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strength","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9260567/","host":"pmc.ncbi.nlm.nih.gov","quote":"Radiculopathy/cauda equina syndrome|Segmental pain, paresthesia in area of pain, loss of strength (grade 3 or less), sudden loss of bladder/bowel function, perianal/perineal hypaesthesia, death of nerve root","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever after injection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11450889/","host":"pmc.ncbi.nlm.nih.gov","quote":"These symptoms included; hypotension, acute respiratory distress, chest pain, upper extremity numbness, weakness, paresthesias, paralysis, and fevers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the 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epidural steroid administration) yield transient benefit only [ 8 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"intradiscal-injection-bone","name":"Intradiscal injection of bone marrow concentrate","how_it_works":{"text":"Mesenchymal stem cells modulate inflammation and support tissue repair","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"PRP delivers growth factors that stimulate cell proliferation and ECM regeneration, while mesenchymal stem cells and their exosomes modulate inflammation and support tissue repair ( Figure 2 ) [ 19 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"intradiscal-injection","name":"Intradiscal injection of adipose-derived 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efficacy in mitigating intervertebral disc degeneration by restoring extracellular matrix and disc height [141].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"allogeneic-cell-product","name":"Allogeneic cell product injection","how_it_works":{"text":"Donor-derived cells are delivered to potentially reduce pain and disability","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12995374/","host":"pmc.ncbi.nlm.nih.gov","quote":"Both autologous and allogeneic MSC approaches have demonstrated feasibility and safety profiles, with certain studies documenting persistent benefits across multiple years and minimal complication rates 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