Low dose steroid for back pain

First Line of Defense for Acute Low Back Pain
NSAIDs are a reasonable choice as a first line agent for the control of acute low back pain. The patient is most likely to benefit from their combined analgesic and anti-inflammatory properties during the first week after injury onset. The anti-inflammatory properties of these agents are most likely to be realized when therapy is initiated with a loading dose and the recommended dosages are then continued at regular intervals. The prescribing physician needs to be aware of the adverse effects often associated with NSAID use. Prolonged use of anti-inflammatory medications, . greater than 3-4 weeks, in the setting of acute low back pain is generally not indicated and should be avoided.

Not shortly after Roger Maris record was broken, another baseball player, Jason Giambi and various other athletes were either suspected of, or proven to have, taken anabolic steroids. Again, Congress convened a hearing, and just as they did the first time in 1990, they did not determine that steroids were a danger, but rather that the danger was more in protecting professional sports organizations. The updated statute has been updated to proscribe pro-hormones also The definition of an anabolic steroid as defined currently in the United States under (41)(A) is that "anabolic steroid" means any drug or hormonal substance, chemically and pharmacologically related to testosterone (other than estrogens , progestins, corticosteroids, and dehydroepiandrosterone (7).

The efficacy of prednisone must also be balanced against its potential long-term side effects. In this study, there was a tendency towards hyperglycemia and weight gain. Insofar as active RA can cause weight loss, some of the weight gain in prednisone patients could conceivably have been due to better control of disease activity and return to pre-RA weight rather than purely a side effect of prednisone. The increase in vertebral fractures is particularly concerning, however, and consistent with a recent report that even nasally administered corticosteroids are associated with decreases in bone density. (see report)

The severity of these complications correlates with the dosage, duration of use, and the potency of the steroid prescribed. While the incidence of steroid-induced myopathy does not appear to be directly related to the dosage of steroid prescribed nor the duration of use, it appears to be more prevalent with the use of steroids containing a 9-alpha fluorine configuration, such as triamcinolone (Aristocort®). The relationship between hypertensive side effects and the duration of therapy is also not very clear; steroids should be prescribed with greater caution in the elderly, in those individuals with known hypertension, and when compounds with greater mineralocorticoid properties are prescribed. As hyperglycemia is a well-known complication of corticosteroid use, oral steroids should be prescribed with caution in the diabetic population.

Low dose steroid for back pain

low dose steroid for back pain

The severity of these complications correlates with the dosage, duration of use, and the potency of the steroid prescribed. While the incidence of steroid-induced myopathy does not appear to be directly related to the dosage of steroid prescribed nor the duration of use, it appears to be more prevalent with the use of steroids containing a 9-alpha fluorine configuration, such as triamcinolone (Aristocort®). The relationship between hypertensive side effects and the duration of therapy is also not very clear; steroids should be prescribed with greater caution in the elderly, in those individuals with known hypertension, and when compounds with greater mineralocorticoid properties are prescribed. As hyperglycemia is a well-known complication of corticosteroid use, oral steroids should be prescribed with caution in the diabetic population.

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