hi doctor,will conventional prp suffice for the caudal epidural?and how soon can we detect the improvement in back paon symptoms?since its not immediate relief compared to steroid
There are studies using regular PRP injection in the epidural space for back pain, sciatica and radiculopathy. We use lysate in our epidural injections. It may take 3-6 weeks to notice changes after a PRP epidural injection. Check out our spine page: integrativerehabmedicine.com/naples-fort-myers-bonita-springs-spine-pain-treatment
I have disc bulge in L4 L5 S1 touching nerve root. My symptoms are lower back pain radiating to leg and standing unstability. I feel unstable while standing though no pain.. What can suit me also how much it will cost
PRP lysate epidural can help with sciatica and pain from bulging discs by calming down the inflammation around the nerves and discs. It also stimulates a healing response. A full prolotherapy treatment (with PRP) of the lumbar spine and pelvis (lower back) would improve the health of the whole spinal unit and improve spinal stability. (see the video of PRP/prolotherapy of the spine : ruclips.net/video/pvDHCaS_9wA/видео.html ). You should contact my clinic and schedule a consultation (in office of virtual) so we can discuss if you are a good candidate - integrativerehabmedicine.com/contact The cost is ~ $2,000 + or - (depending on what needs to be done)
Hello Dr, thanks for sharing these videos. Do you have any affiliate or recommendations to get evaluation and probably nerve hyrdo done in WA state Seattle area?
Caudal epidural injection is typically a safe and effective for sciatica and "pinched nerves" in the back. It is also effective low back pain treatment. If the diagnosis is not right, an epidural may not work as you may need to treat the joints, ligaments and muscles of the spine. See this: ruclips.net/video/pvDHCaS_9wA/видео.html Also, it may not work if the injection does not adequately spread towards the nerve root, and one may need a transforaminal epidural injection. . It may also take several injections for best results.
I use PRP lysate for selective nerve root blocks (also known as cervical transforaminal epidural injections). It can help decrease neurogenic inflammation, decrease neck pain and stimulate nerve healing. integrativerehabmedicine.com/naples-fort-myers-bonita-springs-spine-pain-treatment
PRP lysate epidural can be effective in treating nerve pain from inflamed and "pinched" nerves such as sciatica, radiculopathy and spinal stenosis. It will not eliminate bone spurs, but bone spurs are often not the major contributors to back pain and are often a part of a larger spinal issue such as spinal arthritis, disc degeneration, spinal segmental instability and weakness. These can be treated with a comprehensive PRP treatments of the whole spine and nerves, see this video: ruclips.net/video/pvDHCaS_9wA/видео.html
There are multiple papers published in the medical literature showing that PRP lysate epidural is a wonderful treatment for back pain, sciatica, radiculopathy and disc herniation and it is a great alternative to steroid injections. Here are a few links, hope this helps: onlinelibrary.wiley.com/doi/abs/10.1111/papr.12893 - this study shows that PRP epidural may is safe and may be more effective than steroid epidural jeo-esska.springeropen.com/articles/10.1186/s40634-017-0113-5 - another registry study showing effectiveness of prp lysate epidural for ~ 24 months link.springer.com/article/10.1007/s00330-020-06733-9 - this study compares steroid epidural injection to PRP, shows similar effects at 6 weeks, we find that PRP lysate provides longer last effects for 1-2 years, especially when given a series of 2-3 injections
Thank you, Dr...I have L5 S1 for 9 months and I suffer from pain and difficulty moving. I do not have problems with footfall or urination. I use Tildene. My question is, is it possible to recover permanently through injections, or is injection a temporary treatment? Will injections spare me from surgery? I will be happy to answer my question.
A full PRP treatment of the spinal unit (ligaments, tendons, muscles, and maybe disc) along with a lysate epidural injection can be very effective at improving the health of your spine. This can potentially help your body regenerate some of the injured spine tissues, provide improved spinal stability and give you long term results.integrativerehabmedicine.com/conditions-back-pain
@@sebastianklisiewiczintegra9805ctor I have the same thing herniated disc L5, S1 but I also have sciatic pain and numbness down my left leg and foot. I have drop foot as well. I had about 4 epidural injections, & back surgery about 17 months ago and it didn’t change anything. I’m considering this procedure very soon. What are you thoughts on it helping the numbness go away so I can get back to my normal activities?
PRP lysate epidural for sciatica (radiculopathy and back pain is safe as only the growth factors are injected into the epidural space. The plateles are broken up to release the growth and anti-inflammatory factors these are injected through a filter. This does not promote thrombosis (platelet clotting), thus making it safe and effective alternative for epidural injections.
We treat patients with PRP injections (for low back, knee, shoulder pain and others) from all of united states and outside of the US. Estero is a quick 2.5hr flight from New York City. Come and spend a day in southwest FL, schedule a telehealth consultation to discuss: integrativerehabmedicine.com/estero-fl-arthritis-pain-treatment-orthopedic-care-estero-sports-medicine
Dr Klisiewicz, how do you chose the type of agent PRP or PL? I have bulging L4L5 and L5S1 I have spine instability, load intolerance, I can't sit and L5S1 is compressing nerve 1mm. It's been 10mo of this. Do you go by MRI, Dematomes or physical examination to select the type of treatment ?
For best treatment of spinal instability and bulging discs, you need to treat the supporting ligaments, joints, muscles and fascia in the lumbar spine (L3-4-5-S1) and the SI/pelvic ligaments. This is done with PRP and prolotherapy. To treat the bulging discs inside and the spinal nerves, you use platelet lysate via an epidural. The treatment is based on physical exam, symptoms and MRI findings all put together. You may need 2-3 treatments for best results. Best to schedule a telehealth visit: integrativerehabmedicine.com/contact
Prolotherapy and PRP injections are a great treatment for neck and back pain from ligament instability caused by poorly performed chiropractic or other therapy adjustments: integrativerehabmedicine.com/Naples-Fort-Myers-Bonita-prolotherapy-Treatment
![Chino Pacas - Modo Capone (with Drake & Fuerza Regida) [Video Oficial]](http://i.ytimg.com/vi/zjv8TQ0gBkg/mqdefault.jpg)
whats difference between Para-vertebral intramuscular platelet rich plasma and Para-vertebral intramuscular ozone injection?
Hi Dr, Can you also use this overflow technique for cervical epidural as well? Generally how many levels can you target with this approach?
dr,why do u prefer short exis rather than long axis caudal epidural injection?
Activation of platelets using calcium chloride or other procedure ?
hi doctor,will conventional prp suffice for the caudal epidural?and how soon can we detect the improvement in back paon symptoms?since its not immediate relief compared to steroid
There are studies using regular PRP injection in the epidural space for back pain, sciatica and radiculopathy. We use lysate in our epidural injections. It may take 3-6 weeks to notice changes after a PRP epidural injection. Check out our spine page:
integrativerehabmedicine.com/naples-fort-myers-bonita-springs-spine-pain-treatment
I have disc bulge in L4 L5 S1 touching nerve root. My symptoms are lower back pain radiating to leg and standing unstability. I feel unstable while standing though no pain.. What can suit me also how much it will cost
PRP lysate epidural can help with sciatica and pain from bulging discs by calming down the inflammation around the nerves and discs. It also stimulates a healing response. A full prolotherapy treatment (with PRP) of the lumbar spine and pelvis (lower back) would improve the health of the whole spinal unit and improve spinal stability. (see the video of PRP/prolotherapy of the spine : ruclips.net/video/pvDHCaS_9wA/видео.html ).
You should contact my clinic and schedule a consultation (in office of virtual) so we can discuss if you are a good candidate - integrativerehabmedicine.com/contact
The cost is ~ $2,000 + or - (depending on what needs to be done)
Hello Dr, thanks for sharing these videos. Do you have any affiliate or recommendations to get evaluation and probably nerve hyrdo done in WA state Seattle area?
What it means if a Caudal Epidural doesnt worked?
Caudal epidural injection is typically a safe and effective for sciatica and "pinched nerves" in the back. It is also effective low back pain treatment. If the diagnosis is not right, an epidural may not work as you may need to treat the joints, ligaments and muscles of the spine. See this: ruclips.net/video/pvDHCaS_9wA/видео.html
Also, it may not work if the injection does not adequately spread towards the nerve root, and one may need a transforaminal epidural injection. . It may also take several injections for best results.
Does it painful ??
yes i just got it done so painful afterwards
Hi Dr, do you use PRP lysate for cervical spine epidurals as well?
I use PRP lysate for selective nerve root blocks (also known as cervical transforaminal epidural injections). It can help decrease neurogenic inflammation, decrease neck pain and stimulate nerve healing. integrativerehabmedicine.com/naples-fort-myers-bonita-springs-spine-pain-treatment
Will this procedure treat bone spurs in the spine too?
PRP lysate epidural can be effective in treating nerve pain from inflamed and "pinched" nerves such as sciatica, radiculopathy and spinal stenosis. It will not eliminate bone spurs, but bone spurs are often not the major contributors to back pain and are often a part of a larger spinal issue such as spinal arthritis, disc degeneration, spinal segmental instability and weakness. These can be treated with a comprehensive PRP treatments of the whole spine and nerves, see this video: ruclips.net/video/pvDHCaS_9wA/видео.html
what is ur evidence based , any publish paper , outcome , or is it commercial based
There are multiple papers published in the medical literature showing that PRP lysate epidural is a wonderful treatment for back pain, sciatica, radiculopathy and disc herniation and it is a great alternative to steroid injections. Here are a few links, hope this helps:
onlinelibrary.wiley.com/doi/abs/10.1111/papr.12893 - this study shows that PRP epidural may is safe and may be more effective than steroid epidural
jeo-esska.springeropen.com/articles/10.1186/s40634-017-0113-5 - another registry study showing effectiveness of prp lysate epidural for ~ 24 months
link.springer.com/article/10.1007/s00330-020-06733-9 - this study compares steroid epidural injection to PRP, shows similar effects at 6 weeks, we find that PRP lysate provides longer last effects for 1-2 years, especially when given a series of 2-3 injections
Thank you, Dr...I have L5 S1 for 9 months and I suffer from pain and difficulty moving. I do not have problems with footfall or urination. I use Tildene. My question is, is it possible to recover permanently through injections, or is injection a temporary treatment? Will injections spare me from surgery? I will be happy to answer my question.
A full PRP treatment of the spinal unit (ligaments, tendons, muscles, and maybe disc) along with a lysate epidural injection can be very effective at improving the health of your spine. This can potentially help your body regenerate some of the injured spine tissues, provide improved spinal stability and give you long term results.integrativerehabmedicine.com/conditions-back-pain
@@sebastianklisiewiczintegra9805ctor I have the same thing herniated disc L5, S1 but I also have sciatic pain and numbness down my left leg and foot. I have drop foot as well. I had about 4 epidural injections, & back surgery about 17 months ago and it didn’t change anything. I’m considering this procedure very soon. What are you thoughts on it helping the numbness go away so I can get back to my normal activities?
Is this save
Does this procedure provoke the thrombosis?
PRP lysate epidural for sciatica (radiculopathy and back pain is safe as only the growth factors are injected into the epidural space. The plateles are broken up to release the growth and anti-inflammatory factors these are injected through a filter. This does not promote thrombosis (platelet clotting), thus making it safe and effective alternative for epidural injections.
Dr.I wish you were in New York?
We treat patients with PRP injections (for low back, knee, shoulder pain and others) from all of united states and outside of the US. Estero is a quick 2.5hr flight from New York City. Come and spend a day in southwest FL, schedule a telehealth consultation to discuss: integrativerehabmedicine.com/estero-fl-arthritis-pain-treatment-orthopedic-care-estero-sports-medicine
Dr Klisiewicz, how do you chose the type of agent PRP or PL? I have bulging L4L5 and L5S1 I have spine instability, load intolerance, I can't sit and L5S1 is compressing nerve 1mm. It's been 10mo of this.
Do you go by MRI, Dematomes or physical examination to select the type of treatment ?
For best treatment of spinal instability and bulging discs, you need to treat the supporting ligaments, joints, muscles and fascia in the lumbar spine (L3-4-5-S1) and the SI/pelvic ligaments. This is done with PRP and prolotherapy. To treat the bulging discs inside and the spinal nerves, you use platelet lysate via an epidural. The treatment is based on physical exam, symptoms and MRI findings all put together. You may need 2-3 treatments for best results.
Best to schedule a telehealth visit: integrativerehabmedicine.com/contact
How to prepare PRP lysat ?
Freeze ( - 80C ) /Thaw ( + 37 C )
@@huongphan5059
Can u explain pls ??
May I have your email ?
Prolotherapy and PRP saved my life after a stupid incompetent chiropractor almost ruined it with is adjustments.
Prolotherapy and PRP injections are a great treatment for neck and back pain from ligament instability caused by poorly performed chiropractic or other therapy adjustments: integrativerehabmedicine.com/Naples-Fort-Myers-Bonita-prolotherapy-Treatment