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When the disease is in its chronic form -as it usually happens after spine surgery or following the acute and subacute phase of radiculitis from disc herniation that had been undertreated with conservative therapy- neuroplasty (adhesiolysis) with Racz catheter is indicated.
The American Society of Interventional Pain Physicians (ASIPP) published evidence-based guidelines for invasive techniques in the management of chronic spinal pain.
According to these guidelines, there is strong evidence indicating the efficacy of neuroplasty with corticosteroids in the short and long-term control of pain in refractory radiculopathy and neuropathic spinal pain.
4. Liver Damage . This is tragically common, especially with the oral steroids. These are metabolized in the liver and are notoriously hard on this organ. Even some injected steroids make a second pass from the blood stream into the liver and can damage in that way. Again, the insanity of steroid use is shown by the fact that many steroid users actually take liver herbs such as milk thistle in the hopes of preventing liver damage instead of simply not taking the steroid.