What are the best treatments for Arachnoiditis?

Those who have the least amount of invasive medical procedures i.e. Epidurals, spinal cord stimulater, surgically implanted pain pumps all seem to do better in the long run as not to make the scar tissue and inflammation more aggressive.
Pain management therapy
Iv ketamine therapy
Support groups
Water therapy
Heat

There is no real effective treatment or cure. And Arachnoiditis does not just "go away," as some medical professionals will try to claim. Strong opioid pain medication can be used to help manage pain control. Epidural Steroid Injections should be avoided at ALL COSTS, as they are a major cause of Arachnoiditis. Any other invasive spinal procedure should be avoided unless it's life-threatening.

Some people find relief with herbal or homeopathic remedies, medical marijuana, hot/cold packs, Epsom salts, gentle stretching exercises.
If anything you do causes pain, you should STOP IMMEDIATELY.

To control the inflammation within the spinal cord. Suppress the glial cells to hopefully prevent it from progressing

Due to the severe, usually constant nature of arachnoiditis, opiate pain medicine is usually needed. Steroids such as methylprednisolone or dexamethasone as well as toradol injections may help. Keeping your adrenal glands stable by checking cortisol levels is helpful. Medications such as gabapentin, if tolerated, are helpful for the burning neuropathic pain. Muscle relaxers help also.

Ant-inflammation meds
Muscle relaxers for cramping
Lyerica or generic meds to assist in managing sensations
Pain meds to control pain
Meds to assist with sleep/rest
Often -not always .. meds for depression - often accompanies chronic illness & chronic pain
Physiotherapy
Exercise (my own experience it really helps but has challenges)

Treating arachnoiditis can be difficult. The area around the spinal cord is delicate, and even minor damage can have severe consequences.

Surgery is possible but not always recommended. Surgery is not always effective and exposes the spine to potential further damage. Even when surgery is effective, the benefits are usually temporary.

Most doctors choose instead to manage symptoms using a variety of techniques. These include:

Physical therapy - A range of physical therapy techniques may help ease pain and prevent further damage. Exercise therapy can strengthen the muscles and help a person manage the pain.
Massage may reduce muscle tension due to pain, while water therapy can temporarily help nerve pain.
Some people find that hot or cold packs applied to the spinal cord or painful area of the body can temporarily relieve inflammation.

Pain medications - Pain medications include non-steroidal anti-inflammatory drugs (NSAID), steroid drugs, and narcotic pain medications, such as opioids. The correct drug depends on a range of factors, including which other medications a person is taking, and whether they experience any side effects.

Nerve stimulation - Treatments that stimulate the nerves or spinal cord may offer relief without medication. Two promising options are: Spinal cord stimulation - This uses a device to send an electrical signal directly to the spinal cord, which can offer ongoing pain relief. Transcutaneous electrical nerve stimulation (TENS) - Similar to a spinal cord stimulator, a TENS unit sends electricity into a painful area to relieve pain and improve movement.

Psychological support - Living with chronic pain can be difficult. Therapy can help some people cope by changing the way they think about the pain and offering emotional support. Some people also find help from support groups for people with chronic pain or rare diseases. These groups may help people in pain find new resources, share effective lifestyle remedies, and feel less alone.

There is no one treatment however some people are having injections, or following Dr. Tennets protocol.

You must follow Dr. Forrest Tennant’s protocol. He has recently published two books dedicated to this very subject.

There are limited treatment for arachnoiditis, mobility exercise (limited) depending on severity of arachnoiditis support and understanding hydropool exercise

NOTHING INTERVENTIONAL. EVER.

Heat, water therapy, medication, opiates, stretching,

Methylprednisolone ((Depo)Medrol)
Ketorolac (taradyl)
Dexamethason
LDN (Low Dose Naltrexon)
Cannabisoil (cbd/thc)
Opiates
Curcumin
Sacro Cranial therapy

There are no treatments or cure except pain mgmt, some supplements, possible hormones treatments, anti inflammatory meds and diet.

There is no "cure" for arachnoiditis, but there are several options to help with the symptoms. Some fine physical therapies helpful, but most require some sort of medical treatment. Neuropathic agents, or mainly Antiseizure meds. Often times opioids are prescribed, but there are positives & negatives with using these . Muscle relaxants & often vitamins & supplements are beneficial. There's also things like CBD oils/creams, medicated or prescription creams, and medicated wraps.

Currently there are no FDA approved treatments specifically for Arachnoiditis although Research is just being created.

Currently, the best we have to offer is the advice from the Advisory Board at the Tennant Foundation. His Handbook to Live Well with Adhesive Arachnoiditis.
Also, our nonprofit ACMCRN curates the latest in research and treatment recommendations
See the #StartingPoint post at https://www.facebook.com/groups/ACMCRN/ for most up to date protocols etc.

www.acmcrn.org should be live by Jan2022.

The sooner you address the neuro inflammation the better. Do your best to stay as active as possible.

The most successful treatment of arachnoiditis is a three pronged attack. One involves treating inflammation (NSAIDSs, low dose steroids, massage, soaking in hot tub) the other treating the nerves themselves (ie Gabapentin) and finally the pain itself (opioids, THC).

Anti-inflammatory Diet. Opiates, Anti-inflammatory meds like Prednisone and Methyl Prednisone.
We have a chronic inflammation problem with our spine.
For Me, I avoid White flour and Sugar, High fructose corn syrup, candies. Stick with natural foods.