Tip 5: Punctuation can enhance your search as well. Use quotes ("search term") to only include pages with the same words in the same order. But only use this if you are looking for an exact word or phrase, otherwise you may exclude helpful results. Add an asterisk (search term*) as a placeholder for any unknown or wildcard terms. For example, C*l Tunnel would give you results for Cubital Tunnel and Carpal Tunnel. Place a question mark (search term?) for single-character wildcard matching. For example, pa?ent would give you results for parent, patent, etc. You may also use the plus sign (search + word) between words for words you must have in the results.
High dosages of oral corticosteroids taken daily for prolonged periods of time can have serious systemic side effects including bone loss ( osteoporosis), increased risk of infections and diabetes and cataracts, thinning of skin, stretch marks, increased facial/body hair growth, acne, fluid retention, weight gain with redistribution of fat (fat deposits on back and face, thinning of limbs), muscle weakness, decreased resistance to infections, stomach ulcers, mood swings, insomnia, suppression of the body's own production of cortisol, etc.
For many people, back pain goes away on its own or with nonsurgical treatments. Epidural steroid injections shouldn't typically be used as a first-line therapy for back pain relief, but that doesn't mean they can't play a role in treating pain. But injections won't cure the underlying cause of back pain, and they provide only temporary relief. Unfortunately, in many cases, chronic back pain can't be cured, but must instead be managed, like other chronic conditionsand patients must have realistic expectations of what epidurals can do.