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lumber epidural steroid injection

Hi. Female 28. dx ddd with anulear tear l4-l5. severe low back buttocks and leg pain numbness and weakness.. so , i had my first bilateral lesi yesterday. no sedition. everything felt just fine until the medication was actually injected..left was first and sent what i would say a7/10 pain shooting down my hip and leg with tingling..the right side produced the most insanely 10/10 pain down and i almost jumped off the table. i had experienced this one other time when a student Dr did my lp in er years ago..i am just wondering why it hurt so bad? no one else i know had any more than a sensation o

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Epidural Steroid Injections for Lumbar Spinal Stenosis

Drug details for Epidural steroid injections for lumbar spinal stenosis.
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Epidural Steroid Injection - MedicineNet

Read about epidural steroid injection, a common procedure to treat spinal nerve irritation and back pain. Learn about potential complications and side effects ...
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Lumbar Epidural Steroid Injections for Low Back Pain and Sciatica

Epidural steroid injections can temporarily relieve many forms of low back pain and leg pain (sciatica) and help a patient progress with rehab and exercise.
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Are there Injections for Back Pain? - WebMD

Continued Epidural Injections. Epidural means "around the spinal cord." These shots include a steroid medicine, also called corticosteroid, and usually an anesthetic ...
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Epidural Steroid Injections - North American Spine Society

Epidural Steroid Injections (ESIs) are a common method of treating inflammation associated with low back related leg pain, or neck related arm pain.
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Epidural Steroid Injection, ESI, spine injections, steroid ...

An epidural steroid injection (ESI) is a minimally invasive procedure that can help relieve neck, arm, back, and leg pain caused by inflamed spinal nerves.
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Epidural steroid injections for lumbar spinal stenosis

Oct 30, 2007 · Degenerative lumbar stenosis is a common source of pain and disability in the elderly. It presents clinically with a variety of symptoms, though neurogenic ...
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Epidural injections for back pain: MedlinePlus Medical ...

An epidural steroid injection (ESI) is the delivery of powerful anti-inflammatory medicine directly into the space outside of the sac of fluid around your spinal cord.
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Epidural administration - Wikipedia

Epidural steroid injection. Epidural steroid injection may be used to treat radiculopathy, radicular pain and inflammation caused by such conditions as spinal disc ...
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Epidural steroid injections: Why limited dosing? - Mayo Clinic

Epidural steroid injections are usually limited to just a few a year because there's a chance these drugs might weaken your spinal bones and nearby muscles.
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Suggested Questions And Answer :

lumber epidural steroid injection

Hi Megs, I also go in for lumbar epidural steroid injections as well.  I have had 7 rounds thus far and scheduled to go back in Aug.  I have on several occassions experienced intense shooting pains down my legs when the steroid is injected.  This is typically normal.  I unfortunately experience that type of pain periodically at home or at work so for me, the sensation is very familiar.  The sensation is caused by the medication rushing up against the nerve roots to "bathe" them.  Did they use fluroscopy or X-ray when they performed your injection? Not everyone gets meaningful relief from epidural injections.  The injections for me, help a lot with the low back pain but only help the sciatica for a couple of days to a week and the sciatica slowly starts to build back up.   I truly believe I am getting beneficial results from these injections because of the other medications that I am taking for pain: long-acting/short-acting opioid medications, cyclobenzaprine, valium, gabapentin, 4-5 OTC naproxen sodium tablets, and an anti-depressant.  I most certainly believe the medications you are taking are helping you and also helping the injections work more effectively. The Gabapentin and the meloxicam are medications that significantly help reduce sciatica.  As when a nerve is compressed in the low back, the resultant sciatica is due to nerve inflammation and the meloxicam directly helps reduces that inflammation.  Gabapentin works by increasing a chemical in the brain, called Gaba.  This helps block the pain signals sent by the inflammed/pinched nerve from reaching the brain.  Gabapentin is much more helpful at relieving nerve pain than the most strongest opioid pain killers.  Cymbalta is also good for this type of pain as well and it is a SNRI anti-depressant. So in summary, you are on a good mix of medications.  Asking your doctor for an increase in Gabapentin would be a good step to take if you are still experiencing severe sciatica.  Doses of Gabapentin go up to 3600 mg per day so you are on the very low end of dosing.  You are maxed out on the cyclobenzoprine.  An increase in the meloxicam would be the other recommendation if your stomach can tolerate the higher dosage. The epidural steroid injections take 1-2 weeks to become effective and before this takes effect, increased pain is normal.  However, if you see pus or swelling at the injection site, get to a local ER asap as this is a sign of a serious infection.  The ESIs are generally effective for 6-8 weeks.  So the effectiveness is not very long lived.   I experience my worse leg pain in the morning when I wake up so upon waking I take 600 mg of Gabapentin, 2 Aleve (naproxen), and 10 mg of oxycodone IR.  This combo helps me to be able to at least get dressed in the morning but the pain begins creeping back after 2-3 hours.  I am also on the Fentanyl patch which as you probably know is the strongest opioid medication on the market and it still leaves me with a large amount of nerve pain.  So take my word as bond when I tell you opioids are not very effective on nerve pain. My diagnosis is discussed in detail on my profile page.  In short, I have a ruptured disc at L4-L5 that is pressing on the spinal cord and right/left nerve roots.  At L4-L5 there are bone spurs, osteoarthritis, spinal stenosis, and thickening of the ligamentum flavum.  I also have problems at the L5-S1 level.  Been told I need a 2 level lumbar fusion but I would never agree to it as it is only 50% successful at relieving pain and many times makes it worse...much worse.  I have contacted the Laser Spine Institute and hopefully will get a minimally evasive discectomy soon.  I recommend looking into laser spine surgery.  They can fix issue with the discs, nerve roots, and bone by making a very small incision and using a laser.  Typically, general anesthesia is not needed and there is no hospital stay and you can go home the next day.   Good luck to you.  I am a mom of a 6 year old son so I know what you are talking about when you say that your kids need you.  I haven't been mommy for awhile and I am ready to be mommy again too.  I hope this helps.  Take care. femmy
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Are Lumbar Epidural Steroid Injections Safe with CM? long as u and the Dr doing the injection know u have Chiari and how to help avoid a leak or issues after the injection u should be ok....I had an epidural long b4 I knew I had Chiari....I did have a leak, but it was a student nurse that pulled me up b4 I was to get, know u need to remain flat for at least an hour after the procedure and do not lift, bend or nething once u get home...keep hydrated and rest.
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What is the success rate of an epidural steroid injecton?

I know 3 people who have had them lately and it helped only one of them.  Thats about all I know.  I have had back surgery and looking at doing it again on another disc.  My nuerosurgeon said it wouldnt hlep me
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epidural steroid injection and infection

I would go  the steriod may give you a boost fighting off that cold.
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Spinal stenosis and lumbar steroid epidural

I too have had exactly what you have described. I have had some relief from the epidural, but the pain has returned full force. I have been told by my doctor (who did not do the shot) that I could continue to have them without too much harm to the rest of my body. I have had two. The one thing I noticed was it made the rest of my back "crackly"). That doesn't cause pain but a bit of apprehension as I did not have this before the shots. I did not have groin pain. Did you overstretch your groin getting into the position on the table for the procedure? Or did you overdo something because you had relief for a bit because of getting the shot? Don't forget the rest of our body is under stresses when the back is in pain or out of allignment. It might be easy to stretch something. Put ice on it for a few days and if it does't get better report it again. (I hope you reported the pain to your nurse at least) Fellow feeling Kathie
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Any relief out there???

I also have to take an opiate for my pain but seeing you are taking so many Percs maybe you should think about asking your doctor for Oxycodin(the 20mg time released) and you might only have to take 2 per day; and they have less acetominophen so they are much better for your liver. Also, I have much of the same pains as you but what has changed things for the better is that 2 weeks ago I was prescribed a nerve blocking drug call gabapentin. This has changed my life and I no longer wake up in pain (well, I do but not as much and I can work around it if I take it easy). I still have a lot of pain in my bones which the opiate filters but the incredible burning going up my spine is gone! Believe me, you have to give this drug a try for the only side effects is diarhreah(sp?) which, with a back injury, actually helps as I am sure you know. It is also my understanding that too many facet joint injections (steroids) will give you osteoporosis at a later date so be careful with how many you allow your doctors to prescribe. I could be wrong though... Good luck!
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L4-L5 Protrusion - Epidural injection

Hi there! I would be happy to tell you my experience. I just had an epidural injection in my L4-5 area a couple of weeks ago and will have another one tomorrow morning. The procedure is very safe when done using fluoroscopy. They will hook you up to an IV, then just before the procedure they will give you a mild sedative that takes about 60 seconds to work. The anesthesiologist locally numbs the area (just like a dentist does before giving you a shot), then he will use another needle and inject you with steroids. The shot itself is not painful, the only discomfort I felt was the pressure of the fluids being injected. The whole procedure takes about 2 minutes, if that. The first thing I felt after getting home was pure relief because I was completely numb in that area. When that wore off, the pain I had previously did become worse and I was not able to stand or walk without assistance for two days. (this was something that I have been dealing with prior to the shot, so it wasn't much different). I did not notice any difference in pain after those first several days. About a week later there were a few days that I felt pretty good and my weakness had subsided. That lasted a few days and now I am ready to try #2 tomorrow. All in all, the experience was alright and I am hoping the 2nd injection does its job. I recommend them to you. I will also begin an aggressive rehabilitation program at the Pain Center - I will go 5 days a week, 2 hours a day for 8 weeks. We are trying everything to prevent from having surgery. Hope this was helpful to you. Don't get discouraged by the online horror stories. If you go to a reputable place with a great doctor, you will be just fine!
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