In this video, we discuss the timing and rationale behind using injections for patients with Ridicular Syndrome (radicular pain due to nerve root irritation). It's important to allow the natural inflammatory response to aid in herniated disc regression, typically waiting at least six weeks before considering an injection. However, for patients who continue to experience severe night pain, prolonged morning stiffness, and no centralization or positional relief, an injection may be beneficial. These cases suggest a persistent inflammatory nerve root response. An MRI is essential for safety before proceeding, and while injections can be costly, especially in the U.S., they may be necessary for selected patients who don't improve with conservative care.a

In this video, we explore a critical flaw in many clinical studies on transforaminal injections for nerve root pain: the lack of proper inflammation-based inclusion criteria. If the nerve root isn’t inflamed, corticosteroids won’t be effective—so it’s no surprise that many studies show mixed or poor results. Until now, no one has looked closely at whether patients actually had inflammation before receiving treatment. Our next study tackles this head-on, investigating outcomes in patients with high inflammation scores to determine if targeted transforaminal injections really work when the underlying issue is inflammatory. Stay tuned for this game-changing research.

In this video, we explore a critical flaw in many clinical studies on transforminal injections for nerve root pain: the lack of proper inflammation-based inclusion criteria. If the nerve root isn’t inflamed, corticosteroids won’t be effective, so it’s no surprise that many studies show mixed or poor results. Until now, no one has looked closely at whether patients actually had inflammation before receiving treatment. Our next study tackles this head-on, investigating outcomes in patients with high inflammation scores to determine if targeted transforaminal injections really work when the underlying issue is inflammatory. Stay tuned for this game-changing research.

In this video, we discuss the timing and rationale behind using injections for patients with Ridicular Syndrome (radicular pain due to nerve root irritation). It's important to allow the natural inflammatory response to aid in herniated disc regression, typically waiting at least six weeks before considering an injection. However, for patients who continue to experience severe night pain, prolonged morning stiffness, and no centralization or positional relief, an injection may be beneficial. These cases suggest a persistent inflammatory nerve root response. An MRI is essential for safety before proceeding, and while injections can be costly, especially in the U.S., they may be necessary for selected patients who don't improve with conservative care.