Susie, you cracked me up with your "old time doctor narration". I love it......now.......lets all stand in a "virtual" circle, hold hands, and pray that doctor be mass produced!!!!!!
After my neck injury I was put on Pred for one month.....40 mg per day and then titrated down. One more try of the same and still not working so into surgery .....the rest was either an occasional IM, the IV in hospital, and the po post op at home (2 surgeries)
The eye doctor asked me right away if I had been on Prednisone after looking at my eyes. He said daily pred even in small amounts seems to be the biggest offender. (yes, even for a month or two) He said it damages the tiny vessels preventing blood flow and 02 to the bone. Thus the necrosis. Hips and knees are common.
I realize it is very necessary in many diseases....it is when I tell my doctors nurse on the phone I am having a flareup and need increased pain med for a few days.......and "Nurse Nancy" says......we can give you a "steriod burst" for the pain that I become very angry. How terrible that some doctors hand out the pred so readily when increasing the opoid is so much less damaging to the body.
I talked with a doctor who said the "core decompressions" to reestablish circulation is not very helpful....I have heard both pros and cons.
Being an ICU nurse working with mostly IV drugs and critical patients I was not aware of the osteonecrosis risk. I feel that my pred was warrented in view of my condition and again when I had cadaver bone during surgery; but not as a temporary pain fix as is often the case for others.
Yes, I remember my moon face!!! Thankfully I was slim at the start.......it still took several years for my metabolic rate to change enough for the weight to come off that I gained.
Women who behave don't make History!
C4-5 disectomy & fusion (anterior)
C6-7 & C7-8 L laminectomies (posterior) (need R)
Partial removal of supporting Cervical Posterior Ligament
Constant shoulder pain & tightness.intermittent neck pain
bulged discs at C6-7 & C7-8
Chronic Pain with Vicodin 7.5/325 rxVIEW IMAGE