Neuropathy Community Group
WELCOME to the Neuropathy group... For all those who have all types of Nerve Damage and PAIN! A GREAT PAIN resource area! Over 100 photos and 25 research topics on specific pain issues.
WELCOME to the Neuropathy group... For all those who have all types of Nerve Damage and PAIN! A GREAT PAIN resource area! Over 100 photos and 25 research topics on specific pain issues.
I have heard that these injections do help some people, but it seems to me that more times than not they fail in relieving pain. Now I am on Lyrica which does eliminate some, but not all, of my pain. A moist heating pad placed where I hurt most or a hot bath are my 2 best treatments! Or going into a heated pool or walking.
Good luck in your decision, and by all means, make sure you go for a second opinion!
The benefits don't last forever, but it might help you get through a rough time. If you're having the injection due to pain from a herniated disk, it might buy you enough time for the inflammation to settle down.
The areas were sore for a few days afterwards; I took it easy and iced them at first, then used moist heat. Some docs use just a local, others use light sedation as well (a sedative such as versed delivered by IV which keeps you conscious though you may not remember anything), which is helpful to ensure you stay very still for multiple pokes. Either way, a spinal epidural entails significantly less discomfort than the pain you already have and is NOT the same procedure performed to provide anesthetic regional block for labor and delivery. You can safely ignore every horror story you will hear that involves birth--this isn't done the same way or for the same reason. As Caren notes, a fluoroscope will be used to ensure correct needle placement. If your clinic or doctor doesn't use one, find one that does. Generally they inject a small amount of a corticosteroid and buffered local anesthetic specially intended for spinal use. The local is supposed to provide immediate relief but the steroid doesn't kick in for a few days.
After a month the anti-inflammatory effects seem to be wearing off but it's enabled me to return to stretching and thus keep the pain level under control. Loose and limber hip muscles are critical to a happy low back.
Good luck with your procedure.
I do hope, however, that I can find myself another pain management doctor who isn't in for it just for the money. After my epidural injections, that doctor was finished with me.
http://www.arachnoiditis.info/content/arachnoiditis_explained/arachnoiditis_explained.html
I have had three epidural pain injection in the siactic area. The first one didn't work, the second worked for 6 months and this third one, well here is my problem...it worked but I am having numbness and tingling. The doctors say it is not from the epdidural but I beg to differ. Always do some research especially on the cortizonal drug they may use in the injection could be something that is not intended for epidural injection which I am finding out now, after doing four weeks of non stop searching for answers. Not to scare you off the idea, just
ask lots of questions and be prepared for what may or maynot happen.
I had mine done in the pain clinic. The nurse brought me into the room and after I was lying on the table face down they pulled my shirt up a bit and my pants down a bit. (Be sure to wear elastic wasted pants to this!) Then the doctor came in and prepped the area with iodine and cleaning solution. The will then inject a numbing agent, which feels like a bee sting supposedly. Then they used x-ray to guide the needle that has the steroids into the right place. This is not supposed to really hurt per say, but you will feel a lot of pressure, and it might hurt a bit. (It def. does not feel pleasant.) After it is over they cover the area with a band-aid which you are not supposed to get wet or remove for 24-hrs. So no bathing for the next day. My back hurt a lot for the next few days so they said you can use ice or take tylenol. The ice helped a lot.
I hope it all goes well for you!
I'm given twilight, so I'm never awake during the procedure, and have to be driven home and pretty much babysat (husband-sat?) for the rest of the day. They tell you that you'll be sore for a day or two, but I am *always* sore much longer than that.
My first two epidurals were no help at all - in fact, they made my pain
worse. My pain doctor had warned me that this might happen, though, and told me that the third is often times the one that takes, for whatever reason. In my case, third time was the charm! I've heard that from a lot of people.
If you have any more questions, feel free to ask! Good luck!