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So, if you have severe spinal stenosis and if the injection is just not helping or its not helping you well enough and long enough, you may need to consider other approaches, such as surgical decompression of the area. If you are considering injections as a pain management treatment for your neck or back pain, speak to your doctor to find out which injection may be best for you, and how long you can expect to find relief

For pernicious anaemia or neurological involvement, maintenance injections are typically given every two to three months indefinitely

& Avon, P

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