Here, thereátics and low back pain are pathologyíso they occur with great frequency, and although on many occasions they improve throughés of a conservation treatmentón, Sometimes it is necessary to resort to lumbar injections to try to improve the ailments.
Index
Whaté are the lumbar infiltrations
Before explaining it in depth, you have to take into account whaté Are the lumbar injections, What are injections of a solution?ón that includes a therapeutic substanceéutica in a tissue or a regionón goneómica. in functionón of witháHe is the origin of low back pain, there are different types of infiltrations to whicháthey can be appealed.
Becauseé lumbar infiltrations are used
Once explained whaté Are the lumbar injections, must be taken into account foré sirve. to get started, it must be taken into account that the diagnosisódiagnosis of a problem in the lumbar spine is complex, as there are numerous anat structuresómicas that can cause pain.
Many times, Even carrying out imaging tests, it is not possible to determine the exact origin of the pain., so that sometimes they must be carried out selective lumbar injections to theí successively block the different points that can cause this pain; and in this way you caná know whaté is what causes that pain; and thenón, to determine the best possible treatment for it.
for your treatment, drugs are introducedón a través of the lumbar injections, thanks to which it is possible to improve theíntomas. In this sense, the medicationón that is used with greater assiduity is the corticosteroid, that addáThey help reduce both pain and inflammationón.
Nevertheless, spaghettiéThere are no other substances that can be used in the lumbar injections, as is the case with growth factors, to toxin the muzzleínica (bótox), ozone, or others.
Side effects of lumbar injections
As happens when undergoing any other type of treatment, these can cause different side effects, between the cuáwe have to mention the following:
- Bleeding. When the needle is inserted to proceed with the lumbar injections they can injure somethingúno kind of littleño vaso sanguíneo, and can even cause the appearanceón of bruises.
- reactions toérgicas. Although it is unusual, there may be reactions toérgic when using corticosteroids, although if you opt for the céstem cells or growth factors, being substances obtained from the patient, these reactions do not occur.
- inflammatory reactions. By infiltrating a substance in an inappropriate place, sometimes Inflammatory reactions may occur and there may be mild pain in the area where the needle has been inserted..
- Side effects of corticosteroids. Corticosteroids are used in the majorityía of the infiltrations and can produce hypertensionón, increased blood glucose and special care should be taken in patients with diabetes.
Types of lumbar injections
There are different types of lumbar injections, What are the following and what will be applied?án one or the other depending onóno of each case:
Infiltrationón of trigger points
a trigger point It is a muscular contractureónica. At the moment in which punctures are made in a trigger point, it is sought that muscle spasms are produced, focused on undoing the contracture.. When the m is puncturedúsculus without introducing medicationón is considered to be a punctureón dry.
Habitualmente la infiltrationón of trigger points is performed with corticosteroids O a anestéphysical local. Nevertheless, spaghettiébotul toxin can not be usedíunique since it is capable of inhibiting the contractionón muscular. They are effective in short-term treatments.
Infiltrationón lumbar facet
When talking about the lumbar injections, we must mention the facet joints that are the posterior joints of the vévertebrae. Facet pain is characterized by lower back pain that worsens by morning.ñhe, and that after getting upíguide, as the musculature warms upándose, the pain goes away.
La infiltrationón facet can be done throughés of an X-ray apparatus in surgeryófano, but there is the optionón to carry it out with an ecógraph so it can be performed in the query. This block can be done by introducing anestéphysical and corticosteroid at the level of the nerve that gives sensitivity to the jointón in the facets directly.
Infiltrationón lumbar sacroilíaca
The jointón sacroilíhere is the articulationón that is responsible for joining the spine with the pelvis, being a jointón that he does not have movement unless he has an injuryón. To treat the problem that the lumbar injections are an effective alternative to radio frequency or fusión sacroilíaca míminimally invasive. Notebookúa between conservative treatment and técnics wantúrgic and in many occasions They even help to know the diagnosisóof the problem suffered by the patient in this area.
Infiltrationón epidural
Between the lumbar injections the infiltration is foundón epidural lumbar, which consists of the introductionón of a corticosteroid in the medullary canal. It is the infiltrationón that is used more frequently in pain units, being a type of infiltrationówhat is it úUseful in the case of a herniated disc or canal stenosis.
In the event that an X-ray machine is not used, the needle may not be inserted in the indicated place, so its use is recommended. For this reason, it is usually carried out despite being a práoutpatient practice.
Infiltrationón epidural caudal
Este tipo de infiltrationón lumbar is performed by introducing the needle into the epidural space throughés of the final part of the sacrum. It is used when access through the lumbar area presents some difficulty, this type of infiltrationón lumbar. This usually happens in patients who are alreadyán operated or when the patient presents a severe canal stenosis. As in the previous case, an X-ray machine is needed to visualize the location.óno of the needle.
