Here, thereátics and low back pain are pathologyíso they occur very frequently and, although sometimes they improve by resorting to conservative treatment, on many other occasions it is necessary to resort to a infiltrationón lumbar to finish improving.
Index
¿Whaté it is an infiltrationón lumbar?
A infiltrationón lumbar it's an injectionón that includes a therapeutic substanceéutica in a tissue or a regionón goneómica. in functionón the origin of the pain that has caused it, there are different types of infiltrations that can be carried out.
¿Becauseé sirve una infiltrationón lumbar?
When talking about a infiltrationón lumbar it must be taken into account that the diagnosisóStico of a lumbar spine is complex, with different anat structuresómicas that are likely to cause pain. on many occasions, Even carrying out imaging tests, it is not possible to determine the exact cause and origin of the pain..
For this reason, on different occasions it is decided to carry out a infiltrationón lumbar selective to be able to proceed to the successive blockade of the different points that can cause pain. In this way, you can end up finding the place where that pain originates, and, Thus, proceed to carry out the appropriate treatment.
Regarding the treatment, keep in mind that when an infiltration is madeón lumbar introducing medicationón can be improvedíntomas; and in this case the medicationón that is used in most cases is the corticosteroid. These reduce both pain and inflammation.ón.
Let them existás other substances that can be used in lumbar infiltrations, as is the case with growth factors, ozone, to toxin the muzzleínica, among others.
Side effects of an infiltrationón lumbar
Among the side effects that we find when we undergo a infiltrationón lumbar we have to highlight the following:
Bleeding
When the needle is inserted to perform the infiltrationón you can proceed to injure someoneún vaso sanguíneo. In general, as much, they are usually produced smallñthe bruises, although it must be taken into account that it is necessary to refrain from making a infiltrationón lumbar in anticoagulated patients, as they have a higher risk of bleeding.
reactions toérgicas
The reactions toéallergic reactions to corticosteroids are unusual. When using growth factors or células mother, being substances obtained from the patient, these reactions cannot be caused.
inflammatory reactions
When proceeding to a infiltrationón lumbar in an inappropriate place, inflammatory reactions can occur, además mild pain where the needle was inserted.
Side effects of corticosteroids
Corticosteroids are used in the great majorityíto the infiltrations. These can cause hypertensionón, also being ableás produce an increase in blood glucose and special care must be taken with diabetic patientséticos.
Además, It must be taken into account that they cannot be used in a critical way.ónica, since in case of abusing the infiltrations they can cause wear and tear on the tissues.
Types of lumbar injections
If we talk about one infiltrationón lumbar, we can find that there are different types of them, being able to find the following:
Infiltrationótrigger point n
a trigger point It is a muscular contractureónica. When a infiltrationón lumbar in a trigger point is sought to cause muscle spasms to try to get rid of the contracture. By clicking on the músculus but without using any medicationón is called punción dry.
La infiltrationón of trigger points is performed routinely with corticosteroids or anesthesiaéphysical local. Además, spaghettién can be resorted to using toxin BOTínica, which inhibits the contractionón muscular. They are effective in the short term.
Infiltrationón epidural
The infiltrationón lumbar epidural consists of introducing a corticosteroid into the medullary canal, being the más used in pain units. It is especially úUseful in cases of canal stenosis or disc herniation.
If x-rays are not used to perform this type of infiltrationón lumbar there is a risk that the needle will not be inserted in the right place. For this reason it is usually performed in surgicalófano despite being ambulatory.
Infiltrationón epidural caudal
Anterolisthesis is a disorder that occurs in the spine and is characterized by the dislocation of at least one of the vertebrae in relation to another infiltrationón lumbar is carried out by proceeding to the introductionón of the needle into the epidural space throughés of the final part of the sacrum. It is used when access to it through the lower back presents difficulties. As in the previous case, spaghettiéYou do not need to use an X-ray machine to do so.í to know where to insert the needle. In this way, it is avoided that problems related to it can be suffered..
Infiltrationón lumbar facet
The facet joints are the posterior joints of the vévertebrae. Facet pain is lower back pain that worsens in the morning.ñanas, but as the muscles warm up, the pain itself decreases.
A facet block can be performed by proceeding to perform a infiltrationón lumbar con anestéphysical and corticosteroid at the level of the nerve that produces sensitivity in the jointón, or to proceed with its introductionóno in other facets.
Además of the corticosteroid, últimamente hasán introducing growth factors o cémother cells that pursue the objective of portraying to provoke the regenerationócard no.íjoint lakeón, achieving excellent results.
Infiltrationón lumbar sacroilíaca
The jointsón sacroilíaca is the jointón that is responsible for joining the spine with the pelvis, being a jointón of load that does not have movement except in those cases in which it has someún tipo de lesión.
In the case of the jointón sacroilíaca, the infiltrationón lumbar spaghettién can be done with an X-ray machine or an ecócount. This type of infiltration is usedón to confirm that this is the cause of the pain; and in this way to be able to resort to the use of tétechniques such as radiofrequency or fusión sacroilíaca míminimally invasive.
The infiltrationón lumbar is a great alternative, being something intermediate between a conservative treatment and surgical interventionsúrgicas.
