frameworks. Until these are performed, there remains an element of uncertainty with these methods.
The regenerative medicine technique in longest use is prolotherapy, in which a highly concentrated glucose solution is injected into a tendon or ligament. This seems to jump-start the healing process, with the resulting inflammation being a natural and integral component of healing, as with platelet rich plasma injection. When performed into a damaged part, these injections can stimulate repair.
Botox injections are a completely different type of injectable therapy. This substance blocks certain chemical signals from nerves, especially those causing muscles to contract. Some common uses are to relax facial muscles (those causing wrinkles) or muscle spasms. Botox injections may also help prevent chronic migraines.
Getting a therapeutic injection can be a scary process and, occasionally, a painful one. Still, there are ways to reduce this. As with any treatment, these methods can be misused. And, once again, there are no guarantees in health care. But the benefits can be significant. Dont make assumptions: steroids can lead to healing, depending on the situation, and can significantly reduce pain. Dont let fear rule your decision-making process. Consider carefully all the options your health care team recommends. An injection may be your most effective path to relief.
Editors note: Dr. Conway McLean is a physician practicing foot and ankle medicine in the Upper Peninsula, with a move of his Marquette office to the downtown area. McLean has lectured internationally on wound care and surgery, being double board certified in surgery, and also in wound care. He has a sub-specialty in foot-ankle orthotics. Dr. McLean welcomes questions or comments email@example.com.
View original post here:
Injection therapy has many faces | News, Sports, Jobs - Marquette Mining Journal
- The PRP Alternative to Knee and Other Surgeries - Sahuarita Sun - February 19th, 2021
- Platelet Rich Plasma Market: Applications, Business Trends by Size 2021: Growth Statistics and Key Players Insights by Types, and Development Analysis... - February 19th, 2021
- Coping With Cancer Treatment's Effects on Skin - Curetoday.com - February 19th, 2021
- Ricki Lake Opens Up About Her Stunning Hair Transformation and How Sex Is the Best Anti-Ager - NewBeauty Magazine - January 31st, 2021
- Why Hair Goes Gray, and How to Cover It If You Want To - NewBeauty Magazine - January 31st, 2021
- The 9 Best Hair Growth Products That Work, According to Dermatologists - PureWow - January 23rd, 2021
- Dr. Teresa Cody Offers Solution For Health And Wellness In 2021 - Press Release - Digital Journal - January 23rd, 2021
- Dr. Maro: Swim, PRP and physical therapies highlight pet health successes in 2020 - The Times - December 31st, 2020
- Will Insurance Cover Knee Surgery and Alternative Treatments? - Green Valley News - December 31st, 2020
- I tried the infamous Vampire Facial - image.ie - December 31st, 2020
- 3 business updates to know on Williams Field Road in Gilbert - Community Impact Newspaper - December 31st, 2020
- Platelet-Rich Plasma (PRP) Injections: Purpose & Effectiveness - December 21st, 2020
- Business beat - The Spokesman-Review - December 21st, 2020
- Global Platelet Rich Plasma Market Recent Trends and Developments, Challenges and Opportunities, key drivers and Restraints over the Forecast Period... - December 18th, 2020
- Walking The Tight Rope With Dinelson Lamet | RotoGraphs Fantasy Baseball - fangraphs.com - December 18th, 2020
- Insiders Advice: Prevent Shoulder Surgery With These 5 Options (12/17/20) - Southeast Missourian - December 18th, 2020
- Facts you should know about Osteoarthritis - The New Indian Express - December 18th, 2020
- Garrett Richards is the epitome of a risk-reward free agent - Bless You Boys - December 18th, 2020
- Las Vegas woman allegedly held 'vampire facial' parties while posing as nurse - New York Post - December 1st, 2020
- PRP vs Corticosteroid Injections Which is the Ultimate Solution - Farmington, CT - Patch.com - November 24th, 2020
- What is Osteoarthritis and what are the symptoms? - Monitor - November 24th, 2020
- Platelet Rich Plasma in Patients with Partial Thickness Rotator Cuff Tears or Tendinopathy Leads to Significantly Improved Short-Term Pain Relief and... - November 9th, 2020
- Platelet Rich Plasma Market Outlook 2020 Scope and Business Growth Overview by Regions, Latest Trends, and Opportunities Forecast to 2024 - The Daily... - November 9th, 2020
- Platelet-rich Plasma Market To Witness the Highest Growth Globally in Coming Years 2020-2025 - The Daily Philadelphian - November 9th, 2020
- Wrist Pain: Causes and Available Treatment Options - Lifesly.com - October 30th, 2020
- Platelet Rich Plasma Market Analysis 2020 Growth Prospects and Future Scenario of Industry Size and Share and Market Insights Forecast to 2024 -... - October 28th, 2020
- Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Trend, Growth, COVID-19 Impact, Current Industry Figures and Forecast 2026 -... - October 28th, 2020
- Accident & Injury Solutions Is the Place to Throw Light on Regenerative Medicine in Mesa and Phoenix, Arizona - Press Release - Digital Journal - October 21st, 2020
- Kim Kardashians changing face as she hits 40 and why shes probably about to reach for the Botox - The Sun - October 21st, 2020
- Laugh Lines Are Totally Normal How To Ease Them Sans Injections - mindbodygreen.com - October 17th, 2020
- PRP injections Treatment for Knee - WhaTech Technology and Markets News - October 15th, 2020
- Everything you need to know about the Kim Kardashian vampire facial - Emirates Woman - October 10th, 2020
- Interventional Pain Management Specialist Dr. Kaliq Chang with Atlantic Spine Center offers tips on emerging treatment using your body's own cells -... - October 10th, 2020
- Why some COVID-19 survivors are losing their hair - 13WMAZ.com - October 7th, 2020
- A Painless Future Provides the Incentive Behind Cytonics - InvestorPlace - October 7th, 2020
- Joint Pain Injections Market Top Manufactures, Regions, Trends, Breakdown, Types, Applications, Market Size and Forecasts 2020-2027 - Crypto Daily - October 7th, 2020
- Tendinitis Treatment Market 2020 Global Growth Rate by Recent Developments, Market Trends, Size, Share and Latest Technology, Forecast Research Report... - October 7th, 2020
- Love Island's Jack Fincham unveils epic weight transformation amid boxing return - Mirror Online - September 22nd, 2020
- Could platelet-rich plasma therapy be the answer to your hair loss? - VOGUE India - September 21st, 2020
- A passion for taking care of Steamboat's active patients - Steamboat Pilot and Today - September 21st, 2020
- A passion for taking care of Steamboat's active patients - Sky Hi News - September 19th, 2020
- Dr. Andreas Sauerbrey: The right orthopaedic diagnosis is essential to proper care - Steamboat Pilot and Today - September 14th, 2020
- Dr. Andreas Sauerbrey: The right orthopaedic diagnosis is essential to proper care - Sky Hi News - September 12th, 2020
- How Dr. Frank Roach Succeeded in the Field of Dentistry - Press Release - Digital Journal - September 12th, 2020
- Joint Pain Injections Market is Thriving Worldwide 2020 | Trends, Growth and Profit Analysis, Forecast by 2027 - The Daily Chronicle - September 10th, 2020
- Male Pattern Baldness gets longer effect QR678 therapy, more effective than Platelet-Rich Plasma (PRP): Journal of Cosmetic Dermatology Published... - September 8th, 2020
- Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market: New Investment Opportunities Emerge to Augment Segments in Sector by 2026 - The... - September 4th, 2020
- Platelet Rich Plasma Market 2020: Share Value Analysis of Top Key Players, Global Size, Consumption Analysis, Trends Forecast to 2024 | Industry... - September 4th, 2020
- New orthopedic provider joins team in Big Rapids - The Pioneer - September 4th, 2020
- Global Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market Research Study 2020 Insights with COVID-19 Impact Analysis by 2020Orange... - August 31st, 2020
- Platelet rich plasma and thicker hair | Empty Nest - NorthFulton.com - August 31st, 2020
- Joint Pain Injections Market Size 2020 | Covid 19 Impact Analysis | Global Industry Trends, Growth, Share, Size and Forecast - StartupNG - August 31st, 2020
- Porzingis hoping to play again this season if Mavs can get past Clippers - The Official Home of the Dallas Mavericks - Mavs.com - August 31st, 2020
- Joint Pain Injections Market Size By Product Analysis, By Application, By End-Users, By Regional Outlook, By Top Companies and Forecast to 2027 -... - August 22nd, 2020
- When your hair falls off and leaves scars - The Star, Kenya - August 22nd, 2020
- PRP versus Hyaluronic Acid Injections for Knee OA: Cost-Effectiveness Analysis - DocWire News - August 15th, 2020
- Lowrie to have injections for knee pain relief - MLB.com - August 15th, 2020
- Yes, People Are Reportedly Losing Hair Due to Stress From the Pandemic - POPSUGAR - August 15th, 2020
- Joint Pain Injections Market 2020-2028 Covid-19 Updates With Key Players Anika Therapeutics, Inc., Bioventus - Owned - August 9th, 2020
- Another Nice Thing We Can't Have in 2020: Shohei Ohtani's Pitching - FanGraphs - August 5th, 2020
- Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market: Extensive Analysis of Key Segments of the Industry and Emerging Growth Factors... - August 3rd, 2020
- PRP Platelet-Rich Plasma | Florida Sports and Family ... - August 2nd, 2020
- Rockies vs. Athletics - Game Recap - July 28, 2020 - ESPN - August 1st, 2020
- Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market 2020 COVID-19 Impact on Industry Size, Share, Company Profiles, Emerging... - July 29th, 2020
- Platelet-Rich Plasma (PRP) Specialist - Farmington, NM ... - July 29th, 2020
- A & # 39; s slam Angels in the first MLB game with a new additional entry rule - NewsDio - July 26th, 2020
- Platelet-Rich Plasma |Therapy (PRP) Everything You Need to ... - July 26th, 2020
- Takeaways from the As loss to the Giants: Why is the offense cold? Who is the Opening Day second baseman? - Chico Enterprise-Record - July 23rd, 2020
- COVID-19 Impact on Lip Augmentation Market Trends, Growth Insights, Share Estimation, Size Projection and Industry Dynamics By 2023 - Reported Times - July 23rd, 2020
- Takeaways from the As loss to the Giants: why is the offense cold? - The Mercury News - July 22nd, 2020
- Takeaways from the As loss to the Giants: why is the offense cold? - Oroville Mercury-Register - July 22nd, 2020
- Takeaways from the As loss to the Giants: why is the offense cold? - Woodland Daily Democrat - July 22nd, 2020
- What is Trending in Stem Cell and Platelet Rich Plasma (PRP) Alopecia Therapies Market? What are the Strategies to Boost Business in Near Years? -... - July 21st, 2020
- Platelet-Rich Plasma for the Knee: Does It Work? - July 21st, 2020
- Tendinitis Treatment Market Overview By Growing Demands, Trends And Business Opportunities 2020 To 2027 - Jewish Life News - July 20th, 2020
- Living Well: PRP: A Promising Treatment - The Daily Progress - July 19th, 2020
- What Are the Different Types of Knee Injections? Pain Management - MedicineNet - July 16th, 2020
- Patient-Reported Outcomes After Platelet-Rich Plasma, Bone Marrow Aspirate, and Adipose-Derived Mesenchymal Stem Cell Injections for Symptomatic Knee... - July 16th, 2020
- These Are the Top Plastic Surgery Trends of the Last Decade, According to Top Surgeons - NewBeauty Magazine - July 15th, 2020
- Could Joe Maddon Lead The Angels To Cubs-like Success In 2020? - Prospect Insider - July 13th, 2020