Gotta Love ESIs

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

BethW
Regular Member


Date Joined Mar 2010
Total Posts : 132
   Posted 5/11/2010 11:58 AM (GMT -7)   
I had an ESI yesterday (L4/5 and L5/S1). The hardest part of the experience was the stupid IV. I guess I have a little scar tissue built up in the crook of my elbow where she put the needle. OUCH. Did she try someplace without scar tissue? Nah... just break on the through to the other side (to quote The Doors). Then I went into the procedure room, and nurse anesthetist Steve (I love Steve... in a purely platonic way, of course) mixed up a potent cocktail of phenergan and fentanyl. (I remember mentioning an article I saw about the military developing t-shirts that block radiation, and that I thought they should look into that technology for him and the other guys in the procedure room... and then I vaguely remember the trip home... ). I came home, slept for a couple more hours, and then I was good to go.

Today, I'm a little sore (I have a nice bruise from one of the injections). I hope this one takes. I've had a couple not take, and with the changes in the insurance, I'm not sure I can afford too many failures. KWIM?

Hope everyone's having a LPD.
DDD (4 levels- L2-3 thru L5-S1)


MsBunky
Veteran Member


Date Joined Jan 2010
Total Posts : 1097
   Posted 5/11/2010 12:27 PM (GMT -7)   
Hi Beth,

I'll be praying for you and crossing my fingers that this "takes" for you too. It's so frustrating to go thru all the prep and then have no meaningful results afterwards.

It sounds like Steve really knows how to treat you right!!! I love those cocktails that put you out so completely that you are aware of nothing! I usually get something like this before seeing the dentist, as I am terrified. Too bad there isn't a safe cocktail like this we could take everyday to forget our pain!!!

Hope it all works out for you!

hugs,
Pam
Conditions: Fibromyalgia, Myofascial Pain, Chronic Pelvic Pain (with permanent muscle damage), Femoralacetabular Impingement (CAM and Pincer), Reynauds, IBS, Surgical Adhesions, Ophthalmic Migraines, Severe Hot Flashes (both Surgical Menopause and medication related), plus physically unable to vomit due to the Nissen, and I have extremely tiny veins with a lot of scar tissue...a joy when it comes to having to give blood or get an IV started

Surgeries: Appendix, Uterus, Nissen Fundoplication for GERD, Left Ovary, Gallbladder, Right Ovary, TVT

Medications: Oxycontin, Cesamet, Tramacet, Cymbalta, Flexeril and Clonidine plus Laxaday, Vitamin D and a Multi-Vitamin daily


deb in indiana
Regular Member


Date Joined Aug 2005
Total Posts : 387
   Posted 5/11/2010 12:29 PM (GMT -7)   
Ya the i.v. the worse for me to they can't find a good vein but the injections always help me from the neck to the lower back i hope it works well for you Deb

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3611
   Posted 5/11/2010 1:01 PM (GMT -7)   
You know I have heard this mentioned before about getting an IV Cocktail to put you out for these epidurals, now I am serious when I ask this, do they really do that? I have had many many epidural steriod injections, ranging from getting them in my Cervical spine and Lumbar spine, and having to have a specially trained Doctor put them in my Thorasic spine at T4 and T8 and T12 and over the years and at 4 different clinics and hospitals, I have never been offered or given the choice of receiving IV sedation. On all of them that I have had, they have always done the Lidocaine injection first, to numb the outside area, then done the injection. I will admit one of the worst injections was at T12 when after 4 or 5 tries to get the needle in, he finally had to go down to T1/2 and inject it there! I was in tears that time. But untill I have heard people mention it here on the forum, I never knew they did that! One time I did take the Xanax that they offered me, but it was only ten minutes before the injection, and it really didn't do anything till a half hour after it was over. Duh!!! You learn something every day I guess!

White Beard

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/11/2010 1:07 PM (GMT -7)   
White Beard,
That's how all my epidurals, nerve blocks, etc. were done - no IV sedation. Actually, I didn't want or need any. But I'm one who would rather have less grogginess afterward. I think I've had some pretty skilled docs do them as the lidocaine injection in advance always did a nice job, and yes, I'd feel a little pressure with the deep needle in but nothing worse than what I tended to feel every day! I think one of my docs said they did have a few people who got IV sedation, but mostly it was for people who had a lot of anxiety and couldn't handle the process. They said I could have it if I really wanted, but I always declined, as I even drove myself home after some injections. Then iced the areas for a day or so. And I usually went back to work the next day, when I was working. But I'd bring ice packs with me and sit back on them in my chair. Amazing what you can do when you're alone, and have no sick time.

PaLady

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 5/11/2010 2:18 PM (GMT -7)   
PALady and White Beard, ya'll are tough cookies in my book.  I was literally moaning in pain when they did my injections.  They were so bad, in fact, that they stopped before the last "set" was done.  I know I couldn't use the numbing meds because they burn my skin, but none of the meds helped a bit that last time.
 
My hat is off to you guys!  I must be a wimp wink
Retired Mom


deb in indiana
Regular Member


Date Joined Aug 2005
Total Posts : 387
   Posted 5/11/2010 2:39 PM (GMT -7)   
My old pain doctor would do them with out knocking you out but my doctor now puts you to sleep everyone and you have to have a driver or you don;t leave till you do Deb

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/11/2010 3:02 PM (GMT -7)   
Retiredmom,
You're not a wimp! If I hadn't had the numbing agent in advance things would have been very different, I'm sure. And when I had to have the diagnostic nerve blocks, prior to my fusion surgery (along with the discogram, which was a waste of time as it never really located anything) I didn't have any numbing agent as they needed me to give them feedback as to where the problem was. Then once they found the location, at the end of it all they gave me a short acting steroid because I was moving in the direction of surgery by that time.

And Deb, I was "required" to have a driver each time, too. Now I cheated a bit on some of the injections. The first time my cousin brought me as I didn't know what I'd experience. They kept saying my leg might go numb. Well, it never did (and the injection never helped my pain, either). So for some of the injections, I just told them my cousin was waiting outside to pick me up and walked out to my car. But technically, I was supposed to have a driver at all of them. At the teaching hospital where I had my surgery & diagnostic nerve root blocks, they allowed me to take a cab back and forth to my cousin's, where I was staying, so she didn't have to take off of work. Up closer to me, they won't let you take a cab which to me is crazy, especially since I don't have IV sedation. I mean, I'm not asleep or anything! rolleyes

PaLady

BethW
Regular Member


Date Joined Mar 2010
Total Posts : 132
   Posted 5/11/2010 4:53 PM (GMT -7)   
My neurosurgeon did my first few ESIs, and he just used a little lidocaine. I was not a happy camper. He then sent me to my current PM doc, and they do conscious sedation. Honestly, I usually have NO idea if I was conscious or not during the procedure- there has only been a time or two that I remember anything about it. I do, however, usually remember the recovery room and at least part of the trip home. I seriously doubt I'd get as many ESIs as I do if I had to be wide awake (and remembering everything) for them. Those first few were horrid... but they did work.
DDD (4 levels- L2-3 thru L5-S1)


Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 5/11/2010 6:30 PM (GMT -7)   
WhiteBeard,
there was only one time where the doctor did not give me IV sedation for epi's with 2 nerve blocks for a total or 8 to 10 injections,
I felt each and every one after the lidocaine and I swear they kept telling me to hold still and I was belted to that table wanting to get up and run...
I left that doctor after those, never again I really changed doctor because of that and that he never told me about this till I was belted down, geezee the pain and soreness
and I had a asthma flair in recovery and no one could help me, Never again......(sorry about that Beth)

Beth you remember to put on ice today that'll help with that soreness...
(((((((((((((((((((((((((((((((((((((Hugz to all))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))
Beth I Hope these will help you, keep us posted...
**********************************************
* 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"...

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


BethW
Regular Member


Date Joined Mar 2010
Total Posts : 132
   Posted 5/11/2010 6:46 PM (GMT -7)   
I've iced it as much as I could... I had to teach this morning, so I had about 5 hours of no ice. Besides that, I'm doing an on/off schedule that should help.
DDD (4 levels- L2-3 thru L5-S1)


White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3611
   Posted 5/11/2010 7:53 PM (GMT -7)   
The last two times I had the epidual steroid injections in my neck actually they gave them in the base of my neck around C5/6 and then threaded the cath up to C2/3 all they gave me was lidocaine, and I had no driver, although I was suppose to have had one. But I didn't. But I had no sedation either! I am in a situation where....well I don't have anybody and I really don't want to have to ask a neighbor or somebody from church to take me to and from my appointment. It is a 35 to 40 mile drive one way! The thing that I always felt, was the worse pain was the lidocaine injection! The actual injection was mainly just the feeling of pressure. I am not going to tell you I didn't hurt afterwards, but I have so much pain most of the time anyway. I mean even with the meds, most of the time I have a reasonable amount of pain. And I have for years and years. I guess have a hard time judging pain, like on the 1 to 10 scale. I take my pain meds and I know without them its unbearable, but with them I can't ever say I am pain free! There are allot of times I hurt so bad, like the neck and back of my head from C3 it is always there, like a bad tooth ache! But the lower back only knocks my socks off, when I am standing washing dishes or folding cloths or something like that, the contortions I do when trying to do that, would probably make most people think.......well I don't know what they would think! But it is just what I have grown use to I guess!!

Anyway does icing really help after the injection? I don't ever remember doing that either, but I have used ice on my back or neck at times for pain and especially spasms.

White Beard

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 5/11/2010 8:45 PM (GMT -7)   
Beth,
I'd sure take the horrid injections w/IV sedation if they worked! Now that would be worth it. The only injection that ever helped my pain was an SI joint injection, but it only helped the pain localized in that area, not the sciatic stuff, or the sensations in my feet.

And Chart - 8-10 injections at once? Wow! I've never had more than a couple at once; no wonder you need sedation!

The only time I ever had several done at once was the diagnostic nerve root blocks. They had me on a table with the CT scan unit and kept injecting various places - facet joints at different levels, discs, etc. to see if they could find the location of the pain, but that was prior to surgery. And I have to admit that was no fun.

PaLady

michelleAddison13
New Member


Date Joined May 2010
Total Posts : 13
   Posted 5/12/2010 7:58 AM (GMT -7)   
my first doc gave me the injections blind, no sedation no fluoroscope, just some cold spray and bam! giant needle jammed into my neck and/or low back... the second doctor was shocked and appalled that he did that... especially since most people will twitch or cringe once the needle punctures the skin, and then where will the needle go??? the next ones were under sedation, with fluoroscope, and about 1000 times less stressful... they didn't work unfortunately, but they didn't traumatize me at least!!

deb in indiana
Regular Member


Date Joined Aug 2005
Total Posts : 387
   Posted 5/12/2010 11:14 AM (GMT -7)   
Where i go you have to have a driver be there and sigh a paper and after you are done they have a nurse wheel u out side and your driver comes around and gets you Deb
New Topic Post Reply Printable Version
Forum Information
Currently it is Thursday, December 08, 2016 9:13 AM (GMT -7)
There are a total of 2,734,678 posts in 301,234 threads.
View Active Threads


Who's Online
This forum has 151347 registered members. Please welcome our newest member, Marie34.
369 Guest(s), 11 Registered Member(s) are currently online.  Details
Bololidat, Chanymom, mikeb2308, astroman, Loutucky, LG13, iho, NiceCupOfTea, pmm73, joavila92, YiyiBoo


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