Epidural Injections

New Topic Locked Topic Printable Version
[ << Previous Thread | Next Thread >> ]

MikeJ
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/12/2010 11:43 PM (GMT -7)   
I have been approved to begin epidural injections at the C6 C7 due to 3.8 mm disc protrusion producing neural foraminal stenosis.  I have several of these bulges, but this is where they want to do it.  I am afraid to do this.  Do many people regret doing these?  Are they generally safe?  I just don't want to be worse off.  Thank you for any help.

denoli82
Regular Member


Date Joined Apr 2010
Total Posts : 35
   Posted 4/13/2010 12:21 AM (GMT -7)   
Ive had them with some help lasting only a month. I'll be getting more of them soon. dont' worry

bsjaguar
Veteran Member


Date Joined Jun 2009
Total Posts : 974
   Posted 4/13/2010 3:20 AM (GMT -7)   
First off, welcome to the forum Mike. I've had many epidural injections through the years and normally didn't get much relief from them. The longest & most successful was at a bulging disc at L-2/3 which I got 3 months of relief from. One thing you should realize is that any injection is not a cure. They are only meant to give short term pain relief. Everyone is different on how they respond to injections so no two people are going to be able to give you steadfast results that you can rely on. I've never regretted trying anything that would possibly help with my chronic pain. It is a never ending journey that we are all trying to find an end to.

There is alot of information on the web regarding epidural injections and I'm sure there will be more members popping in to try to help you out. This is a decision you will have to make with the help of your doctor. You never know if something will work until you try it. Good Luck & keep us posted.

Do you have degenerative disc disease which is causing your bulging disc?
---Jag---
 
DDD, osteoarthritis, facet syndrome, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus surgeries left knee 2000 & 2002, buldging disc L-2/3


Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 4/13/2010 9:03 AM (GMT -7)   
Hello MikeJ! Welcome to the CP forum! Sorry to hear of your neck problems. I too have had several Epidurals, and some of them worked pretty good for a while, and some of them didn't. If you have been approved for them, I would defiantly take advantage of it.
Most of the insurance company's will cover up to three injections a year, and I have talked to several nurses and people who have said to plan on getting at least a second one before you decide it it is working or not.

Most patients will not receive the maximum effect of the Epidural for at least two weeks after the initial injection.
Also, if you are offered sedation, I myself would strongly encourage it, as it can be pretty uncomfortable.

I have to agree with Jag, in that the Epidural is not a cure, but really mask the problem, by giving you some temporary relief.
Be careful with your activity's, if you get to feeling better after the Epidural, as you could do more damage to your spine, than you have already.

Good luck to you, and please keep us updated on your decision and or progress.

Also, we ask new members to please read the forum rules when they get a chance, and please feel free to read the Chronic Pain 101 that has been posted by our Moderator (Chutz). There is some great information for all to read.

SE
DDD (Degenerative Disk Disease) S1-L4-L5, Heart Attack 2002, Angioplasty to clear blocked Artery and to implant Stent. Six Epidurals, Disocgram, Melanoma Cancer 07, Lumbar Fusion March of 2010, Four cortisone injections Tendinitis in Elbow.


Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 4/13/2010 9:22 AM (GMT -7)   
 
 
   Dear MikeJ,
 
     Good morning. My name is Dani. It is very nice to meet you. I hope you find Healing Well Community to be a nice relaxing place to be. I know it is like a second home to me.
 
      I get "Injection Series" (Epidurals of cortisteroids) done regularly for 2years now. They are part of a detailed pain management regimine and they are of tremendous help to me. I have "series" done to the most injured areas of my spine. My only wish is that I could have more of my spine done, but there is a limit to the amount, types, and peroid of time inbetween each. 
 
      The injections (epis) work great for some, and not so great for others. I do not know why that is. But, here is alot of information you might find usefull.
 
     http://emedicine.medscape.com/article/325733-overview

Nerve Blocks
A nerve block is an injection of medication onto or near nerves. The injected medication may include a local anesthetic, steroid and narcotic.

  • Facet Joint Block and Medial Blocks
    Joint inflammation between the spinal bones can cause back pain. A facet joint block is an injection of local anesthetic and steroid medication into the joint. A medial block uses similar medication injected outside the joint space near the nerve that feeds that joint.

  • Peripheral Nerve Block
    Paresthesias are sensations described as numbness, tingling, or a ’pins and needles’ feeling. These sensations may be caused by a disturbance in the peripheral nervous system. The nerves outside of the brain and spinal cord are the peripheral nerves. Sensory peripheral nerves transmit information to the central nervous system. Motor peripheral nerves transmit information from the brain.

  • Selective Nerve Root Block (SNRB)
    Pain and discomfort from cervical or lumbar radiculopathy may be relieved by a SNRB. A radiculopathy is irritation and inflammation of a nerve root that serves a particular body part (eg arm, leg).

  • Sympathetic Nerve Block
    Sympathetic nerves regulate part of the autonomic (involuntary) nervous system. This includes such bodily functions as sweating and blood flow. Conditions causing chronic pain often involve the sympathetic nerves.

Epidural Steroid Injections
The epidural space is the space surrounding the membrane that covers the spinal cord and nerve roots. Disorders such as spinal stenosis and herniated disc can cause nerve irritation, inflammation and pain. An epidural injection places anti-inflammatory medication (eg steroids) into the epidural space. Epidural injections are performed in the cervical, thoracic and lumbar spine.

Sacroiliac Joint Injection
The sacroiliac joint is the largest joint. It is located in the lower spine above the tailbone. Inflammation of the sacroiliac joint can cause low back and buttock pain. An injection of an anesthetic and steroid may help relieve joint pain.

http://www.spineuniverse.com/conditions/back-pain/low-back-pain/epidural-corticosteroid-injections-low-back-pain

 

     I hope you can find a few moments to relax today. Again, it was a pleasure to meet you and I look forward to getting to know you a bit better.

 

*hugg*

   dani

 


 

 

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

 

 


MikeJ
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/25/2010 10:13 PM (GMT -7)   
Thank you for all of your comments and information.  I guess my question goes back to is the risk low for having any adverse problems for most people getting these injections and in my case epidural injections in the neck?  Is this a safe procedure or is it better to just put up with the pain? I listed my problems like some of you did.
Rt. carpal tunnel release and rt. ulnar nerve transposition; left
carpal tunnel release and cubital tunnel release; lt. shoulder impingement with 5 cortizone injections; lt. bicept tendonitis, lt. and rt. tennis elbow, c6-c7 3.8 mm disc protrusion producing neural foraminal stenosis, c5-c6 3 mm disc protrusion, c3-c5 2.8 mm disc protrusion, mutilevel loss of intervertebral disc heights, lt. cervical radiculopathy.


Chutz
Veteran Member


Date Joined Jan 2005
Total Posts : 9090
   Posted 4/25/2010 10:42 PM (GMT -7)   
Hi Mike and Welcome!

I've had injections in the L5/S1 area and for me they didn't do much. Mine were steroid injections and being a diabetic on insulin these are hard on my body as they raise my blood sugar levels by more than triple for several days following. BUT, they do help many people.

The one thing that is often more risky as far as outcomes go is spinal surgery. Even my surgeon who did my wrists and trigger releases shared that most people who have spinal fusions and the like will have their pain return by about 2 years out. Not everyone but a large majority.

If I were you I think I'd go ahead and give it a try. Injections are image guided so the doctor can place the medication exactly where it belongs so it's quite precise.

I hope by reading all of the opinions here that you can make a decision you are comfortable with.

Chutz
Gravitation is not responsible for people falling in love.
Albert Einstein

(\_/)
(o.o)
(> <) Co-Moderator Fibromyalgia & Chronic Pain Forums
Fibromyalgia, PTSD, UC, Diabetic on insulin, collapsed disk, arthritis scattered around and a few other delights.


BethW
Regular Member


Date Joined Mar 2010
Total Posts : 132
   Posted 4/26/2010 6:02 AM (GMT -7)   
As others have said, there is risk, but it's "minimal", especially compared to other procedures (surgery, etc.). As a matter of fact, I'm planning on calling my PM and scheduling another epidural injection. It's about that time again.
DDD (4 levels- L2-3 thru L5-S1)


Red_34
Forum Moderator


Date Joined Apr 2004
Total Posts : 23427
   Posted 4/26/2010 6:32 AM (GMT -7)   
I've had 6 injections in my neck over the course of two years. I am so glad I had them done as I was in a lot of pain. The needle is xray guided and at first they will give you a numbing medication before the cortisone injection. I was very afraid to have the first one done but nurses were telling that the procedure is fast and almost painless. They were right. The numbing med sort of stings a bit and the cortisone injection leaves a warm rush like feeling in your arms but it doesn't hurt. After the shot, you go home, take it easy for the day and ice the injection site. It's now been 1 year since my last injection and so far so good :)
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(6 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate ALL mesalamines**~Allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome~Sacroiliitis~bulging and herniated discs C5/C6 & C6/C7~Epidural injections (2 series of 3), OA (hands and spine)-Tylonel Arthritis, Celebrex, Fibromyalgia (diagnosis pending)
To help Healingwell - click here: DONATE
 
 
 
 
 

 
 


Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 4/26/2010 7:09 AM (GMT -7)   
For me yes I reget getting the injections for my neck, but the injections that they did for my lower back I
never had problems with, but when they did my neck, it left my neck very very stiff for a few months and
with the weird sensation of something being on my neck, I will not get the inections for my neck again...
but that was my insight, many people here have had them done without any problems..
You'll need to ice the site for the first 24 hours, so get a good soft ice pack, don't plan to do anything
for that time frame either, so get them done on a wednesday or thursday so you can have Friday off and the weekend to rest up on...
I would say get them, to see if they can help you...later on my neurologist said the injection would not help me
as the space that my nerves go down is probably smaller and pressing on all my nerves, narrow spacing of the bone
at the T1 level is what she thought, after getting EMG testing/ after my first injections, maybe ask about getting an emg testing
if the injections don't help...
I hope this help and good luck in what you choose...
((((((((((((((((((((((((((((((((((((((((((Mike)))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))
**********************************************
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc (Lower Lumbar S1-L3 and Cervical C5,C6, C8 and T1), Fibromyalgia, Gerd,
Enlarged Pituitary Gland, Sjogren's, Ocular Migraines, mild carpel tunnel, ect.... "Would be nice if we could use the edit button in real life"...

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


Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 4/26/2010 8:27 AM (GMT -7)   
Hello Mike! More than likely the Dr. performing the Epidural will use a device called a Fluoroscope, that allows him to see where the needle needs to be inserted. Yes there are some risk there, but i have never met anyone who has had complications from it. Like Chutz, I would advise you to give it a try. I have had several of them (Six) and many of the members have had a lot more. I did receive relief in my neck from them, but did not do so well with the ones in my lumbar area.

The only thing I would advise is, sedation if it is offered, as it can be very uncomfortable to a patient. Also, make sure you ice the area for the first 24 hrs, as this may help with any soreness you may feel afterward's.

Good Luck to you, and make sure you post a reply when you get to feeling better.

SE :)
DDD (Degenerative Disk Disease) S1-L4-L5, Heart Attack 2002, Angioplasty to clear blocked Artery and to implant Stent. Six Epidurals, Disocgram, Melanoma Cancer 07, Lumbar Fusion March of 2010, Four cortisone injections Tendinitis in Elbow.


MikeJ
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/27/2010 8:06 PM (GMT -7)   
Thanks again to you all for the information.  I think I need to add to my problems being neurotic.  I didn't used to obsess and worry this much before all my problems began or at least I think I didn't.  I had a bilateral nerve conduction test done today.  It didn't hurt at all this time.  Last time it hurt more when they stuck the needle in my hand and neck.  This time- no.  My carpal and cubital tunnel are acting up on my right side since I had a heavier work load at work.  The Dr. said that the readings still show moderate to severe.  I don't know if a second carpal tunnel release would help.  Anyone ever had 2 carpal tunnel surgeries on the same side?  I don't want to do the elbow again.  I am probably going to do the epidural but don't want to say it in case I chicken out.
Rt. carpal tunnel release and rt. ulnar nerve transposition; lt. carpal tunnel release and cubital tunnel release; lt. shoulder impingement with 5 cortizone injections; lt. bicept tendonitis, lt. and rt. tennis elbow, c6-c7 3.8 mm disc protrusion producing neural foraminal stenosis, c5-c6
3 mm, c3-c5 2.8 mm, c2-c3 3 mm, t8-t10 2.5 mm disc protrusions, mutilevel loss of intervertebral disc heights, lt. cervical radiculopathy.


MikeJ
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 4/27/2010 8:09 PM (GMT -7)   
Dear Chartreux:
Did your neck go back to normal after some months after the injection?  Thanks.
Rt. carpal tunnel release and rt. ulnar nerve transposition; lt. carpal tunnel release and cubital tunnel release; lt. shoulder impingement with 5 cortizone injections; lt. bicept tendonitis, lt. and rt. tennis elbow, c6-c7 3.8 mm disc protrusion producing neural foraminal stenosis, c5-c6
3 mm, c3-c5 2.8 mm, c2-c3 3 mm, t8-t10 2.5 mm disc protrusions, mutilevel loss of intervertebral disc heights, lt. cervical radiculopathy.


MikeJ
New Member


Date Joined Apr 2010
Total Posts : 6
   Posted 5/12/2010 12:08 AM (GMT -7)   
Well with help from my wife, I went ahead and had the epidural injection on Monday.  I was supposed to go in early on that day to have it done around 6 am.  The doctor had so many patients, they rescheduled me for 10:00 and I did not go in until 1:00 pm.  I put the gown on and laid down on a chair bed thing.  They took my medical history and hooked me up to an IV.  They were going to do some sedation, so I told the doctor that the anethesia always makes me sick.  He told the nurse to put some anti-nausea medication into the IV.  Like other doctors that I had before, he seemed a little discontected from me.  I then saw the anethesiologist walk by and told him that he would have to get my old chart to see what anethesia they gave me before as I get pretty sick from it.  They then took me into the operating room and had me lie on my back with a board in the middle of my back to make my neck stetch backwards.  I had about thirty seconds then before they were going to put me out and finally I asked the anethesiologist what medications I was on before and he said at the last minute that they gave narcotics as well the last time and that was probably what made me sick so he said that he would not put that one in.  The doctor then began swabbing me with iodine I think and then they put some towels over my eyes probably so that would not see the needle.  The next think I knew I was waking up in the recovery room.  I felt dizzy and had a head ache, but it was not as bad as my 2 other operations.  Later I changed and they took me in the wheel chair to the car with some instructions.  The next day I continued to feel dizzy which is today, but that is because I am sensitive to the anethesia.  My shoulder and neck pain seem to be a little better after the injection, but it is still hard to tell at this point.  I guess I glad that I am trying it and that it is over.  I don't know how many more I will try and when.  I going back to work tommorow. 
 
I went to have a second opinion for my shoulder impingement last week.  The doctor took 1 x-ray, touched me on the shoulder and asked me if it hurt, and had me raise my arm over my head.  He had none of my medical records or previous MRI's.  I felt like he just wanted to get paid and get me out of his office.  I had a copy of medical records myself which I brought with me, so I gave them to him.  He barely looked at them.  His recommendation was to get the epidural- if it helps then maybe most of the pain is coming from the neck and not the impingement.  If it does help then maybe it is the impingement.  I kind of think that I have both, but maybe more pain is coming from the neck.
Rt. carpal tunnel release and rt. ulnar nerve transposition; lt. carpal tunnel release and cubital tunnel release; lt. shoulder impingement with 5 cortizone injections; lt. bicept tendonitis, lt. and rt. tennis elbow, c6-c7 3.8 mm disc protrusion producing neural foraminal stenosis, c5-c6
3 mm, c3-c5 2.8 mm, c2-c3 3 mm, t8-t10 2.5 mm disc protrusions, mutilevel loss of intervertebral disc heights, lt. cervical radiculopathy.


JenAKAjWoW36
New Member


Date Joined Jun 2012
Total Posts : 1
   Posted 6/6/2012 11:00 PM (GMT -7)   
I have recently been approved for an epidural injection in C5/C6 area( I did have to complete PT once agian which was my 4time there within 2 1/2 yrs).  I'm not even sure which one will be injected....And I am so extrmely scared.                                                                                                                                                                    I know that a muscle and a nerve runs past both C5 and C6 and what if they hit my nerve??  I know this bcuz I actualy have NO pain at the site of the injection...its my lower back and tail bome where the pain is at is worst. I am a caregiver whom works with a women whom had a stroke almost 3yrs ago and her Left side unable to work properly at all. Therefore, I see her day to day struggles and its hard to see a younger women like this....and im terrified something may go wrong with the procedure!
I have had triggerpoint injections and cortisone ones as well.  Its just Im getting put under for this one.  And I have a fear of needles  I just pray that things go well and that I at least get some relief.  It makes me so fusterated with the man whom caused my back pain....by rear ending my vechile.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13481
   Posted 6/7/2012 9:35 AM (GMT -7)   
Hi Jen and welcome to the chronic pain forum. Please note that you have posted on a very old thread and not many people will see your post here. We ask that new members start their own intro post so that all the members will see it and be able to give you a proper hello and welcome aboard.

Try not to worry so much about having the ESI done. I am sure the tech that does them has done these many, many times. What does confuse me is you say your back pain is worse than your neck, why are they doing your neck?

Anyway, I wanted to pop on and ask you to start a new post of your own and say hello......Susie
Moderator, Chronic Pain Forum & Psoriasis Forum
New Topic Locked Topic Printable Version
Forum Information
Currently it is Saturday, December 10, 2016 7:22 PM (GMT -7)
There are a total of 2,736,161 posts in 301,356 threads.
View Active Threads


Who's Online
This forum has 151449 registered members. Please welcome our newest member, iwanttocry.
280 Guest(s), 8 Registered Member(s) are currently online.  Details
bluelyme, Ides, jennydancingfish, Xmaslover, platinumpixie, Tall Allen, julymorning, Peter A


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer