People who experience a sudden hearing loss (SSNHL) are often treated with systemic steroids, which are taken orally. Studies however show that people with sudden sensorineural hearing loss (SSNHL) who do not respond to this treatment can benefit from intratympanic steroid injections. Studies carried out at universities in USA and Thailand show intratympanic steroid injections to be very effective and that the treatment does not have any side-effects.
Dr. David Haynes from Vanderbilt University Medical Center, Nashville, USA, carried out the study of 40 people who had experienced sudden sensorineural hearing loss (SSNHL). Overall, 40% showed some kind of improvement when treated with intratympanic steroid injections.
Lumbar Epidural Steroid Injections are typically able to provide more pain relief compared to oral anti-inflammatory steroids or other pain medications. This is mainly due to the fact that they are injected close to the source of your pain. Medications taken orally do not have as direct an impact on the affected area by the time they reach it, leading to less effective pain relief. They might also have unpleasant side effects. Injections do not have these side effects and can safely be administered up to three times per year. They also provide better control of inflammation in your lower back pain by ridding this area of chemicals that can lead to flare-ups.
Cervical Epidural Steroid Injections involve injecting a steroid into the epidural space of the cervical spinal canal where irritated nerve roots are located. The injected medications include both a long-lasting steroid and a local anesthetic (Lidocaine, Bupivacaine).
The steroid reduces inflammation and irritation, while the anesthetic interrupts the pain-spasm cycle and nociceptor transmission (Boswell 2007). The medicines spread to the most painful levels of the spine, reducing inflammation and irritation. The entire procedure usually takes less than 15 minutes.