611 W. Union Street
Benson, AZ 85602
(520) 586-0800

Health Choice Integrated Care crisis Line
1-877-756-4090

NurseWise 24-Hour Crisis Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530



SEABHS
611 W. Union Street
Benson, AZ 85602
(520) 586-0800

NurseWise 24-Hr Crisis Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530


powered by centersite dot net

Getting Started
Here are some forms to get started. These can be printed and brought with you so that you can pre-fill out some known info ahead of time. More...


Pain Management
Resources
Basic InformationLatest News
Big Rise in Hospitalized Kids With Opioid Side EffectsMost Opioid Use Concentrated in Top 10 Percent of UsersCommon Painkillers May Boost Blood Pressure in Arthritis PatientsMany Migraine Sufferers Given Unecessary Opioids, Study FindsSleep, Caffeine Use May Play Role in Post-Op PainLonger Prescriptions Make Opioid Abuse More Likely: StudyMany Prescribed Opioids Even After OverdoseReview: Cannabis May Alleviate Neuropathic PainOpioid Prescription Rates Higher in Cancer SurvivorsDoctors May Be Over-Prescribing Seizure Drugs to Treat Pain2 of 3 U.S. Patients Keep Unused Painkillers After SurgeryDoctors Still Overprescribing Opioids in U.S.Reduction of Opioid Dose May Improve Pain, Quality of LifeEasing Opioid Dose May Improve Pain and Quality of LifeAt-Risk Pain Patients Can Cut Opioid Use With Psychology ToolsHalf of Opioid Prescriptions Go to People With Mental IllnessNerve Zap Unlikely to Ease Low Back PainReaching Beyond the Prescription Pad to Treat PainRx Changes, Counseling, Regular Visits Can Cut Opioid Deaths3 Simple Steps Might Reduce Opioid OD DeathsWhen Is an Opioid Safe to Take?Patient-Controlled Analgesia Reduces Pain at Higher CostYoga Soothes Back Pain in StudyAcupuncture May Be Effective Painkiller in the ERFDA Asks Maker of Opioid Painkiller Opana ER to Pull Drug From MarketOpioids Over-Prescribed After C-Sections: StudiesPersistent Pain May Lead to Memory Troubles1 in 5 Weight-Loss Surgery Patients Using Opioids Years LaterTaking Opioids Before Knee Surgery Could Raise Pain LaterERs May Need to Rethink Opioid Prescription PracticesCommon Painkillers Tied to Slight Rise in Heart Attack RiskOpioid Use by Iraq, Afghanistan War Vets Mirrors Rest of U.S.: Study'Mindfulness' Probably Won't Cure Your Back Pain: StudyExpectations, Concerns Vary With Age for Adults at Pain ClinicMusic May Soothe the 'Savage Beast' of Post-Op PainThis Fanged Fish Might Someday Help Ease Your PainSteroid Shots Offer No Long-Term Relief for Low-Back PainInitial Rx Can Affect Likelihood of Long-Term Opioid UseOpioid Dependence Can Start in Just a Few DaysOpioid Painkillers and Xanax or Valium a Deadly Mix: StudyDiazepam Not Beneficial for Acute Low Back Pain in ERKids' OD Risk Rises When Opioids Left Out at HomeChronic Pain More Likely for Poor, Less Educated: StudySome Docs May Help Fuel Opioid Abuse EpidemicTry Drug-Free Options First for Low Back Pain, New Guidelines SayTwelve Percent of Women Fill Opioid Rx After Vaginal DeliveryLow Back Pain? Relax, Breathe and Try YogaOpioids and Alcohol a Dangerous CocktailTreatment of Hips Beneficial in Patients With Low Back PainCommon Painkillers Don't Ease Back Pain, Study Finds
Questions and AnswersLinksBook Reviews
Related Topics

Depression: Depression & Related Conditions
Medical Disorders
Mental Disorders

Steroid Shots Offer No Long-Term Relief for Low-Back Pain

HealthDay News
by By Steven ReinbergHealthDay Reporter
Updated: Mar 20th 2017

new article illustration

MONDAY, March 20, 2017 (HealthDay News) -- Chronic lower back pain affects millions of Americans. Many try steroid injections to ease their discomfort, but researchers now say this remedy provides only short-term relief.

In their study, investigators from France focused on 135 patients with back pain seemingly caused by inflammation between the discs and bones (vertebrae) in the lower spine.

The researchers found that a single steroid injection eased pain for one month. After that, however, effectiveness waned. Virtually no difference was seen one year after treatment between patients who did or didn't get the injection.

"Our results do not support the wide use of an injection of glucocorticoid in alleviating symptoms in the long term in this condition," said lead researcher Dr. Christelle Nguyen.

The findings are consistent with earlier studies, said Nguyen, an assistant professor of physical medicine and rehabilitation at Paris Descartes University.

Nguyen said she and her colleagues had hoped that targeting local disc inflammation with an anti-inflammatory steroid would help alleviate long-term pain.

To test their theory, they selected patients with chronic lower back pain and signs of disc inflammation on an MRI. On average, participants had suffered from back pain for six years. Half were assigned to a single steroid shot; the other half got no injection.

Patients rated their pain severity before the injection and again one, three, six and 12 months after the treatment.

One month after treatment, 55 percent of those who got the steroid injection experienced less lower back pain, compared with 33 percent of those who weren't treated.

"However, the groups did not differ for the assessed outcomes 12 months after the injection," Nguyen said.

For example, patients who did or didn't received a steroid injection ended up in similar circumstances, with the same incidence of disc inflammation, lower quality of life, more anxiety and depression and continued use of non-narcotic pain pills, she said.

Overall, most patients found the steroid injections tolerable, and would agree to have a second one if necessary, Nguyen said. "We had no specific safety concerns and found no cases of infection, destruction or calcification of the disc 12 months after the injection," she added.

The results were published March 20 in the Annals of Internal Medicine.

Dr. Byron Schneider, of Vanderbilt University School of Medicine in Nashville, noted there are many different causes of back pain.

In this study, the patients suffered from chronic back pain, he pointed out. "Patients with chronic lower back [pain] probably have more than one cause of their pain, which may be why the good results they found at one month weren't there a year later," said Schneider, an assistant professor of physical medicine and rehabilitation.

The study results don't mean steroid injections should be avoided altogether, he noted.

Patients with a sudden episode of back pain -- so-called acute pain -- probably don't need a steroid injection, he said.

"But if they're not getting better after a month or two the way we would expect them to, at that point it would be reasonable to discuss the pluses and minuses of a steroid injection," said Schneider, co-author of an accompanying journal editorial.

Chronic (long-term) back pain is a different situation, he said. Treating chronic back pain means treating the pain itself, but also using cognitive behavior therapy and "pain psychology" to help patients cope with pain, he said.

"For chronic pain, physicians need to address the musculoskeletal reasons that cause the hurt, but also other reasons that patients may be experiencing pain," Schneider said.

According to the editorial, psychological distress, fear of pain and even low educational levels can affect pain levels.

More information

For more on lower back pain, visit the U.S. National Institute of Neurological Disorders and Stroke.