Background: Lumbar spinal canal stenosis (LSCS) is one of the many reasons of persistent back pain. Spinal canal narrowing due to disc degeneration, osteophytes, and arthritic facet joints is what's known as LSCS. The purpose of this research is to examine the efficacy of epidural steroid administration (ESI) in reducing pain experienced by people with LSCS. Methods: This is a prospective clinical trial conducted on 25 cases from 20 to 70 years old suffering from LSCS with pain and radiculopathy symptoms. They have persistent symptoms for at least 6 months despite medication use & physiotherapy and refused surgery. All the administrations were performed by a single spine surgeon at the same center. A solution containing triamcinolone acetate 40 mg (1 ml), xylocaine 2% (1 ml)) and saline 10 ml as flushing agent. Results: VAS score was significantly decreased at day one, after one and three months of follow up compared to pre-treatment. VAS was also significantly decreased after the first and the third month compared to day one. VAS score was significantly lower in mild and moderate LSCS cases compared to severe LSCS cases after one day, one and three months of epidural steroid administration. The percentage of decrease in VAS score after one day, one and three months of epidural steroid administration from pretreatment VAS were significantly higher in mild and moderate LSCS cases than severe LSCS cases. Conclusions: In situations of spinal canal stenosis, ESI might be regarded as an effective technique for the relief of pain and alleviation of disability.
Background: Chronic plantar fasciitis is the most common cause of foot complaints making up to 11-15% of the foot symptoms requiring professional care among adults. Also, it is a common problem that affects sport participants as well as inactive middle-aged individuals. Many modalities of treatment were prescribed to relieve the symptoms such as rest, Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), bracing, physical therapy and corticosteroid injection. Newer treatment modalities have been tried, such as extracorporeal shock wave treatment, iontophoresis, and injection of botulism toxin. In case of lack of response to conservative treatment, the last resort is surgery with the primary objective of relieving pain. One novel treatment strategy is the use of local injection of platelet rich plasma. These platelets release a large proportion of biologically active growth factors that are thought to accelerate and improve the regeneration and healing process.
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