TFESI / Intralaminar Injections

[ShadyMedicine]

I'm a medical student and I received the quoted information below about injections in an email. I've been doing very casual research about Pain Medicine as a speciality I might pursue. It seems like part of the bolded part seems intentionally misleading and not medically "sound" -- does that seem like the case?

Next time you have an injection for pain, do insist on asking your doctor about the ingredients of the solution injected into your body. Here’s why:

- some brands include hydrochloric acid, and/or ethylene alchol (aka antifreeze);
- some solutions may be more effective than others;
- some (or all) brands may interfere with the delicate immunological function of already compromised tissue;
- some spine doctors do not support the idea of injections (do your homework, come back and tell us why!);
- some products have ingredients that are sourced from other countries, where QC is not quite up to snuff.

Here’s some background reading….

Depo-Medrol
Generic Name: methylprednisolone acetate
Dosage Form: injectable suspension
http://www.drugs.com/pro/depo-medrol...uspension.html

EPIDURAL INJECTIONS and the LUMBAR SPINE
http://www.burtonreport.com/InfSpine...iInjKoontz.htm Also see:
http://www.burtonreport.com/InfSpine...#Preservatives

WHAT ARE IN PROLOTHERAPY INJECTIONS?
http://www.prolonews.com/prolotherap...injections.htm

Cortisone Injection (Corticosteroid Injection) of Soft Tissues & Joints
http://www.medicinenet.com/cortisone...on/article.htm

The International Spine Intervention Society
http://www.spinalinjection.com/

Periradicular Infiltration for Sciatica: A Randomized Controlled Trial
http://www.spinejournal.com/pt/re/spine/abstract.000076...82!181195629!8091!-1

Predictive Factors of Efficacy of Periradicular Corticosteroid Injections for Lumbar Radiculopathy
http://www.ajnr.org/cgi/content/full/27/5/978

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[SSdoc33]

I'm a medical student and I received the quoted information below about injections in an email. I've been doing very casual research about Pain Medicine as a speciality I might pursue. It seems like part of the bolded part seems intentionally misleading and not medically "sound" -- does that seem like the case?

who sent you this info? do you have any references for any of this?

 

[ShadyMedicine]

who sent you this info? do you have any references for any of this?

A guy on another pain forum. No references were provided.

 

[Aether2000]

The Burton report on epidural steroids has long been quoted by patients vehemently opposed to steroid injections after a bad experience or bad outcome or by patients wanting to sue their doctors. It was written by a surgeon instead of a pain physician, and is filled with half truths and outright lies. It makes the assertion that PEG that is included as an ingredient in Depomedrol is "antifreeze" however it points out the surgeon's deficit in knowlege of epidural steroid injections is only superceded by his ignorance regarding the composition of antifreeze. PEG is found in hundreds of drugs frequently administered to humans and is the same molecule as is found in miralax, hardly antifreeze. Take everything you read from your source with a grain of salt. Anyone quoting the Burton report has a predetermined agenda.