What are the best treatments for Arachnoiditis?

See the best treatments for Arachnoiditis here


Treatments for Arachnoiditis


Arachnoiditis is a rare but debilitating condition characterized by inflammation of the arachnoid, one of the membranes surrounding the spinal cord. It can cause severe pain, numbness, tingling, and even paralysis. Unfortunately, there is no known cure for arachnoiditis, but there are several treatment options available to manage the symptoms and improve the quality of life for those affected.



1. Pain Management


Pain management is a crucial aspect of arachnoiditis treatment. Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) may provide some relief for mild to moderate pain. However, in more severe cases, opioids or other prescription medications may be necessary. It is important to work closely with a healthcare professional to find the most effective pain management strategy while minimizing the risk of dependence or addiction.



2. Physical Therapy


Physical therapy can be beneficial for individuals with arachnoiditis. A trained therapist can develop a customized exercise program to improve flexibility, strength, and overall function. Physical therapy may also include techniques such as massage, heat or cold therapy, and electrical stimulation to help alleviate pain and reduce muscle spasms.



3. Epidural Injections


Epidural injections of corticosteroids or local anesthetics can provide temporary relief from pain and inflammation associated with arachnoiditis. These injections are administered directly into the epidural space surrounding the spinal cord. While they may not provide long-term relief, they can be a valuable tool in managing symptoms and improving mobility.



4. Nerve Blocks


Nerve blocks involve injecting an anesthetic or medication directly into or around specific nerves to block pain signals. This procedure can provide temporary relief from pain and may be repeated as needed. Nerve blocks can be particularly useful for targeting specific areas of pain caused by arachnoiditis.



5. Spinal Cord Stimulation


Spinal cord stimulation is a procedure that involves implanting a small device near the spinal cord to deliver electrical impulses. These impulses can help disrupt pain signals and provide relief for individuals with chronic pain, including those with arachnoiditis. Spinal cord stimulation is typically considered when other treatments have failed to provide adequate pain relief.



6. Psychological Support


Living with arachnoiditis can be emotionally challenging, and individuals may experience anxiety, depression, or other psychological symptoms. Seeking psychological support through therapy or support groups can be beneficial in managing the emotional impact of the condition and improving overall well-being.



It is important to note that the effectiveness of these treatments may vary from person to person, and a multidisciplinary approach involving various healthcare professionals is often necessary to develop an individualized treatment plan. Additionally, lifestyle modifications such as regular exercise, stress management, and maintaining a healthy weight can also contribute to overall well-being.


by Diseasemaps

It is imparitive that patients be treated with medications that cross the blood brain barrier to treat the neuro-inflammation inside the spinal cord. Some medications to be used are listed below. Prednisone Dexamethasone Ketoralax

5/9/19 by ASAP Arachnoiditis society for awareness and Prevention

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

4/5/17 by Josh 2600

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.

4/7/17 by Barbara 1000

4/11/17 by Kelly 5450

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

5/18/19 by nancy 2500

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.

1/5/20 by krisrwalters 1300

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)

1/5/20 by Jcrandall72 2500

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.

1/5/20 by Staplehurst17 4050

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

1/5/20 by Deerut1963 2400

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

1/8/20 by Rhonda 1600

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

7/9/20 by Derek 3000

NOTHING INTERVENTIONAL. EVER. Heat, water therapy, medication, opiates, stretching,

3/20/21 by Anna 2300

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

7/22/21 by Vincent 3420

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

11/15/21 by Jeanne Champion 400

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.

11/15/21 by Nordlisa906 300

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.

11/15/21 by ACMCRN 2200

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

11/16/21 by patdrury@mail.com 700

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).

11/16/21 by Terry603 700

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.

1/7/22 by Machinetoolmkr 5550

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