Medical treatments
These techniques can be temporary or longer lasting and range from simple options such as nerve blocks to more complex procedures such as implanted pumps. They are not suitable for everyone, but can be particularly useful for treating nerve pain or pain that is difficult to control. Your pain specialist will talk to you about the risks and benefits of each procedure they recommend.
— Katie
Learn more about:
- Nerve block
- Radiofrequency ablation (RFA)
- Epidural
- Spinal catheter with port or pump
- Spinal cord stimulator
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Nerve block
A nerve block uses an injection of local anaesthetic to numb the nerve sending the pain signals. Sometimes an x-ray or ultrasound machine is used to help guide the needle. In most cases, the effect lasts for a few hours but it sometimes lasts for days.
A nerve block is generally used to provide short-term pain relief or to help diagnose which nerve is sending the pain signals.
Radiofrequency ablation (RFA)
This procedure can be used after a nerve block to provide longer-lasting pain relief. A pulsed RFA aims to re-educate the pain nerve to lessen the pain signal. It may take up to two months to take effect. A thermal RFA uses heat to damage the nerve.
Epidural
An injection of local anaesthetic and sometimes other pain medicines near the nerves in the back. An epidural is given in hospital and the pain relief can last for up to two weeks. An epidural can also be used to see if a spinal procedure (see below) is likely to help.
Spinal catheter with port or pump
If longer-term pain control is needed, a small tube (epidural catheter) may be placed a little deeper in the back. This is connected to an opening (port), which allows pain medicine to be dripped in continuously. If pain is likely to last longer than six months, the catheter is attached to a pump implanted under the skin of the abdomen (known as an intrathecal pump). This pump is refilled about every three months with pain medicine. The pump can be adjusted to provide a suitable amount of relief for your pain.
Spinal cord stimulator
This is a long-lasting procedure to treat nerve pain problems. An electrical device is placed into the spine. It causes tingling against the nerves in the back or neck, which reduces the amount of pain felt. The procedure is done in two phases, with an initial trial phase to assess the benefit. If pain relief is above 60%, the device is permanently implanted.
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Instructions for downloading and reading EPUB files
Apple devices
The iBooks application must be installed on your Apple device before you can read the EPUB.
Different ways to download an EPUB file to your Apple device:
- email EPUB files to yourself and transfer the attachment to iBooks.
- copy EPUB files into DropBox (or a similar service) and use the DropBox app to send them to iBooks.
- open EPUB files directly from Mobile Safari and open them in iBooks, where they are saved automatically by downloading the EPUB from the website.
Need more help? Visit: http://support.apple.com/kb/HT4059
Kobo
To download an EPUB file to your Kobo from a Windows computer:
- download and save the EPUB directly onto your desktop.
- connect your Kobo to your computer using the USB cable and tap “Connect” on your eReader.
- select “Open folder to view files” to view the contents of your Kobo.
- navigate to where you have stored your EPUB file in “Finder”, in documents or downloads, and drag and drop it into the Kobo window. You can now disconnect your Kobo to read the eBook.
To download an EPUB to your Kobo from a Mac:
- download and save the EPUB directly onto your desktop.
- connect your Kobo to your computer using the USB cable and tap “Connect” on your eReader.
- open your “Finder” application.
- select “Kobo eReader” from the listed devices to view the contents of your Kobo.
- navigate to where you have stored your EPUB file in “Finder”, probably in documents or downloads, and drag and drop it into the Kobo window. You can now disconnect your Kobo to read the eBook.
Turn on your Kobo and your EPUB will be located in “eBooks”, while a PDF will be located in “Documents”.
Need more information? Visit: http://www.kobo.com/help/koboaura/response/?id=3784&type=3
Sony Reader
To download an EPUB file on your Sony Reader™:
- ensure you have already installed the Reader™ Library for PC/Mac software
- select the eBook you want from our website and click the link to download it.
- connect the Reader™ to your computer.
- open the Reader™ Library software and click “Library” in the left-hand pane and select the eBook to view it.
Need more help? Visit: https://au.readerstore.sony.com/apps_and_devices/
Amazon Kindle 2nd Generation devices
EPUB files can’t be read on the Amazon Kindle™. However, like most eReaders, Kindle™ 2nd Generation devices are able to display PDFs. We recommend that you download the PDF version of this booklet if you would like to read it on a Kindle™.
To transfer a PDF to your Kindle™ via USB cable from your computer or Mac:
- download the PDF directly onto your computer.
- connect the USB cable to your computer’s USB port, and the micro USB end of the cable to your Kindle™. Note: the Kindle™ won’t be available as a reading device while it is connected to your computer until it has been disconnected.
- open the Kindle™ drive and several folders will appear inside. The “Documents” folder is where you will need to copy or drag the PDF to.
- safely eject your Kindle™ from your computer and unplug the USB cable. Your content will appear on the Home Screen.
Kindle also provides a Kindle Personal Documents Service that allows users to send documents as an attachment directly to your eReader. For more information on this service, visit http://www.amazon.com/gp/help/customer/display.html/ref=help_search_1-1?ie=UTF8&nodeId=200767340&qid=1395967989&sr=1-1
For more information on accessing a PDF on your Kindle™, visit www.amazon.com/manageyourkindle, log in to your account and click on Personal Document Settings.
Need more help? Visit https://www.amazon.com/gp/help/customer/display.html?nodeId=200375630
Android and PC
You can also download and open eBooks on Android devices and PCs with appropriate apps or software installed. Suitable eReader apps for Android include Google Play Books, FBReader and Moon+ Reader. Suitable software for PCs include Calibre and Adobe Digital Editions.
This information was last reviewed in September 2018
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