The steroid shot is a mandatory choice made by insurance. You don't have to accept it, but they have to try to get you to do it. I fell for it on the shoulder and then once with the back. I was in so much pain that I just wanted relief. This is what they count on.
I don't believe anything that the doctors tell me that they had done themselves if they are trying to sell me something. And, these days, that is what they are, basically salespeople, front people, for the pharmacuetical companies who send in their army of sales people to convince doctors to get the patients to use the meds of the day.
If you follow the current trends, threads of the boards, these or others, you will find a common thread. It is hard to explain here.
There is this huge, bulging mass of baby boomers and baby boomer parents who are getting to the age where they feel pain. It is overwhelming the health care industry. There are all these people shouting ***pain***
at the doctors and their hands are tied as to what they can do. They have to do what the insurance companies require them to do, and in order. In turn, the patients seek relief. In steps the pharmacuetical companies with meds. Right now, this minute, pain, namely back pain, is the one thing taking down the health industry. And, no one has the answers.
There are no jobs, thus nothing for people to do, too much TV, computers, time on our hands, and no where to spend it. No money. Those with jobs are being overworked. Those without slip into bad physical shape without even knowing it because time is a different concept to them without work.
All of this leads to back injuries for the ones working and the ones not working.
They offer the steroids because they don't know what else to do. They have to follow protocol. I had a PT tell me a month ago, we can't do PT without a prescription. I told them that it costs $25 co-pay to get one. They said that their hands were tied. I called the doctor, she insisted that I come in, pay the co-pay and she would write out a prescription, like anyone would just walk in off the streets and want PT. It is not drugs. So, I called my insurance company and they said, "No, do not pay the doctor, find another PT and we will pay for 50 PT treatments a year." It took me a month to unwind this mess. This is after my SI injection did not work.
ESI's only work as a diagnostic tool. The doctors should be straight up with the patients and tell them that. Instead, they hold out false hope. I guess, for some, it is a panecia.