Cervical epidural scheduled for Wednesday

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Draka
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Date Joined Jun 2009
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   Posted 7/4/2009 10:13 AM (GMT -7)   
Hello everyone and Happy Fourth!

This upcoming Wednesday I am scheduled for a cervical epidural..... can someone who had had this procedure please fill me in on their experience. I am interested in hearing if it help and how long it took to kick in?

Am I right in assuming this procedure will be like what I had with the Facet injections?

Also interested in learning about any side effects.... I did research this but wanted to hear first hand accounts......

Thank you all

I'll throw this in here as well..... my side effects from Roxycodone are feeling "itchy" all over.... I don't want to pop a Benedryl.... also they make me very sleepy....... I am taking 15mg twice a day.... is this something that my body will get used to?

PAlady
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   Posted 7/4/2009 11:11 AM (GMT -7)   
Draka,
I've not had cervical injections, but others have and my guess is they'll be along in the next few days. You can also search old threads. I've had lots of other injections though - epidurals on lumbar spine, facets, nerve root blocks, etc. and I think basically they're about the same.

As far as the itching, I would call the pharmacist and ask if this is a serious side effect. Sometimes it's something that will pass, but I don't think it should be ignored. Ask for the pharmacist, so you're not just speaking to a tech. You can also read the package insert or go directly to the manufacturer's website and see how they classify itching.

Good luck!

PaLady

Chartreux
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   Posted 7/4/2009 2:08 PM (GMT -7)   
Yes, like PALady stated re read old post on injections to get more info...
Could be your having a reaction to the medicine (itching) take notes as to
when after taking the medication and the time that the itching begins, if it's with 20 minutes
then you need to tell your PM Doctor and maybe get put on something else.
Now just trying to be helpful, in my case I get itching and a rash under my arm from
cabergoline (not a pain med) and my allergy doctor and endocrinologist are keeping
tabs on it and I use a steroid cream every so often to fight the rash, the itching is still sometimes a
bother, but this is the only medicine I can take for my specific problem as they only make 3 and I
had more systemic reactions with the other two meds... If you notice a rash, call your pm doctor
and maybe try a medicine change, as anaphalaxsis reactions reqiure ER visits, so make a log of the itching
for now,
Keep us posted...
soft hugz...
(((((((((((((((((((((((((((((((((Draka))))))))))))))))))))))))))))))))))))))))))))))))
If your having problems breathing right after taking this medicine then get to the ER urgently...
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Post Edited (Chartreux) : 7/4/2009 3:12:25 PM (GMT-6)


straydog
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   Posted 7/4/2009 2:57 PM (GMT -7)   

Hi Draka,

I have not had an ESI either, but have had all the others done on my neck and back. From what most of the people on here have said they usually cannot tell a difference for up to 2 weeks after the injection. They are done in a series of three and some said they did not get any relief with the first one, but did on the second one. Its the same old thing, everyone reacts differently so its really hard to say.

I hope you have found the info you needed on the itching problem. I know alot of people that itch too when they took Vicodin. I hope this is temporary, if not you really need to contact your dr office.

Let us know how the injection goes. 

 


Straydog/Susie
Moderator Chronic Pain
 
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Swveral other health issues just not enough roo to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.


merrygirl
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   Posted 7/4/2009 3:18 PM (GMT -7)   
I just started getting these done about 8 weeks ago. The best thing I could have done. My doctor offers sedation with the procedure so I take it. The insert a catheter ( a long flexible tube) to where t hey want to place the medicine. This way they do not need to use a needle 2 times, just once. They lay me flat down on the table on my belly. the wash your skin and the doc comes in and you feel a little pressure and sting as they insert the numbing medicine. Once that is done they insertthe catheter and you feel a lot of pressure and a tiny amount of pain. after about 3-5 minutes, the doc is done! easy peasy!

After wards your neck feels great because of the numbing meds, after that wears off a couple of hours later it will ache a little. USe ice for the pain NOT heat.After that my neck has felt so great I actually overdid it the other day and made it sore. But overall this is a piece of cake!

goiod luck and I hope it helps you!
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Draka
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Date Joined Jun 2009
Total Posts : 256
   Posted 7/4/2009 3:29 PM (GMT -7)   
Thank you so much Merrygirl.... I was typing my response so I didn't see yours..... I am not getting the sedation.... I don't think.... yikes.... I am nervous!

Thanks for the responses.... itching is a side effect of the medication...... I just do not want to take something else for that.

I have also been feeling very nauseous on this medication and it really does nothing for my pain....

Another question is this.... I was prescribed Roxycodone 15mg.... after my fiasco at the pharmacy I forgot to ask NOT to get the generic.... I ended up with the generic Oxycodone 15mg..... my Dr. told me that some generic drugs have only 80% of the medicine in them...... I wonder if this is why I don't get any relief from one pill?

Is this the case?

Also with my cervical epidural.... I did research them here.... I just wanted to here first hand from someone..... kinda nervous because I didn't get any relief when I got my 5 facet injections back at the end of Dec 08.... this my last option before surgery....

Thanks

Post Edited (Draka) : 7/4/2009 4:33:04 PM (GMT-6)


straydog
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Date Joined Feb 2003
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   Posted 7/4/2009 3:35 PM (GMT -7)   
Draka your dr is right. When I read about the difference I was shocked. I read an article on this and it recommend if you needed a medication for a certain thing-say such as pain, if at all possible stay with a label product. But, I also know some ins companies will not pay for label.
Straydog/Susie
Moderator Chronic Pain
 
crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Swveral other health issues just not enough roo to list it all. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.


PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 7/4/2009 3:58 PM (GMT -7)   
Draka,
Yes, generics can vary 20% more or less from the active ingredient in the brand name. That means you can get 80-120% of the main active ingredient. Some generic manufacturers are pretty close to the brand name, while others can vary greatly. Ask your pharmacist what manufacturer they use, and they may be able to tell you if a particular generic usually has more or less meds - usually by what patients tell them. Sometimes the only way to know is trial and error. And like Susie said some insurances won't pay for a brand name.

I've never had sedation for any of my epidurals or facet injections. I've found as long as the doctor uses a local anesthetic to numb the area, all I mostly felt were some sensations like pressure. Maybe briefly some pain but hey, we're used to that. Plus it allows me to tell the doc if he's in the correct area. So I wouldn't worry if you've had your facet or other injections without sedation; it should be about the same. I used to go back to work the next day, just with some ice packs handy!

PaLady

merrygirl
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   Posted 7/4/2009 4:25 PM (GMT -7)   
honestly I dont really NEED the sedation. I dont think you will either. IT is kinda like taking a Xanax thats about it. no big deal really.

are they using a fluroscope? (live xray)
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Draka
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Date Joined Jun 2009
Total Posts : 256
   Posted 7/4/2009 4:44 PM (GMT -7)   
Thanks Merrygirl.... I feel better now.... I am seeing a different PM Dr for my epidural so I am not sure about the Fluoroscope... I would assume so.... my current PM Dr did use the Fluoroscope when I got my facet injections.


That skinks about the genetic medications too.... how is anyone to know that? I would have never known if my Dr did not say something about it....WHAT A SCAM... it makes no sense to me at all!!

I paid $46.00 for generic Roxycodone (Oxycodone) that's not cheap!!!! Grrrrr........ it really aggravates me... the whole system is crazy.

ekkorose
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Date Joined Jul 2008
Total Posts : 329
   Posted 7/4/2009 5:11 PM (GMT -7)   
I had one done and while it worked, we found out that steriods and my body really don't get along. Please make sure they are using the fluoroscope. It is really important when they are going near your spine.


Here is my experience...
The numbing shot stings a little bit and the pressure is more of an odd sensation then a bad one. The worst part was actually the medicine injection. It caused me to flush (hot flash, racing heart, heat throughout my body) and that scared the !#$% out of me.

Afterwards my neck was stiff for two days. The first 24hrs was the worst, it felt like the joint was stuck and I could not turn or move up and down, the next day was like waking up with a stiff neck after sleeping a little funky.

I was in and out of the office is 45 mins, 40 of it was preperation and just sitting after the procedure.

Best of luck to you.

Sarrah

Hysterectomy at 25

4 laproscopic surgeries since 24

Cervical stenosis in C3 & C4

_____________________________________________

 

Meds - percocet  3x day : nexium : xanax :

Supplements : calcium : magenesium :potassium : milk thistle : fish oil : B complex : vit E

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Mrs. Dani
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   Posted 7/4/2009 6:17 PM (GMT -7)   
 
 
   Dear Draka!
 
    Im excited for you! This is awesome! I hope with all my heart that it is effective for you! My procedures give me my life back for a very very long time. *huggs* Good Luck!
 
*huggs*
dani
TWO roads diverged in a yellow wood,  
And sorry I could not travel both  
And be one traveler, long I stood


Mrs. Dani
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Date Joined Jun 2009
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   Posted 7/4/2009 6:20 PM (GMT -7)   
 
 
 
    Oh and real quick. I think when it comes to itching it depends on where the itching is.
So Mouth and Face = ER
Sweat spots = Urgent Care
Leggs and bottom = call doc so they are aware
 
  Im so excited for you! This could really be a break through for you!
*huggs*
dani
TWO roads diverged in a yellow wood,  
And sorry I could not travel both  
And be one traveler, long I stood


DiLane
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Date Joined Apr 2008
Total Posts : 68
   Posted 7/4/2009 9:41 PM (GMT -7)   
I had one done, and it didn't help at all; but of course, everyone's different. I also found the procedure unpleasant. The doctor did not let me lie face down. I had to sit on the table and keep my chin down. That's a terrible position for me or anyone with a neck problem. Good luck. Like I said, everyone's different.
Fibromyalgia, Arthritis, Chronic Pain, Hyperthyroidism, Cervical spine issues (DDD, spinal stenosis, bulging discs and more!), Depression, Anxiety.
 
Meds -- Oxycontin, Oxycodone, Lyrica, Motrin, Synthroid, Klonopin


anice
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Date Joined Apr 2009
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   Posted 7/5/2009 12:29 PM (GMT -7)   
Draka, I want to wish you success with your injection on Wednesday. I do hope it works for you and you get some relief.
Anice

Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 7/11/2009 11:43 PM (GMT -7)   
Well... here I am five days after my cervical epidural...... sigh.... nothing so far..... no relief..... I am feeling really, really depressed... which is so not like me..... I know it's still early.... I think I was expecting this to work right away.

The experience was not great for me.... it was with a different PM Dr.... mine does not do epidurals.

This new Dr was in and out.... very impersonal..... I waited for over an hour to get my name called... was told by other patients there "be prepared to wait... first he does rounds at the hospital and then comes to the office..... I had to sign so many papers..... no malpractice insurance and some forms that said you could have your lawyer read it over...... WHAT.... they even told me I had to sign their PM contract even though I was NOT getting any meds from them.... I refused and they told me I had to sign them.... I told them again NO.... finally the office manager came out and explained I was only there for the epidural.... I told them that!

I got really freaked out because I had to put my face in a flat pillow..... I COULDN'T BREATHE AND STARTED TO FREAK OUT..... I told the DR too..... he didn't really seem to care.... my current PM uses a comfortable doughnut pillow where your face is in the open area....

The Dr was the only one in the room the whole time... when he was done he instructed me to lay there..... it was no more than two minutes and a nurse came in and put a band-aide on me and said..... OK done... take a left and then a left again.... BYE

My legs were shaking so bad I thought I would fall down.... my arms and hands were tingling and I was scared and confused.... lucky thing I read about this here and on line.... because that office explained squat to me....

I have two more epidurals scheduled.... I think I am going to talk to my current PM Dr cuz I don' think I want to do that again...... I am sick of DR's who don't take the time and just cram in as many patients as possible..

I AM SO FRUSTRATED........................

Post Edited (Draka) : 7/12/2009 12:46:19 AM (GMT-6)


PAlady
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Date Joined Nov 2007
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   Posted 7/12/2009 1:14 AM (GMT -7)   
Draka,
I don't blame you for being frustrated. This is not anything like the experience I had with any of my edpidurals or nerve root blocks, and I've had several, from at least 3 different PM docs. There was always at least one nurse assisting. And there was always another nurse or aid who came into the room to help me up and out. Fact is, I had to have someone there to drive me home, or at one hospital they allowed me to take a cab.

I don't know if I'd return to that doctor.

But sometimes epidurals don't work. Usually you're sure by the second one. But seeing as how you were treated by this doc...

I also had to put my head down into a pillow, although I turned my head and rested my forehead on my arm. I have to do that or my neck would be really a mess. But you're right - it always amazes me they take so little care for the position of the entire spine, including the neck.

((((((((((Draka))))))))))

PaLady

Mrs. Dani
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   Posted 7/12/2009 9:24 AM (GMT -7)   
     Dear Draka,

     Good Morning *warm huggs* I am very glad to see you. I LOVED your poem.  :-)

    Your injections.... I am a little worried. Here's why... I always have a nurse for my doctor and another nurse that checks me, like my blood pressure and stuff. The pile of pillows and rolled up and folded blankets, etc takes the nurses a while to get me where my back is... as straight as posisble (straigth curves LOL) for my doctor and his "picture taking" machiene...but also for my comfort. So that is odd it was just the both of you alone and such little care was taken in reguards of your comfort.  It bother me greatly, hearing you tell us about that part.  I dont get the impression my guys are treating me differantly than anyone else. ... I really think you deserve more personal care. I hope this is not always to be the case with them.

    My injection may be diffirant but... They don't begin to start releiving the pain for like a whole week. serious. I told my doctor this and he shook his head "yes" like it was all normal and we continued on with conversation. Also! I dont know about anyone else but, it took about 2 to almost 3mos before we got just the right types of injecitons in all the right areas. I HOPE he sent you home with a peice of paper called a "Pain journal" or "Pain chart" where you mapp out your pain? when is your post procedure follow up?

    Frustraited to say the least! I still have to fight back fear before each procedure.. Im afraid if I were treated in the same fashion as you... i wouldda cried. I just cannot imagine how hard that must have been for you. I know it took a long time to get to this Pain Management doctor... but maybe? You might want to inquire about other .. professionals that your current doctor can recommend. 

**huggs!!**

dani


TWO roads diverged in a yellow wood,  
And sorry I could not travel both  
And be one traveler, long I stood


Draka
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Date Joined Jun 2009
Total Posts : 256
   Posted 7/12/2009 11:00 AM (GMT -7)   
Thanks for the responses PAlady and Dani..... greatly appreciated!


Dani.....ummm.... NO... I didn't get any pain journal or pain chart..... nothing like that mentioned at all..... I didn't even get a blood pressure monitor on my finger like when I had my facet injections.... it was all very surreal.


I am not going back to that DR...... it's my health and I deserve to be treated at least a little better..... I was really surprised by it all...... the nurse that took all my info informed me she called the Dr the "blue flash" she said he's in and out.... you'll see..... no.... not my cup of tea..... I demand better treatment!

I was scheduled for two more epidurals... with a two week time frame.... gonna find another Dr.... oh the joy of the run around yet again.....

Thanks everyone....

PAlady
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Date Joined Nov 2007
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   Posted 7/12/2009 11:26 AM (GMT -7)   
Draka,
I don't know the waiting time for every procedure, but I had a follow up appointment after a couple of weeks (usually took longer because the doctor was so booked) but the injections were scheduled to be 6 weeks apart.

Something doesn't seem right here. I'm glad you're going to look for another doctor.

PaLady

White Beard
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Date Joined Feb 2009
Total Posts : 3611
   Posted 7/12/2009 4:38 PM (GMT -7)   
Draka

I have had two cervical epidural injections recently with the last one being arount the 11 th of June, the first one I had it took a couple of days to get relief, but the relief only lasted 2 days, the seconded one I got the 11th well I noticed on July 4th that the pain was coming back and now it is like before I had the injections! But normally I only get about 3 weeks of relief from the epidural spinal injections, so this last one is about right! Actually I have the Cervical injections to be the easiest for me! I sure don't like the Thorasic injections at T8 or T12, and I am not overly fond of the injections at L4/5. Anyway I do hope your next injection gives you more relief! It sounds like that Pain Doctor could use a course in how to deal with and treat patients! Your paying for his services so he works for you! That make you his boss!

Good Luck to You

White Beard
Moderator Chronic Pain
 
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merrygirl
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   Posted 7/12/2009 4:50 PM (GMT -7)   
wow your experience was totally different than mine. there were 3 people in the room. I had oxygen, bp, pulse ox and even a heated blanket! I was shocked! my face was in a hole in the table.
I think you need to go somewhere else! i think my imjections were 2-3 weeks apart at first and my last one is 4 weeks apart.


I a sorry it was like that for you.
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skeye
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   Posted 7/12/2009 8:12 PM (GMT -7)   
Hi Draka,

I'm sorry that your experience with the epidural wasn't very good & that it has not seemed to work. I've never had an epidural, but I have had many nerve blocks done, several of which were done in my neck, just above the vertebrae. I didn't get any relief from any of my blocks, but I at least had my PM, two nurses, a C-arm (fluoroscope) technician, and an anesthesiologist in the room each time! And they were very particular about the positioning. It definitely sounds like you should be looking for someone or somewhere else to do these injections. You don't want to have to compromise your safety just for some possible pain relief! Hopefully next time will be better!

Skeye

Draka
Regular Member


Date Joined Jun 2009
Total Posts : 256
   Posted 7/23/2009 6:40 AM (GMT -7)   
Hi Everyone,

Yesterday I had my second epidural injection..... it was with the same Dr that did the first one.... I did end up telling my current PM Dr about how rushed and uncomfortable the first epidural was.... my Dr. told me this was a very reputable Dr and he does so many of these procedures they are like second nature to him.... so I went back for my second injection at his advice...

This time I asked for a better pillow...... it didn't seem as rushed... I didn't have to wait very long..... the Dr was still the only one in the room.

I was very nervous and called my current PM Dr to ask for 1 pill to help me relax.... they wouldn't give me anything.... they told me to ask the Dr doing the epidural..... I explained I couldn't get ANY MEDS from him since my current PM Dr is prescribing my medication... Good lord.... I was asking for 1 pill.... nope they wouldn't give it to me... turns out I didn't need it I did fine but still the whole system is crazy...........

No relief yet... I get my third epidural two weeks from now.... just had another cervical MRI.... in August I have a appointment with a surgeon.

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 7/23/2009 8:03 AM (GMT -7)   
Did they instruct you to ice the area for the first 24 hours after the injections!
if not they should've..as it's very sore after the injections..If I was you, I'd get another PM doctor altogether..
If this is the best guy to be referrred out too...Geezee...You have a right to be treated better...
So very sorry your going thru this stuff from these bad doc's....
I had an doctor that was injection crazy and I fired him, he hurt me so bad and never explained things..
on the day of the injections, I get all preped and taken back when he tells me they're not going to sedated me,
so they straped me to the table and he did ten facet injections, I remember each and every one as I cried out
and they kept saying you need to be still, this was for my lower back, I hurt for days after, even after icing my
back for 24 hours and I still have nightmares on occassions from this..and I never went back to him and refused to pay his bill
for a year, kept putting this bill is in dispute on it......
I don't care who the doctor is these injections should be done while your sedated period ...
that's my 2 cents worth..
hope you seek out a better doctor...
soft hugz to you...
(((((((((((((((((((((((((((((((((((((((Draka))))))))))))))))))))))))))))))))))))))))))))))))))))))
**********************************************
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc, Fibromyalgia, Gerd,
Enlarged Pituitary Gland, Sjogren's and Ocular Migraines

********>^..^<********>^..^<********>^..^<********

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