When we hear about every ache and pain and itch, are there classic candidates that you think would be appropriate for a steroid injection? And on the flip side, what would immediately make you pump the brakes on considering that in terms of an epidural or with steroid or a joint space injection?

Sure.

So yes, in my field specifically, if a patient comes in with an acute radiculopathy, very severe pain, the MRI is consistent with their symptoms, they have a lot of inflammation, irritation on that nerve, the more conservative over-the-counter anti-inflammatories, physical therapy is not helping, they're miserable, they can't sleep, they can't walk.

That's a great candidate for an epidural steroid injection.

They do quite well.

Sometimes it does take a second injection, you know, just to really calm down that inflammation.

So I wouldn't hesitate to, you know, do an injection as quickly as possible with steroids, which is very effective.

I'd love to hear some of the ways you use it and how you approach to that escalation and if there is any monitoring.