Types of Steroids
This is doctor sunny with spine center of Texas and I would like to very briefly and generally talks about different types of steroids. There are many different types of steroids that we can inject into your knee her shoulder and of course inter spine and even at your muscles we do trigger point directions.
The 2 basic types of steroids I'd like to talk about our particular and non particulate steroids. Particular steroids are those that tend to have a white color a creamy color and have crystals inside.(https://www.youtube.com/watch?v=XKNZ9K6fJLs) Some people would argue that these crystals tend to hold the steroid inside the joint for longer periods of time they can make faster and more effective in this very well may be the case. But when you're using a particular steroid in around the spine there is a very real and describe danger in the medical literature.
So an example of a particulate steroid that we use our office is DePauw metro again it has sort of a white milky color double metro is very commonly injected into joints all over the body and even into carpal tunnel people with carpal tunnel inflammation people with tendon inflammation people with muscular information Interpol injections and I think a diplomat drawl is an excellent choice for these applications.(https://www.drugs.com/mtm/fluoxymesterone.html) Because the risk of that particular steroid affecting nerves or the spinal cord is essentially 0 however in the spine there's 2 types of medications that we typically use but our office typically we use dexamethasone or in some cases people will use. Betamethasone. Dexamethasone is a non particular steroid what does that mean that means it's a clear liquid if you were to look at dexamethasone it essentially looks like water.
And there really isn't any conclusive studies that show that particular steroid like Depp mensural is any more effective in treating spine issues then dexamethasone however there is literature showing that these little particles or crystals there inside the particulate steroid can clump together con like platelets do when they can cause a heart attack or stroke and so when you're injecting these are on the spine if you inadvertently enter these this particular stirred into a small artery these little particles for particulate steroid particles can club and actually because in many stroke in the spinal cord there have been although
extremely rare there have been some cases of people becoming paraplegic and even quadriplegic after being injected with particular steroid although this is a very small number it does exist in the literature and to this day after having millions and millions of injections across the country there has never been a case of a non particular steroid like dexamethasone the one that we use in our office. Ever causing any of these types of problems because again there are no particles to clump it's a pure liquid it would just flow through the vessel like any other liquid and has no opportunity to occlude or stroke out your spinal cord. In conclusion. We use what we believe to be the safest technique possible.
Anytime we have a risk of injecting particular steroid and having an affect your spinal cord we simply don't use particular steroid. In the cases were injecting joints.(https://en.wikipedia.org/wiki/Trenbolone_hexahydrobenzylcarbonate) Bursa in areas where this is just not likely to happen are nearly impossible happen to we will often used up a measure all the more longer lasting a potentially more effective type of steroid.