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Dear Dr Sood I can understand your concerns! The steroid if quite likely to have scarred the connective tissues preventing the individual fasciculi from sliding past each other. The use of TENS may be useful for pain relief. Also direct mobilisation of the nerve at the injection site or any other superficial points (e.g. common peroneal at the fibular head or tibial in the popliteal fossa). Also to mobilise the nerve longitudinally using graded techniques incorporating the SLR or Slump positions. Lastly to mobilise and ensure adequate length in all possible nerve interfaces such as the piriformis muscle and soleus muscle. Basically making life as easy as possible for the nerve, to aide it's recovery. I hope this is helpful. Ann McCarthy MPhtySt(Sports), MCSP, SRP >From: "Sood" <[log in to unmask]> >Reply-To: [log in to unmask] >To: <[log in to unmask]>, <[log in to unmask]> >Subject: sciatic nerve;injected >Date: Mon, 21 Aug 2000 13:05:04 +0530 > >Dear Friends, > It may be a bit shocking to >friends abroad than friends in India ,to know >we harbour a large Spices of quack totally unqualified and untrained in >art of medicines which they >practice , among poor and unsuspecting masses .Just in Punjab they are >100.000 cases pending against >these social medical stigmata . > Chronic dislocations >of shoulder and elbow which is seldom seen in developed nation is common >due to these quacks of ortho division, even Campbell glorifies with the >similar statement that these cases are seen only in underdeveloped >nations. > > I wish to seek the kind attention of the List members to one >aspect of this problem.; > We see many cases ,where these >Wizards have given an injection in the sciatic nerve >itself resulting in severe pain which is difficult to treat with just >NSAIDS only,I have used Tegritol and >physio in addition to NSAIDS but results are just not very good. > >Experiances and Opinion of list is Invited. > >Dr.Sarveshwar Sood >Orthopaedic Surgeon & Head Department of Physical >Medicine & Rehabilitation, >Member American Academy Of Pain Management. >S.B.L.S.Hospital >812/1,Housing Board Colony >Model Town,Jalandhar city >Punjab State.India >E-mail [log in to unmask] >http://personal.vsnl.com/sarveshwar >"For all the happiness mankind can gain is not in pleasure....but relief >from pain." > > ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%