Corticosteroids tend to be systemically “activating” - insomnia is a common occurrence to corticosteroids. H
An epidural injection is often 100 mg of steroid. A whopper of a dose.
Other steroid effects: Heightened emotions or emotional volatility (anger, crying, frustration, feelings of rage). Excessive bursts of energy, followed by exhaustion/crashing (stories of people cleaning their entire house after a steroid injection). Ravenous hunger. Insomnia, restless sleep. Lack of ability to concentrate. Sweating, hot flashes.
I, too, know pain that never ends. It is a sobering reality. I have had to accept that pain will be a constant companion.
I have had to make adjustments to how I live my life in order to keep my sanity in living with constant pain. I live a very quiet and private life to keep the octive of pain within tolerance.
Perhaps decreasing your hours at work would bring you a measure of control with your pain by giving you less cumulative stress. The head is an 8-10 pound bowling ball that sits atop a thin perch of the neck. The neck muscles are thin, straplike muscles that run in succession for 1-2 vertebral lengths like a chain link. The neck muscles and ligaments are not well designed to support the weight of the head. Add in a desk job where there is a forward orientation of the head and shoulders, and chronic pain can ensue.
Hair stylists and dental hygienists have an disportionally high rate of cervical pain and cervical root entrapment. Their job postures for extended hours are causative factors.
Perhaps local lidocaine patches or periodic dosing with IV lidocaine would be worth researching.
Building in periods of rest to unweight your head and shoulder girdle (lying supine with a thin pillow to align the head/neck in meutral or resting in a recliner chair recliner to unweight the head/neck) would be helpful. Hard to do with a demanding job, I know.
I agree with Susie about the product called “Simply Sleep” by the makers of Tylenol. It contains no Tylenol, only a sleeping aide that clears the body fairly quickly. I also use Simply Sleep. Children’s Benadryl is another product that I use routinely. The Benadryl children’s tablets and liquid suspension allow me a lower dosing which is not overly sedating.
I hope you find a measure of easing of your ongoing pain. I am sorry that ongoing pain is your experience.
Pituitary failure, wide-spread endocrine dysfunction
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)