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It does not take long for someone to discover enough information about epidural steroid injections to want to explore an alternativeto this painful procedure. Unfortunately, there is no one-size-fits-all solution," says Dr. Joseph C. Denniston, author of the new book, Myths of Sex, Myths of Addiction, and Myths of Hormone Therapy. "While many people will find relief from an epidural with a local anesthetic, in rare cases it may require a larger dose of the drug, or an epidural might need to be interrupted due to pain or pain-free bleeding." An epidural is the most common form of medication injection for women in the United States, with a more than 95% success rate and an estimated annual cost of $1.7 billion in health care expenditures. The drugs used to produce the epidural are generally non-opioid (NOS) steroids such as diazepam, fentanyl or propofol that are used to stop the body's reflexes before the cervix opens (epidural anesthesia). "While opioids like morphine can make a great initial dose before having some level of control over contraction, they are not optimal if there is excessive bleeding, and these substances can do additional harm," explains Denniston. Other types of anesthesia used to produce epidural anesthesia and the drug that is commonly injected are the lidocaine injection (LIDOCAINE), a type of anesthesia known to cause temporary loss of motor control and involuntary movement of the upper and lower extremities, and spinal anesthesia (SCA) that has been approved for patients with moderate to severe epilepsy, chronic pain, migraine, multiple sclerosis or epilepsy associated with chronic pain and seizures or that is used in conjunction with sedation. "The choice of epidural steroid must be made carefully to minimize adverse events from the drug that may occur following the procedure," says Dr. Denniston. He adds that while a local anesthetic such as the lidocaine can be used and is commonly used in many countries, there is no specific type of lidocaine currently approved for use in the United States. A local anesthetic, on the other hand, does not have the effect of making the patient feel pain and is therefore preferred by many patients. "Because it is often difficult to obtain a local anesthetic in the United States, many health care providers decide that in order to help their patients experience the comfort and ease of an epidural they will make a local anesthetic injection to allow patients to get some relief from the injection that the local anesthetic does not completely Similar articles: