Caudal Epidural?

New Topic Post Reply Printable Version
26 posts in this thread.
Viewing Page :
 1  2 
[ << Previous Thread | Next Thread >> ]

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/19/2010 2:19 PM (GMT -7)   
Can any of the experts here, tell me if a Caudal Epidural might give me more relief or if it might speed up the healing process from my Double Lumbar Fusion?
My pain has returned, and seems to have plateaued to a constant 3-4 pain rate. This is so disgusting to me! :(
I hate it! I hate pain meds as well! :( I'm in my sixth month of recovery here, and cant stand the thought of 6 more months of recovery!

My fusion is L4-L5, L5-S1


SE
"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 8/19/2010 3:03 PM (GMT -7)   
Hi SE,
 
I'm sorry to see you are still having problems.
 
I don't know the exact procedure you are talking about, but the Nerve Ablation helped me significantly for about 6 months and is still helping some.  I'll have another if I can.  My pain was at a 7-8 at 6 months Post-Op even with meds, but went down to a 3-4 after the nerve ablation (still with the meds and a slight increase in meds).  There are other problems going on now, so I can't say for sure what the result might be, but I did want to suggest the NA if you find that it is right for you.
 
All my best!
Retired Mom

tmjpain
Veteran Member


Date Joined Oct 2008
Total Posts : 2022
   Posted 8/19/2010 4:07 PM (GMT -7)   
Gosh Michael I wish I could help you. I hate to see you in pain still. sad
I hope someone comes along here that has experienced this or as I mentioned a call to your surgeon should give you some answers.
Know that I care about you and love you. I pray that your pain will diminish and you can be that superman again!!!
 
Huge hugs
 
One day at a time!!

SUZANE

mama6
Regular Member


Date Joined Jul 2010
Total Posts : 416
   Posted 8/19/2010 4:26 PM (GMT -7)   
Michael,
I don't know the answer for you, I am so sorry. I just wanted to say how sorry I am to hear that you are back in pain. I had wished that you would continue to feel better. Please take care of yourself. Heather
Big Hugs, Mama6

DX. with Fibromyalgia, Narcolepsy, Poss. RA or Psoratic Arthritis, Herniated disc 3x in last 7 months
Meds: Nuvigl, Cymbalta, Tramadol

Mother to 5 wonderfull kids. Oldest is 18 and just left the nest for animation school. Youngest just started 2nd grade. So I am crazy, and feeling my age plus some.

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13479
   Posted 8/19/2010 5:11 PM (GMT -7)   
SE if the problem you are having is from nerves being inflamed then this may or may not work. They can be done like the regular ESI's in a series of three spread out over weeks. The only healing involved here is if the nerves are inflamed and it may get the the inflammation down enough for the nerves to heal. You can't seem to get a winning hand yet with your back pain and that's too bad considering you went thru surgery trying to get the pain down. Check out SpineUniverse.com, its a wonderful extremely informative spine site, and a trustworthy one too. Hope this injection gives you some relief.

Take care...Susie

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/19/2010 6:17 PM (GMT -7)   
Straydog, I'm a wondering if maybe the muscles are tight, and causing some of the problem as well. Maybe some flexeril might help. I will mention it when I call in for my pain refill tomorrow.
I had several good days, but then reverted back to pain again, and it is very frustrating to me. I have to admit that, they have been working me pretty hard at work, seven days a week, for several weeks now.
However I will be off work this weekend, and needed badly. Thanks for your suggestions.

SE
"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."

golitho
Veteran Member


Date Joined Sep 2008
Total Posts : 1670
   Posted 8/19/2010 6:57 PM (GMT -7)   
Oh Michael sorry to hear about the pain, can't help with the technical issues but heat always helps me. Hot bath or heat packs, don't forget sometimes the simplest things can give some help sometimes. I realise your pain is probably well above heat packs, but you never know especially if there are muscles involved.

Best wishes, my heart is with you, golitho

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 8/19/2010 7:03 PM (GMT -7)   
Michael,
The caudal epidural is used to try to place the steroid and numbing meds lower in the lumbar/sacral spine area. It might help like Stray said, if there is a lot of inflammation going on, which is entirely possible, ,especially if you have increased your activity level in the recent days or weeks.
A fusion does a lot of damage to the muscles, because of the cutting and pulling them aside to reach the vertebrae, so sometimes, a little increase in activity level can cause a lot of inflammation.
I will warn you, that it is painful, or it was when I had them. And it may also increase your pain levels for several days afterward.
Try using one of those heat wraps, and a nice hot shower, or a massage might help relieve the muscle tension. I know that my muscles are always tight, like they have all been pulled and in spasm forever now.
I should take my own advice and get a massage.
Sandi
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.
Avascular necrosis of left wrist- maybe hips too

hydrangea
Regular Member


Date Joined Mar 2007
Total Posts : 190
   Posted 8/19/2010 7:11 PM (GMT -7)   

Screaming Eagle,

Sorry things just are not getting any better for you.  It sounds like your pain may be from inflamation, so an epidural will help for a while.  If it is nerve damage causing pain, I don't think it will help all that much

  I say  its worth a shot if  your surgeon and PM want to try it. I had a transforminal (sp) last week, and pain in leg and foot still hanging around. Having the second in the series in two weeks.

Let us know what you decide to do..........Good luck and hang in there.

Hydrangea


Diagnosed crohns Disease 07, Bladder tumor and inflammation, Herniated disc, spinal stenosis, facet arthritis, degenerative disc disease, siatica, Three laparoscopis, hysterectomy, physical therapy, trigger point injections, spinal epidurals, Meds lyrica, vicodine, amrix.
Spinal Fusion 3/2010

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/19/2010 7:18 PM (GMT -7)   
Thanks Golitho! It's not terribly bad, and livable, but I'm a hoping for some more relief.

mrsm123, I did increase my work activity recently, and I think that has a lot to do with it. I'm willing to try other methods first like Flexeril.

I will never get an Epidural without some sort of Sedation first, and the last Dr that gave me my last one agrees! :)
He was thanking me for spearing his soul when he left the office! :) Really, he left the office in a hurry, as I was ready to add a bump to his head, and he knew it.

SE
"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/19/2010 7:20 PM (GMT -7)   
Well shoot Hydrangea, I just posted, and saw your reply! :)

ok you got me!....what is a trans ...what ever SP? :)

Of course I could be wrong, but I think you are right, as my pain is not pin/point as it was before the surgery.
It is more over a large general area and radiates out towards my hips. Weird, I guess! :)

This is so madding, as I was sure I was on the mend, and had several days of almost being pain free.
Most of my pain is from bending over and or sitting. Standing, I'm basically pain free.
My muscles feel tight across my lower back, and I have been trying to stretch them several times a day.

I do feel much better than before the surgery, as I was a strong 7-8 on a pain scale before it.

Good to see you here as well! :)

SE:)
"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."

Post Edited (Screaming Eagle) : 8/19/2010 8:50:07 PM (GMT-6)


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 8/19/2010 8:00 PM (GMT -7)   
Hi SE,

I can't help you at all with regards to your questions about your back, but I did just want to send you some hugs. I was so happy the other week when you told us all that you were finally feeling some relief. I'm praying that this return of pain is only temporary. ((((((((((((((((SE))))))))))))))).

Skeye

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/19/2010 8:02 PM (GMT -7)   
Golitho! I must admit that I do remembering talking to you before my surgery, but I am having a terrible time trying to remember who you were :)

So sorry....as it pains me. I just wanted to say that you seem to have a very sincere heart in your responses.

Thank You so much!....as you spark my sixth sense! :) Your Heart Shines bright! :) Thank You!...Thank You!

I have missed so many members here, and fell into a very dark place for such a long time during my recovery....and at times I feel I could easily slip back there.

It's members like you, Lindaloo, tmjpain, Pete, and so many, many others (Tina, Mikel, Dani, Privey, Chutz and so on)....and of course my wonderful, wonderful wife!

My wife has been my ultimate strength and the wind beneath my wings. I'm in love! :)

Again Thank You from the bottom of my heart

SE:)
"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/19/2010 8:08 PM (GMT -7)   
Well Jiminey Christmas Skeye!....I wondered when you were going to get here! :)

Thank you! :) I just hate that I lost touch with so many members for such a long time.

I hope you are doing well, and that the implants are working well for you as well.

Can you update us on it?

SE:)
"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 8/19/2010 8:22 PM (GMT -7)   
Sorry SE! I've been a little scarce this week, as I'm on vacation & only have limited access to the computer, and the last few weeks before I was really really busy with work & was too exhausted by the time I got home to post much.

I'm doing okay. I'm really pleased with my stimulator. I've had it for about 4 wks now & I'm getting up to 50% relief from it, maybe even a little more at times (it's bringing me down from a 7/8+ to a 4/5). It doesn't help all the time, I still have my bad days (today's been one of them), but in general, I'm getting significant relief each day, for much of the day. I just met with my PCP last week & we agreed that for now it's best for me to still remain on the same pain meds (which I only take at night anyway, because they don't do much for me & so I have to take a lot to get any kind of relief). But in general, I couldn't be happier with the results from my stim. It takes some getting used to (had to make a few minor lifestyle changes), but so far it's been absolutely worth it. I'm so happy that I stuck it through & fought my insurance company for as long as I did. Thanks for checking in on me. :-)

hugs,
Skeye

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/19/2010 8:35 PM (GMT -7)   
I'm so happy to hear that Skeye! You did struggle so hard with the insurance company, and you prevailed through it all! :)

The members her are thrilled for you as well, I'm sure! :)

Are you working for a Vet clinic yet?

SE:)
"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 8/19/2010 10:03 PM (GMT -7)   
Hey Michael...

I'm sorry you've been seeing an increase in pain. I think trying a muscle relaxer, though, is a great idea. At least it's "easy" thing to try and see if it helps. I also think you've been working like crazy and that probably has a lot to do w/ the extra pain (sorry, don't mean to nag you) :)

Anyway, call your doctor asap and see about the muscle relaxer... and try to rest when you can, my friend!

--Tina
Main Health Issues: Dysautonomia/POTS; CFS/Fibro; Chronic Pain (back issues, migraines, carpal tunnel, among other things); Chronic Hypertension; Hypothyroidism and Hypoadrenalism; Mixed Sleep Apnea (on BiPap); Depression/Anxiety; Vitamin D Deficiency.

MAJOR surprise - Pregnant, w/ twin little girls (after six boys). Due Sept, 2010. Praying they are healthy. YES, you can have chronic pain AND have a successful pregnancy - not easy, but it can be done. :)

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13479
   Posted 8/20/2010 9:11 AM (GMT -7)   
SE I am thinking you had a lot of nerve pain prior to surgery so you should know if this is nerve pain or not. If you are having a lot of spasms and tightness in your back then you will have alot of pain, especially when you talk about tightness. I have to wonder with you going back to work so soon after surgery and your work schedule being so heavy if this isn't just bad spasms going on and I can tell you this will cause you to have a lot of back pain.Moist heat always seems to go a little deeper over dry heat. I think prior to having the caudals done I would do some home remedies like a moist heating pad, you can wet hand towels & nuke them in the microwave and make a wonderful moist pad careful not to get them too hot. I would use a rub of some sort first, my preference is Tiger Balm followed by the moist towels, muscle relaxers and hot showers. If you get no relief then try the injections. But, if this is not nerve pain I would not go there.

Even if you were doing very well this work schedule of yours is enough to cause someone trouble. Take care.

Susie

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/20/2010 10:10 AM (GMT -7)   

 

         Ok Susie! I have to agree with you on this, and hope that it is the case with me. I have always been a very hard physical worker in anything that I do. I did just get off the phone with my surgeon's nurse, and she will pass the information along to my Surgeon. She did comment that I had greatly reduced my pain meds in a very short time. I asked her not to increase them, as I want off of them as soon as possible.... I need a break from them physically and mentally.

       She was inclined to say that he will try Flexeril or another simular med to help with muscles spasams, if that is what is bothering me. At this point I'm not sure what the problem is, but I do know that when I'm standing up, there is not much pain if any at all. Most of my pain is generated when I shift my body as leaning over or getting out of bed, or getting up from a chair.

       Thank you for your timely responce, and whiile I realize you are not a DR, there is some wisdom here from you that one would be wise to listen to. Thank you so much!

        SE:)


"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 8/20/2010 7:38 PM (GMT -7)   
SE,

Yes, I'm working full time as a vet tech at the clinic that I have worked at part-time for the last 7+ years. I'm also in the process of applying to veterinary school for entrance in 2011.

Skeye

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/20/2010 7:45 PM (GMT -7)   
OK Skeye!....now I'm scratching my head here! I thought you just graduated from Vet School? Wow!....I guess my pain meds did a number on me :)

Good for you though! Hang in there and follow your dreams! :)

SE:)
"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 8/20/2010 11:00 PM (GMT -7)   
I am inclined to go with the majority here and say that the majority of your pain is muscular at this time. Talking about how the worst is when you are in transition from one position to another sounds just like what I went through many years ago when I severely strained/sprained my lower back. I was uncomfortable in any position but wanted to scream when going from one to another.

I think the muscle relaxer is a good place to start and you also might want to consider some OTC muscle pain rubs. Once you start feeling better some gentle stretches would probably help as well. If you are not feeling better in a few days I would talk to your doctor about some physical therapy to make your back stronger and more flexible.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 8/21/2010 4:43 AM (GMT -7)   
Nope, I wish. I just graduates from college. I'm taking a year off, then I have 4 more years to go, so not quite done yet.

Skeye

Mrs. Dani
Veteran Member


Date Joined Jun 2009
Total Posts : 2787
   Posted 8/21/2010 8:11 AM (GMT -7)   

 

   Dear Michael,

     I am so sorry I am late in catching up on posts! I have had so much going on latly. I just now have a chance to sit and relax.

     Speaking of relaxing, I know you mentioned you get this weekend off... but I worry what all the 7 day work weeks are doing to you! You are a hard worker, no doubt about it! But, so soon after surgery? Is there anyway to cut back to 6 days a week or to get your weekends back?

     Now, don't you dare be hard on yourself for neeing a little something extra to help with pain. If you think about it.. even a "normal" man would have a hard time keeping up with your physically demanding schedual!

     I really hope you are able to get in touch with the doctor quickly. Try to realx as much as possible! You are in our prayers here

*hugg*
  dani


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

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/21/2010 8:25 AM (GMT -7)   

 

      Hello Dani! ...Well....I was supposed to have off, then at the last min, they told me to come in, and to keep on coming in on the weekends untill they say stop :( There not even going to take the trouble to ask in advance anymore. Orders were...just keep coming on in. Since I have experience on all machines here, they seem to use me most of the time.

       This will be my 9th weekend or so, and I'm begining to loose track of it. It's the same old cycle....work, go home to bed...work, go home to bed...and many times I sleep right through supper :(

       I'm now on Flexeril, and hope that helps....and the Tramadol is there...but I need to talk to the nurse before taking it, as I have some concern about it. I told them I did not want an increas in my pain meds, and Tramadol looks like a pain med to me.

     Take care, and I know you are one busy woman too! :)

 

            SE:)

 

  


"Respect your fellow human being, treat them fairly, disagree with them honestly, enjoy their friendship, explore your thoughts about one another candidly, work together for a common goal and help one another achieve it."
New Topic Post Reply Printable Version
26 posts in this thread.
Viewing Page :
 1  2 
Forum Information
Currently it is Saturday, December 10, 2016 7:54 AM (GMT -7)
There are a total of 2,735,835 posts in 301,337 threads.
View Active Threads


Who's Online
This forum has 151437 registered members. Please welcome our newest member, stevclemon.
253 Guest(s), 14 Registered Member(s) are currently online.  Details
Lillye, George_, Michael_T, tickcheckguy, Scaredy Cat, reminder, pmm73, fibrocushie, cr3ativegirl, ChickenArise, Mustard Seed, (Seashell), iPoop, LanieG


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