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Has anyone had LUMBAR EPIDERMAL STEROID INJECTIONS ?


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Old 06-19-2017, 12:02 PM   #1
amandaa45
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Has anyone had LUMBAR EPIDERMAL STEROID INJECTIONS ?

Hello,

I am trying to find some help here . Can you please tell me if you have ever had Lumbar Epidermal Steroid Injections and how was your experience ?


My son is in going to have these done and is worried due to several side effects we have read about . He has been in pain for a long time and the doctor said it can be done for diagnostic reasons. He injured the nerves and they cause pain into his tesitcular, groin, pelvis, and abdominal area. Not too sure if anyone has used these injections to help for pain in any of these areas ?


I am not sure how this is used for diagnostic reasons ? Can you please tell me if this helped you ?


Thanks so much

 
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Old 06-19-2017, 01:15 PM   #2
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Re: Has anyone had LUMBAR EPIDERMAL STEROID INJECTIONS ?

Ive had the injections and so has my husband. For me, they did nothing, for him, they helped Sciatic pain immensely. They can be used for diagnostic measures because if they work, then they know the pain is being caused by a muscle and not something else.

The shots do not hurt except for a split second and there is no guarantee they will work- if they do, they are terrific, if they dont, they just dont work...no real harm in trying. It is a very small steroid injection- long term use of steriods have side effects, but doing this just once to see if it helps is not a bad idea.

Best of luck to your son!
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Old 06-20-2017, 07:32 AM   #3
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Re: Has anyone had LUMBAR EPIDERMAL STEROID INJECTIONS ?

Is your son under the care of a spine specialist? This could be either a fellowship-trained orthopedic spine or neurosurgeon. It sounds like your son's symptoms are caused by something sufficiently serious that he should consult with a specialist.

Quite frequently, particularly in the past ten years or so, people are being directed to pain management by a family doctor/Primary care physician for treatment before they have an accurate diagnosis. While pain management physicians have a purpose, their expertise is not in the treatment and diagnosis of issues with the back, neck and spine.

Epidural steroid injections (ESI) are almost always a first step in a conservative treatment protocol. Depending on what medications are used and how they are administered, they can be used for treatment or for diagnostic purposes, or both. For most people there is little risk, assuming the practioner knows what he/she is doing and the injection is given in a facility that uses fluoroscopy which is a type of live X-ray. This helps the doctor place the needle in the proper location.

Injections are usually given in a series of three. If there is no "result" from the first, a second will be ordered several weeks later. If a second one provides no result, the third is usually not given. A responsible practioner will limit the number of injections a person receives...some say no more than three in six months, while others go by three a year.

ESIs may be given under a mild sensation, in which case the person must have someone to drive him home, or they can be given without, which is much faster and really only causes discomfort for a short while. I had dozens of ESIs between 2005-2010. At first I had them under sedation, mainly because that is what they suggested. Eventually I figured out it was much easier to go the other way and do it without. This way I didn't have to coordinate with my husband's schedule and he didn't have to waste a morning going with me.

One thing to tell your son which he will not hear from his doctor is, if possible, plan to stay off his feet for 72 hours after the injection. He will be told to take it easy the day of the injection and then he can resume normal activity the following day. However, he will get the most out of the injection if he stays home off his feet for 72 hours.

Unlike the injection that goes into a joint capsule where the medication is contained, in an ESI it is floated in around a nerve root where there is nothing to contain it. If the person is up and moving around, the medication will dissipate quicker and it will lay up against the nerve root for a shorter period of time. As I mentioned, I had dozens of injections and it wasn't until I switched doctors to one who insisted his patients stay off their feet for 3 days whenever he did an ESI that I experienced any results. This is less important if the injection is done only for diagnostic purposes!

When done for diagnostic purposes, the injection includes a numbing agent. Then the person is to note if the pain is gone immediately after the injection. If so, then one pays attention to when the pain begins to return and notes at what time pain begins to return.

Do you know what caused your son's nerve damage? I assume it is something in the lower lumbar spine area, L5-S1.

Good luck to him.

 
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