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J Pain Palliat Care Pharmacother · Mar 2015
Case ReportsManagement of severe pain due to lumbar disk protrusion.
- Liam Conroy.
- Dr. Liam Conroy is Director, Department of Pain Medicine, Mercy University Hospital , Cork , Ireland.
- J Pain Palliat Care Pharmacother. 2015 Mar 1; 29 (1): 64-5; discussion 65-6.
AbstractLumbar intervertebral disk protrusion can cause excruciating pain in severe cases, which can be exacerbated by activity such as sitting down and straining at stool. Acute sciatica due to disk rupture will improve within 1 to 3 months. The efficacy of drugs used for the management of sciatica in primary care is unclear. Severe cases can require opioid analgesia, however people taking opioids for pain relief frequently present with opioid-induced bowel dysfunction. The use of transforaminal steroid injections is a controversial issue and repeat steroid injections should be considered in light of the risk-benefit profile of the individual patient.
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