Management of steroid induced osteoporosis

Steroid induced glaucoma may develop after application of steroid preparations applied to the skin of the eyelids. This elevation occurs most frequently with chronic use, such as in patients with atopic dermatitis. Close IOP monitoring of these patients is essential and consideration of a non-steroidal topical medication, such as tacrolimus and pimecrolimus, should be considered as an alternative. Elevation in intraocular pressure has also been noted with application of steroids on skin that was not periocular, either from ocular contamination or systemic absorption. [22] Patients should be advised to wash their hands after applying dermatologic steroids or to use gloves.

As a skilled and experienced Pain Medicine Interventionalist, Dr. Levin evaluates each patient very thoroughly and carefully to help determine appropriate treatment options in order to provide the most effective individualized care.  These treatment options may include:  Lumbar, Thoracic and Cervical Epidural Steroid Injections utilizing targeted transforaminal techniques, Lumbar and Cervical Sympathetic Blocks, Sphenopalatine, Facial and Head and Neck Procedures, Discography, Percutaneuos Discectomy or Disc Decompression procedures, precision joint and nerve injections, Radiofrequency Neuroablative procedures, Peripheral or Spinal Cord Stimulator trials and implants, Foraminoplasties and several patented and patent pending advanced interventional procedures.

Dr. Tai is certified by the American Board of Physical Medicine and Rehabilitation with subspecialty certification in Pain Medicine. He is licensed as a Physician by the New Jersey State Board of Medical Examiners and as an acupuncturist by the New Jersey State Acupuncture Examining Board. He is currently practicing pain management at his office in Bridgewater New Jersey, at Robert Wood Johnson University Hospital-Somerset, and at Somerset Ambulatory Surgical Center.

Cervical epidural steroid injection procedures are injections administered to relieve pain in the neck, shoulders and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine. Conditions such as herniated discs, spinal stenosis or arthritis can compress and pinch nerves, causing inflammation and pain. The cervical epidural steroid injection procedure involves injections into the surrounding area that help with pinched nerve pain management and decrease the swelling of the inflamed or pinched nerve(s), in addition to reducing inflammation. Although rare, risks of the cervical epidural steroid injection procedure may include infection, allergic reaction to the medication, spinal headache, nerve damage, and prolonged increase in pain.

Management of steroid induced osteoporosis

management of steroid induced osteoporosis

Cervical epidural steroid injection procedures are injections administered to relieve pain in the neck, shoulders and arms caused by a pinched nerve or inflamed nerve(s) in the cervical spine. Conditions such as herniated discs, spinal stenosis or arthritis can compress and pinch nerves, causing inflammation and pain. The cervical epidural steroid injection procedure involves injections into the surrounding area that help with pinched nerve pain management and decrease the swelling of the inflamed or pinched nerve(s), in addition to reducing inflammation. Although rare, risks of the cervical epidural steroid injection procedure may include infection, allergic reaction to the medication, spinal headache, nerve damage, and prolonged increase in pain.

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