Tag: 通州儿童摄影哪家好

November 27, 2019 | |Post a Comment

first_imgDefinitionAn epidural steroid injection (ESI) is the delivery of powerful anti-inflammatory medicine directly into the space outside of the sac of fluid around your spinal cord. This area is called the epidural space.ESI is not the same as epidural anesthesia given just before childbirth or certain types of surgery.Alternative NamesESI; Spinal injection for back pain; Back pain injectionDescriptionYou will be asked to change into a gown.You will then lie face down on an x-ray table with a pillow under your stomach. If this position causes pain, you will be asked to either sit up or lie on your side in a curled position.The health care provider cleans the area of your back where the needle will be inserted. Medicine may be used to numb the area. You may be given medicine to help you relax.The doctor inserts a needle into your back. The doctor will likely use an x-ray machine that produces real-time pictures to help guide the needle to the correct spot in your lower back.A mixture of steroid and numbing medicines are injected into the area. This medicine decreases swelling and pressure on the larger nerves around your spine and helps relieve pain.You may feel some pressure during the injection, but most of the time the procedure is not painful. It is important not to move during the procedure because the injection needs to be very precise.You will be watched for 15 to 20 minutes after the injection before going home.advertisementWhy the Procedure Is PerformedYour doctor may recommend ESIif you have pain that spreads from the lower spine to the hips or down the leg (radicular low back pain). This pain is caused by pressure on a nerve as it leaves the spine, most often due to a bulging disc.ESI isused only when your pain has not improved with medicines, physical therapy, or other nonsurgical treatments.RisksESI is generally safe. Complications may include:Dizziness, headache, or feeling sick to your stomach. Most of the time they are mild.Nerve root damage with increase pain down your legInfection in or around your spine (meningitis or abscess)Allergic reaction to the medicine usedBleeding around the spinal column (hematoma)Talk to your doctor about your risk of complications.Having these injections too often may weaken the bones of your spine or nearby muscles. Receiving higher doses of the steroids in the injections may also cause these problems. Because of this, most doctors limit patients to two or three injections per year.Your doctor will most likely have ordered an MRI scan of the back before this procedure. This helps your doctor determine the area to be treated.Before You Have the ProcedureTell your doctor or nurse:If you are pregnant or might be pregnantWhat medicines you are taking, including herbs, supplements, and other drugs you bought without a prescriptionYou may be told to stop taking medicines that make it hard for your blood to clot for several days before the test. This may include aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), naproxen (Aleve, Naprosyn), and heparin.After the ProcedureYou may feel some discomfort in the area where the needle was inserted. This should last only a few hours.You may be told to rest for the rest of the day.Your pain may become worse for 2 to 3 days after the injection before it begins to improve. The steroid usually takes 2 to 3 days to work.If you receive medicines to make you sleepy, you must arrange for someone to drive you home.Outlook (Prognosis) Epidural steroid injections provide short-term pain relief for at least half of the people who receive them. Symptoms may remain better for weeks to months, but rarely up to a year.The procedure does not cure the cause of your back pain. You will need to continue back exercises and other treatments.ReferencesChou R, Loeser JD, Owens DK, Rosenquist RW, et al; American Pain Society Low Back Pain Guideline Panel. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine. 2009;34(10):1066-77.Staal JB, de Bie RA, de Vet HC, et al. Injection therapy for subacute and chronic low back pain: an updated Cochrane review. Spine. 2009;34(1):49-59. Review.Jegede KA, Ndu A, Grauer JN. Contemporary management of symptomatic lumbar disc herniations. Orthop Clin North Am. 2010;41:217-24.Review Date:4/16/2013Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.advertisementlast_img read more

August 30, 2019 | |Post a Comment

first_img Listen Now Hear from Polar Explorers, ultra marathoners, authors, artists and a range of other unique personalities to better understand the traits that make excellence possible. How Success Happens It looks like Elon Musk has good company when it comes to fearing artificial intelligence. That person is tech and science genius Stephen Hawking.In a recent interview with the BBC, Hawking said the development of full artificial intelligence “could spell the end of the human race.”Hawking added that the AI could “take off on its own,” and continually re-design and update itself, unchecked. “Humans, who are limited by slow biological evolution, couldn’t compete, and would be superseded.”Remember Skynet from the Terminator movies? Not cool.Related: Artificial Intelligence Has Elon Musk Deeply ConcernedMeanwhile, SpaceX and Tesla co-founder Elon Musk has been especially vocal about his fears, even describing artificial intelligence as human kind’s “biggest existential threat.” In an interview this summer with CNBC, he said that while he invests in AI companies like DeepMind and Vicarious, his motivation for doing so is mainly to “keep an eye” on things — though his solution for if things go south, perhaps unsurprisingly, is to head to Mars.Though, you have to wonder what Hawking — who teaches at the University of Cambridge — thinks about his alma mater’s foray into AI – as Google recently announced a partnership with Oxford University to expand its artificial intelligence initiative.    Related: This Is What Robots Will Be Doing in 2025center_img 2 min read December 2, 2014last_img read more