Epidural injections for back pain risk and efficacy debated
Dear Dr Roach explains that epidural injections using local anesthetic and steroid offer small short term benefit at three weeks but little difference at six weeks, with higher adverse effects in the steroid group. Acupuncture may help pain scores in small studies and is likely safer than injections but carries risks such as rare pneumothorax. Conservative therapy and cautious consideration of surgery remain priorities.
MENTIONED IN THIS ARTICLE
Roach
S.H
Freezing heavy cream and a Heloise recipe inquiry
Readers in Waco Texas ask if heavy cream can be frozen and how to use it later. Heloise confirms yes for 40 percent fat cream, advises thawing in refrigerator and shaking well to recombine separation.
MENTIONED IN THIS ARTICLE
Heloise
Waco
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Tribune-Herald
L.G
Hillcrest Hospital
Gail M
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Unprofessional conduct at real estate event sparks caller’s exit
A senior client recounts being publicly mocked by a real estate company employee at a customer appreciation event. She plans to list with another firm and asks how to explain the change to her former agent. Annie advises reporting the incident and notes one wedding gift is customary for the couple's ceremony or future reception.
MENTIONED IN THIS ARTICLE
Annie
Rapid City
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