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Explain to the patient that the lidocaine will wear off in an hour or so, and that they will be back to their normal pain until the steroids start kicking in (anywhere from 1-7 days)

Researchers have examined its interaction with pathways associated with nitric oxide signaling, endothelial function, and extracellular matrix repair

Some patients respond well, some respond modestly, and some stop treatment because of side effects, cost, or other medical considerations