SCIATICA: TREATMENT PROCEDURES

Injections applied into the back can also help. Most of these injections contain two substances, an anaesthetic - to kill the pain -and steroids, to reduce inflammation. Some injections commonly used include:
Epidural injections. These can bring almost instant relief as they numb the lining of the spinal cord, effectively stopping pain signals from getting through. While some patients find that a single injection cures the problem permanently, many others have to have them repeated frequently, perhaps as often as once a month. One possible good reason for having an epidural is that it can buy pain-free time during which the body's own natural healing process may rectify the underlying problem.
Nerve blocks. These are applied directly into the root of the nerve that's causing the pain. Once again, response varies greatly: some patients only need one injection, others require frequent repeats.
Sclerosant injections. The ligaments of the back are injected with a substance that irritates them, this irritation promoting the formation of new fibrous tissue. This therapy is mainly used in cases where vertebrae are damaged and grate against each other. Usually, it takes eight weeks or more before improvement is noticed as it takes time for the new tissue to form.
While an operation or other surgical procedure may be the only reasonable alternative eventually left open to some sufferers, it usually makes sense to first try other, less invasive avenues, leaving surgery as a last option.
Incidentally, should any of the above have made you apprehensive about your prospects, it's worth remembering in this context that:
About half of the people suffering from nerve root pain recover within six weeks.
Of those more stubborn cases that are referred by doctors to hospital out-patient departments, only one per cent of these will eventually require surgery.
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TAKING ESTROGEN

With the onset of menopause, many women suffer from hot flashes and night sweats. Arlene March, 56, a Los Angeles psychotherapist, says she started getting hot flashes 5 years ago. “I’d be working,” she recalls, “and suddenly feel intense heat all over my body. I’d break out in a sweat. I’d have to stop work. Then Dr. Mishell prescribed estrogen pills, and I’ve not had a day of discomfort.”
Some women experience a drying and thinning of vaginal tissues in the absence of estrogen, making sex painful. They also might suffer urinary tract infections and incontinence. Estrogen therapy often helps.
Among the physicians consulted, the most cautious was Dr. Morris Notelovitz, founder of the nation’s first Menopause Center, at the University of Florida, and head of the Women’s Medical and Diagnostic Center in Gainesville, Florida. He says each symptom needs a different treatment and advises that genital tract problems be given estrogen treatment for a couple of years at most. He also urges special measurements of the bones before prescribing estrogen therapy for osteoporosis.
*11/266/5*
WOMEN’S HEALTH

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