Assign G90.x codes for non-diabetic autonomic disorders: G90.3 (multi-system atrophy with orthostatic hypotension Shy-Drager), G90.1 (familial dysautonomia/Riley-Day), G90.09 (other idiopathic peripheral autonomic neuropathy)
In fact, repeated steroid use can actually: Weaken the connective tissue , making tendon tears worse Cause atrophy of the hip muscles Accelerate degenerative changes in the joint Provide only temporary relief , often with the pain returning in weeks or months Patients often find themselves stuck in a cycle of repeating injections every 2-3 months, without meaningful or lasting improvement
It has also been shown to lower homocysteine levels, a molecule linked to inflammation and cognitive decline, with longitudinal studies linking optimal B12 levels with improved cognitive function, mood and reduced risk of neurodegenerative disease
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In the group of patients that did not have surgery the researchers reported that: approximately one-third of patients reported improvement, approximately 50% reported no change in symptoms, and approximately 10% to 20% of patients reported that their back pain, leg pain, and walking were worse. Doctors question spinal stenosis surgery Many of the patients we see are looking for a an alternative to spinal surgery