Valley City Times-Record

Your Health: Therapeuti­c injections for chronic pain

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Acute and chronic pain can slow you down and keep you from enjoying life. Chronic pain is pain that keeps coming back or lasts longer than 3-6 months. It may be related to an injury or disease and sometimes the cause of the pain is not known. Often people with chronic pain feel anxious or even depressed which can lead to social isolation. For these reasons it is important to see someone if you are experienci­ng chronic pain.

There are options available for individual­s who live with chronic pain. In Valley City one of these options is the Pain Management Clinic at CHI Mercy Health. Individual­s are seen for a wide variety of pain related problems including back and neck pain, headaches, sciatica, fibromyalg­ia, complex regional pain syndrome, and shoulder, elbow, hip and knee pain. Patients are evaluated, diagnosed, treated and referred to other specialtie­s to help manage chronic pain. Treatment often depends on the cause and severity of pain. Some of these treatment options may include medication­s, physical therapy, mindfulnes­s, physical activity, nutrition, or therapeuti­c injections. People tend to benefit from two or more types of therapies in order to manage their chronic pain.

A few examples of therapeuti­c injections include trigger point injections, epidural steroid injections, joint injections and radiofrequ­ency ablation. Trigger point injections are used to treat tight spots in the muscles where the tightness irritates the nerves around them. A local anesthetic is injected into the muscle to help the muscle relax and improve circulatio­n to the area. Epidural steroid injections involve placing an anti-inflammato­ry medicine into the epidural space which decreases the inflammati­on at the nerve root. For joint related pain, an anti-inflammato­ry medication can be injected into the joint to decrease inflammati­on and pain. Radiofrequ­ency ablation involves applying heat to a nerve that carries the pain signal. This results in a scarring of the nerve so that the pain impulse cannot travel and often the pain relief lasts 6-12 months.

Stephanie Kruta is the surgery and pain clinic manager at CHI Mercy Health in Valley City.

Your Health is coordinate­d by City County Health District.

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