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Arachnoiditis

Discussion in 'General Issues and Discussion Forum' started by Wendy, Oct 5, 2009.

  1. Wendy

    Wendy Active Member


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    I am curious to know if anyone out there have any patients suffering from arachnoiditis. I have a new patient who suffers from it and has constant pins and needles which generally she can cope with but after speaking with her she also has burning in her feet which prevents her from wearing enclosed footwear. My main query is how to help her feel more comfortable and reduce the burning sensation, would something like Biofreeze be of any help?
    Thanks in anticipation
    Wendy
     
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    Articles:
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    Arachnoiditis

    Arachnoiditis is an inflammatory condition of the arachnoid mater or 'arachnoid', one of the membranes known as meninges that surround and protect the nerves of the central nervous system, including the brain and spinal cord. The arachnoid can become inflamed because of adverse reactions to chemicals, infection from bacteria or viruses, as the result of direct injury to the spine, chronic compression of spinal nerves, complications from spinal surgery or other invasive spinal procedures, or the accidental intrathecal injection of steroids intended for the epidural space.[1][2] Inflammation can sometimes lead to the formation of scar tissue and adhesion that can make the spinal nerves "stick" together,[3] a condition where such tissue develops in and between the leptomeninges.[4] The condition is extremely painful, especially when progressing to adhesive arachnoiditis. Another form of the condition is arachnoiditis ossificans, in which the arachnoid becomes ossified, or turns to bone, and is thought to be a late-stage complication of the adhesive form of arachnoiditis.[5]

    1. ^ PDR US-FDA 2010 DataSheet | Depo-Medrol | Pfizer
    2. ^ Nelson, D.A. and Landau, W.M., Intraspinal steroids: history, efficacy, accidentality, and controversy with review of United States Food and Drug Administration reports, Journal of Neurology, Neurosurgery, and Psychiatry, 70:433-443, 2001; doi:10.1136/jnnp.70.4.433. Accessed 2015-10-23.
    3. ^ NINDS Arachnoiditis Information Page, National Institute of Neurological Disorders and Stroke, National Institutes of Health. Accessed 2015-10-23.
    4. ^ Shaw, M.D., Russell, J.A., and Grossart, K.W., The changing pattern of spinal arachnoiditis, Journal of Neurology, Neurosurgery, and Psychiatry, 41(2):97–107 at 102, Feb. 1978; PMID 632824. Accessed 2015-10-23.
    5. ^ Steel, Christopher J; Abrames, Erik L; O’Brien, William T (2015). "Arachnoiditis Ossificans – A Rare Cause of Progressive Myelopathy". The Open Neuroimaging Journal. 9 (1): 13–20. doi:10.2174/1874440001509010013. ISSN 1874-4400. 
     

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