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Carpal Tunnel Syndrome - Steroid Injection for Carpal Tunnel Syndrome
What is the role of steroid injection in carpal tunnel syndrome? Injection of corticosteroid into the carpal tunnel has been used as a treatment for some years. But what does the published evidence have to say about whether it works or not? In my own experience, injection of steroid and / or local anaesthetic into the carpal tunnel area is effective in about half of the patients that I see. Some of them gain lasting relief of the carpal tunnel symptoms and others find that the symptoms of tingling in the median nerve skin area return a month or two after the injection. Recent Studies on Steroid Injection for Carpal Tunnel Syndrome Two small but quite good quality studies have been published recently. These are what is known as randomised controlled studies and the results of this kind of study are usually (but not always) reliable. Both studies showed that injection with steroid into the carpal tunnel produced benefit with about a month of the injection. The benefit was sustained in many of the patients. The studies compared carpal tunnel steroid injection with placebo injection. Placebo injection is when both the doctor and the patient think that an active drug is being injected but when - in truth - only an inert and inactive liquid is in the syringe. The patients who were given the active drug typically reported an improvement in their symptoms of about 70% - compared with improvement of about 15% in the patients who were given a placebo. The risks of steroid injection into the carpal tunnel are small but not zero. Some people find the injection to be very painful for two or three days afterwards. There is a small risk that the injected liquid may enter a blood vessel or may be injected into the median nerve itself. This last problem is rare but can potentially be very serious. Dr Gordon Cameron's website contains more information about carpal tunnel syndrome and its treatment Dr Gordon Cameron is a joint pain specialist based in Edinburgh, Scotland. He has a special interest in whiplash injury assessment, lower back pain treatment and in carpal tunnel syndrome
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Alternative Medicine Neurontin Lawsuit: Neurontin Off-Label Abuse Lawyer Pfizer is currently marketing Neurontin as an oral medication for managing postherptic neuralgia, the pain that lingers after shingles has healed. This is an FDA-approved use, and studies have shown that Neurontin works to reduce patients' pain. It is a good drug, with many useful applications and few negative side effects, but it has a surprisingly long and sordid past. Lunesta Memory Problems Lunesta may be the only sleeping pill that is FDA approved for long-term use, but it still has some of the same effects as other sleep aids. Ambien, Sonata and others have all been known to cause this problem. It can make life strange and difficult for some of us. Acid Reflux and Your Diet There is an undeniable connection between the occurrence of acid reflux and diet. Everything in your body has a delicate balance. The human body is a miracle of systems that maintains just the right conditions to keep everything running smoothly. Therefore it's the healthiest when there is an acidic balance or equilibrium. The stomach regulates acidic digestion with enzymes that convert acids into manageable alkaline or basal substances. However, when there is an over-production of acid, usually helped along by lifestyle choices like overeating or smoking, acid reflux is likely to occur, and if it goes unregulated, acid reflux disease can develop. How To Medically Treat Nail Fungus Warning: This article is for information only and can not be used to supplement your doctor's advice. You should contact your doctor for nail fungus treatment. Kids and Medication Part II In continuation of mood enhancement drugs for kids and adolescents, we next discuss the issues of Prozac. 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The 7 Most Dangerous Mistakes You Can Make When You See a Doctor for Arthritis! 1. Seeing a doctor who's not board-certified or a doctor who isn't really an arthritis specialist. A lot of doctors will tell you they're "board-eligible." That's nonsense! What "board-eligible" means is that they did the training for the specialty but either haven't taken or- heaven forbid- failed the examination for board-certification. Don't trust your health to one of those doctors. And worse yet, some specialists don't pass on the first attempt. They keep taking the board exam over and over in the hopes they'll finally pass. Ask the doctor how many times it took them. Would you rather see somebody who passed the first time or some idiot who took three and four times to pass? The Importance Of Using Electric Wheelchairs To Improve Mobility No person likes to feel housebound and dependent on others. 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Some of them are vague, with a simple "Ask your doctor if drug x is right for you"; others spell out what the drug is used for and devote the commercial to telling you how much you will appreciate your product. Most consumers will probably assume that these commercials are honest, that the drugs will do what the ads say they will do, and that there are no side effects other than those mentioned in the ad. That may not be true, and consumers should be aware that the ads may not tell the whole story, and that they may be misleading.The pharmaceutical industry spends $9 billion per year advertising their products, and the money they spend on television and radio ads is probably the most effective. Doctors may be skeptical of a product touted by a salesman, but consumers are easily swayed by television ads that show people living happy, productive lives while being treated for an ailment using the advertised product. Unfortunately, these ads may not be completely honest. In 2004, the FDA investigated thirty-six ads for drugs that the agency found to be misleading or incomplete in their descriptions of side effects. Consumers might think that the commercials must be honest, since the FDA wouldn't allow dishonest commercials to air. Unfortunately, that's not the case. The FDA does not require pharmaceutical companies to provide screening copies of their advertisements prior to airing. The FDA doesn't actually see the ads until the consumers do. Several months may pass before the FDA takes action. In the case of misleading advertising, the most the FDA can usually do is ask the companies to either stop running the ads or to change them. These requests aren't always timely, however. In the last five years, the FDA has asked the drug companies to stop running several ads that had already stopped running!What this means for consumers is that some doubt should be exercised while viewing a commercial for a new drug. If you think an advertised product may be useful to you, discuss it with your physician, but ask if they know of any problems associated with the product. Research the product on the Internet. When your health is at stake, a little caution may be a good idea. Medical Billing Specialist As Pres. Bush was touring the Midwest, shortly before he was re-elected as President, and even after, he spoke of medical reform centering on liability costs. He called it "defensive medicine." Searching for a good medical billing specialist who is familiar with reliable electronic medical record systems is quite possibly one of the best defensive medicines that consumers and practices can employ. I say that because small practices spend an average of $150,000 per year in liability costs. That may include insurance or even law suits. Consumers may also have to fit the liability bill if things get ugly. Lunesta Withdrawal Lunesta is a newly released sleeping pill. 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Understanding Tumescent Liposuction Tumescent liposuction is done using a local aesthetic. A large volume of saline solution containing the aesthetic and a drug called "Epinephrine" is injected directly into the areas where there are excessive fatty deposits. Epinephrine is important in the surgical process because it shrinks capillaries and minimizes blood loss. Minor sedation may be required for those who feel a little nervous about the surgery; however the patient is usually completely conscious during the surgery.
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