The Evidence Based Chiropractor Blog
Hundreds of chiropractic marketing and research articles to help you grow.
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Epidural Steroid Injections Performed No Better than Lidocaine Injections- by The Evidence Based Chiropractor
This large, multi center study published by the New England Journal of Medicine found that, for patients with lumbar stenosis, injections of lidocaine performed just as well as injections containing lidocaine and corticosteroids. The study was double-blinded and randomized.
“Compared to injections with local anesthetic alone, injections with glucocorticoids provided these patients with minimal or no additional benefit.” said the author of the study, Janna L. Friedly, MD.
This study may have important implications. Earlier this year we touched on a study which showed that ESI's have greatly increased the risk of lumbar vertebral fracture. Additionally, ESI's have a fairly high complication rate and their effectiveness is questionable at best when compared to other conservative care options.
-The Evidence Based Chiropractor is the fastest growing chiropractic marketing group in the profession. The service, founded and run by Dr. Jeff Langmaid, is dedicated to increasing chiropractic utilization by showcasing research. Marketing to medical doctors through research is proven, cost effective, and can dramatically improve your incoming referrals. Join us. Lets grow chiropractic together.
New Warning Labels for Epidural Steroid Injections- by The Evidence Based Chiropractor
The FDA recently announced that injectable corticosteroids must carry an updated label which outlines the risks of severe side effects. These severe risks, while rare, are death, stroke, permanent blindness and paralysis.
After reviewing medical literature and their own adverse event database, the FDA decided the risks were great enough to cause an update to labeling.
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Epidural Steroid Injections Increase Risk of Vertebral Fracture- A Review by The Evidence Based Chiropractor
The Evidence Based Chiropractor is the fast growing chiropractic marketing group in the profession. Find out the latest research regarding vertebral fracture and its link to epidural steroid injections.
Research recently came to light which shows an increased risk of vertebral fracture for patients whom had received lumbar epidural steroid injections.
The study, which appears in the Journal of Bone & Joint Surgery, randomly selected 3,000 patients who had a lumbar epidural steroid injection and compared them to 3,000 patients who did not undergo the procedure. There were no significant differences between the groups regarding patient age, gender, corticosteroid use or hyperthyroidism, according to the study abstract.
Researchers found each successive injection increased fracture risk by a factor of 1.21. This is extremely important because many patients receive multiple ESI's (therefore increasing their risk of fracture).
This article highlights why its imperative to be reaching out to MD's in your circle of practice on a monthly basis. Referring doctors, and the public need to know when important research is released. If you are not already reaching out to MD's through research, please JOIN US TODAY. It has the potential to make a HUGE difference in your practice by dramatically increasing your incoming referrals. Position yourself as the local expert in neuromusculoskeletal care. Join the Evidence Based Chiropractor today and save 15% off of a year membership.
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-The Evidence Based Chiropractor is the fastest growing chiropractic marketing group in the profession. The service, founded and run by Dr. Jeff Langmaid, is dedicated to increasing chiropractic utilization by showcasing research. Marketing to medical doctors through research is proven, cost effective, and can dramatically improve your incoming referrals. Join us. Lets grow chiropractic together.
An article on the study-
http://www.healio.com/orthopedics/spine/news/online/%7B1C49EE96-CE0C-4A3A-83F1-D4CDFCCA17BC%7D/Steroid-injection-linked-to-increased-risk-of-vertebral-body-fractures