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Old 10-11-2011, 10:33 AM  
OnTheWarpath58 OnTheWarpath58 is offline
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Anyone ever had an epidural steroid injection?

I have two degenerative and bulging disks between L4-L5-S1 in my back that is causing significant sciatic nerve pain down my left leg. I've been going to PT for 3 weeks with no relief. Doc says this is the next step.

Anyone had this done and care to share their experience?

TIA.
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Old 10-11-2011, 10:38 AM   #2
Mr. Laz Mr. Laz is offline
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With me i had to sit on the edge of the table and lean/curl forward. Put my chin on my chest and hunch forward to spread my vertebrae out as much as possible. Then doc stands behind you and gives the shot.

It's scary as **** but it's really not bad as long as the doc doesn't 'miss'
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Old 10-11-2011, 10:39 AM   #3
WilliamTheIrish WilliamTheIrish is offline
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It's temporary. It's a good fix for some. However, you're still looking at a lumbar laminectomy in the future in most cases.

Stretch, stretch, stretch. And if you can, begin yoga. Many people find that relieves some of the issues of sciatica.

Good luck bro.
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Old 10-11-2011, 10:39 AM   #4
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Ouch dude....

Good Luck, hope you feel better after that shit.
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Old 10-11-2011, 10:40 AM   #5
OnTheWarpath58 OnTheWarpath58 is offline
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Quote:
Originally Posted by Laz View Post
With me i had to sit on the edge of the table and lean/curl forward. Put my chin on my chest and hunch forward to spread my vertebrae out as much as possible. Then doc stands behind you and gives the shot.

It's scary as **** but it's really not bad as long as the doc doesn't 'miss'
How long ago did you have it done? I've been told they use a "live X-ray" and contrast to show exactly where the needle is.
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Old 10-11-2011, 10:43 AM   #6
OnTheWarpath58 OnTheWarpath58 is offline
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Originally Posted by WilliamTheIrish View Post
It's temporary. It's a good fix for some. However, you're still looking at a lumbar laminectomy in the future in most cases.

Stretch, stretch, stretch. And if you can, begin yoga. Many people find that relieves some of the issues of sciatica.

Good luck bro.
Thanks. I'm doing about 40 minutes of prescribed stretching every day. Hasn't made much of a difference, at least not yet.
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Old 10-11-2011, 10:43 AM   #7
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Have had multiple ones in my neck along with radiofrequency shots or burning of nerves. They seem to help for a period of time. help some for over a year and others like me for just a few months
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Old 10-11-2011, 10:44 AM   #8
WilliamTheIrish WilliamTheIrish is offline
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Quote:
Originally Posted by OnTheWarpath58 View Post
How long ago did you have it done? I've been told they use a "live X-ray" and contrast to show exactly where the needle is.
Yes it's done under real time fluoroscopy. The beam is limited to the area of interest and the practitioner punches the needle through the meninges and into the canal.

They use lidocaine prior to the spinal needle so it numbs the area of interest. The Lido feels kind of like a bee sting.
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Old 10-11-2011, 10:46 AM   #9
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Hospital gown. Long wait in patient staging area. Wheeled into frigid room. Forced to lie on freezing table. Doctor makes jokes. Nurses laugh. A couple of shots in the back. Took 10 minutes. Accomplished nothing. Cost a fortune.

FAX
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Old 10-11-2011, 10:48 AM   #10
aturnis aturnis is offline
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What is the goal of the steroid injection?
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Old 10-11-2011, 10:49 AM   #11
Buehler445 Buehler445 is offline
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It's temporary. If I'm wrong on this, someone correct me, I'm definitely not a medical professional.

I view the pain relief injections as a band-aid to allow you to heal, not as a solution. If you can do what you need to do to rectify the problem with reduced pain, I think that is what they are going for. I really have no idea what the solution is for you, but make sure they're not viewing this treatment as a long term thing. Don't let them give you too much too often, it can FUBAR your soft tissue.

I had some cortisone type product applied to some tendonitis I had in my knee one time. I gave the guy the third freaking degree about it because I didn't want my knee to be one of the horror stories. He told me the dose he was giving me was miniscual compared to what they were doing in the 70's which destroyed cartilage. Then the application method (I forgot the 14 foot long name for it) was electrically. The product had a negatively charged ionization, and they put a positive and a negative on either side of my knee and it forced the product through. I was a lot more comfortable with that than a needle jabbing into my knee, tearing up everything it touched.

Not that any of that does you any good.

Good luck. Backs suck.
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Old 10-11-2011, 10:50 AM   #12
OnTheWarpath58 OnTheWarpath58 is offline
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Quote:
Originally Posted by FAX View Post
Hospital gown. Long wait in patient staging area. Wheeled into frigid room. Forced to lie on freezing table. Doctor makes jokes. Nurses laugh. A couple of shots in the back. Took 10 minutes. Accomplished nothing. Cost a fortune.

FAX
I was wondering if you'd chime in.

You got absolutely no relief from it? Not even for a short period of time?

At this point, I'm willing to try it because;

a.) Apparently most patients gain some sort of relief whether it be a few weeks or a few months.

b.) We've met the deductible on our insurance, meaning we'll only pay 10%.

c.) Seems like I have nothing to lose (other than $150-$200) by trying.
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Old 10-11-2011, 10:50 AM   #13
Buehler445 Buehler445 is offline
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Quote:
Originally Posted by WilliamTheIrish View Post
Yes it's done under real time fluoroscopy. The beam is limited to the area of interest and the practitioner punches the needle through the meninges and into the canal.

They use lidocaine prior to the spinal needle so it numbs the area of interest. The Lido feels kind of like a bee sting.
That makes me hurt just reading those words.
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Old 10-11-2011, 10:50 AM   #14
WilliamTheIrish WilliamTheIrish is offline
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Thanks. I'm doing about 40 minutes of prescribed stretching every day. Hasn't made much of a difference, at least not yet.
A lumbar lammy is no guarantee of living a pain free life. It's invasive as hell and takes a good while to recover from. It's the last resort. Don't get me wrong, if I needed one, I'd get it. A some folks get relief right away.

But do everything you can to stave that off for as long as possible. If you're heavy, diet. Lose some of that bulk. Do your level best to strengthen the belly. A stronger core will also relieve the stress of the lower back.

Acupuncture, yoga and core strengthening will help you stay lean and fit. And as we all learn - sometimes too late in life - you EARN your health after 45.
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Old 10-11-2011, 10:52 AM   #15
OnTheWarpath58 OnTheWarpath58 is offline
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Just for the record, I know this is a temporary solution and not a permanent fix. Also told that I'd only be able to have this done 3-4 times a year, max.

Right now, I'm just looking for an increase in quality of life, even if only for a few months.
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