Closed needle orthopedic surgeons have to deal with pain patients every day. Very common are scapulohumeral periarthritis, tennis elbow, tenosynovitis, lumbar muscle strain, lumbar ligament injury, interspinous ligament injury, third lumbar transverse process syndrome, lumbar disc herniation and various bursitis. Their pathogenic mechanisms are not exactly the same, but they are also a common disease, namely soft tissue injury and inflammation. For this, doctors often choose blocking therapy and blocking needles.

However, some patients frown and wave their hands when they hear the injection and refuse to accept it. The reason turned out to be that they heard that "blocking needles" can only temporarily alleviate the symptoms, and the treatment cannot be fundamentally. Keep the needle closed, keep the needle, for fear of hitting. In addition, worry about side effects.

These patients are not uncommon. Are their concerns justified? Let's start from the beginning.

The so-called blocking therapy is usually to inject a certain concentration and quantity of prednisolone injection and procaine hydrochloride injection into the diseased area. Muscles, joints, fascia, tendons, spinal canal, etc. Can be injected in a closed manner. Prednisolone uses similar drugs such as dexamethasone and betamethasone. It belongs to hormones.

Hormones produced by human endocrine organs can have the influence of physiologically active substances. Many similar products, such as sex hormones, thyroxine and insulin, belong to hormones, but it seems to be an unwritten agreement in doctors' artificial imitation? And tacit understanding, if not specifically pointed out, this hormone refers to cortisone secreted by the adrenal cortex (also known as glucocorticoid). The product has roughly the same function, which is also called its discovery and clinical application for more than half a century. Adrenal corticosteroids are widely used in medical treatment. They are the bane of various allergic diseases, but they also have abnormal immune reactions, which can cause immunosuppressive diseases and can be used in clinical professions. They are favored by doctors.

The value of orthopedic doctors in the above circumstances, mainly using anti-inflammatory effect, can improve capillary permeability, inhibit inflammatory reaction, and reduce pathogens that do harm to the body. Although procaine (also known as novocaine) is a local anesthetic, tooth extraction, minor surgery and local anesthesia, it can sometimes relieve pain and enhance the effect of its corresponding lidocaine.

After the "closed needle", do you always want to put it into practice? We know that these hormones are not addictive. But long-term use may lead to habituation and dependence. Habitual long-term repeated use of hormones relieves symptoms, forms conditioned reflex, and feels uncomfortable or afraid after stopping taking drugs. At this time, a small amount of hormones will soon disappear. Dependence is a so-called "rebound" phenomenon in which some diseases are treated with hormones, the symptoms are completely controlled or partially relieved, the hormone is suddenly stopped or the dose of the primary disease is reduced faster, and the recurrence or deterioration occurs. In both cases, repeated use may occur after long-term high-dose hormone. The application of conservative treatment in plastic surgery is generally based on one or more closures of the disease. Each time interval is 7 days to 10 days, generally less than 3 to 4 times. Continuous injection, long interval and small dosage. Therefore, since the implementation of this treatment, there has been a phenomenon of "I want".

The pain of suture needle is the main reason why patients are unwilling to accept it. After 2 days, the local pain may be slightly heavier. If these drugs are added to stimulate, the local pressure will soon disappear.

Glucocorticoids, like all other drugs, have side effects. Such as centripetal obesity, body shape change, hair epidermis, and even female patients grow beards; It may lead to the decline of human anti-infection ability, slow wound healing, aggravate gastrointestinal ulcer, and induce hypertension, psychosis, osteoporosis and aseptic necrosis of femoral head. However, this is a long-term, high-dose repeated application, and generally only short-term local blocking treatment will not cause these reactions. For the sake of safety, doctors and patients with severe hypertension, peptic ulcer, diabetes and mental illness have used it with caution. In order to prevent infection, closed injection should be carried out in medical units. Before closing, carry out strict disinfection and wash the skin with soap and water. /kloc-observe the injection after 0/5 minutes to prevent allergic reactions. After 3 days, keep the skin clean to prevent pollution.

Of course, hormones, like any other drugs, are not the legendary "panacea" and may be ineffective in some cases. If necessary, you can use other methods, such as traction, massage, physical therapy, waist piercing, internal and external? Use drugs and switch to surgery if necessary.

By the way, some wrong Yifeng medical units or doctors usually add some other drugs to the closed needle, such as vitamin B injection and angelica injection. They like or don't like to use different names to claim "secret recipe", "specific medicine", "imported medicine" or "patent", and the price has risen by more than ten times, even dozens of times, in order to make high profits. Because they didn't tell the patient clearly that the essence of this injection was "off", which led the patient to go there for treatment repeatedly, and the result was overreaction, which was worthy of attention.