Interventional treatment of intervertebral disc protrusion using hormones is not beneficial

steroid hormones are commonly used by many doctors to treat pain, but the debate over the rationality of their use has increased. An Jianxiong team of China Medical University Aviation General Hospital used meta-analysis to make a statistical analysis of relevant literature around the world and came to a clear conclusion that the interventional treatment of lumbar disc protruding hormones is not beneficial to long-term efficacy. This conclusion answers the long-standing question of whether hormones should be used in spinal-based pain interventional therapy. The study, published in the newly published official journal of the American Association of Interventional Pain Physicians, was completed by first author Dr. Wenxing Zhao during his postdoctoral work with co-mentors Professors An Jianxiong and Cao Liu.The researchers reviewed the literature published prior to 2016, involving 832 patients, of whom 418 were treated with epidural epidurals and hormone injections, and 414 patients received epidural injections. The results showed that when epidural injections were used to treat lumbar disc protrusion or lumbar vertebral tube stenosis, the addition of hormones could not improve the efficacy, as shown in the degree of pain relief, lumbar dysfunction score, pain medication use, labor recovery and so on in 1 year after treatment, 2 years when there was no statistical difference.Lumbar disc protrusion is a common clinical disease and multiple morbidity, lumbar leg pain is the most common symptom, most commonly seen in adults and the elderly. The main manifestations are: low back pain, radioactive pain in the lower extremities, limb numbness, intermittent lameness, horsetail nerve symptoms (will be numb to the pussy, tingling, detox urination weakness, severe cases can appear diode incontinence and lower limb paralysis), lower limb muscle weakness, atrophy and so on. Thirty-five percent of patients with low back pain are due to lumbar disc protrusion, lumbar disc protrusion accounts for about 10%-15% of patients with low back pain outpatient treatment, accounting for 25%-40% of patients hospitalized with low back pain. Mostly seen in young and middle-age manual workers, long-term ambush workers, drivers and other people who need to sit for a long time. Treatment methods for lumbar disc protrusive disease include drug therapy, physiotherapy, interventional therapy and surgical treatment.Epidural injection is one of the most common methods in interventional therapy. Some doctors believe that adding hormones to injections can help reduce inflammation and edema in nerves and tissues, thereby improving pain and motor function. But hormones can reduce the body's resistance to infection in the short term, raising blood sugar and blood pressure, and heavy or repeated use can lead to complications such as obesity and bone ghee. As a result, the use of hormones is controversial, with most countries around the world severely restricting their use and requiring patient consent.The Team has long focused on the effects of pain treatments and medications on patient prognosis, particularly hormone injections and nerve blocking, which have traditionally been commonly used in pain treatment. An Jianxiong team with evidence-based medical research found that hormones, whether used in surgical anesthesia, or acute and chronic pain treatment, is basically harmful and not good. In addition to the above side effects, it also impairs the cognitive function of the patient, mainly in the form of memory and fine movements. Unfortunately, many pain treatment facilities in our country still follow the usual method of using hormones. Professor An Jianxiong, who adheres to the "first do not harm" principle, believes that pain treatment should focus on green and nerve repair, and that the use of hormones and nerve damage that may have adverse consequences for patients should be avoided. It is reported that since 2009, the An Jianxiong team has basically abandoned hormones and nerve damage, two long-standing pain treatment habits, not only greatly reduced side effects and complications, the long-term efficacy has also been significantly improved. (
Bright
)