It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Back Problems Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 12-23-2003, 10:50 AM   #1
Senior Member
 
Join Date: Jan 2003
Location: princeton, nj
Posts: 189
khoff HB User
Question cortisone epidural questiona

does anyone know the effects of having many cortine injections in the back? mine is L5-S1 and I am wondering if having 4-5 injections over many years has any effects? Has anyone had many lumbar epidurals over a number of years? any bad effects?

Ken

 
Sponsors Lightbulb
   
Old 12-23-2003, 11:53 AM   #2
Senior Veteran
(female)
 
Join Date: Nov 2003
Location: Missouri
Posts: 2,128
carol632 HB User
Re: cortisone epidural questiona

In my experience and from all that I have read, it is safe to have 3 epi's per year. More than that can lead to bone thinning and probably other things I am not familiar with. Few doctors will do more than 3 a year because of the possible damage. You should be safe, but if you are concerned ask for a bone scan. Hope this helps.
Carol
__________________
2 lami's, 3 fusions
bone spur removal
cerv. fusion, 1 level
morphine pump

 
Sponsors Lightbulb
   
Old 12-23-2003, 01:54 PM   #3
Inactive
 
Join Date: Sep 2003
Location: Utah, USA
Posts: 82
mspsub HB User
Re: cortisone epidural questiona

Ken,

I have found doctors to have differing opinions on how often can ESIs be administered without causing the patient harm. I have seen a range of 3-6x a year. The steroid can patentially damage the tissues so the DR and patient need to measure the benefits/risks before doing them.

Here is a little info:

TFESIs (Transforaminal Epidural Steroid Injections) should be administered under flouroscopy.

TLESIs (Translaminar Epidural Steroid Injections) can be safely done without flouroscopy.

Google with "Epidural steroid Injections types" and you will see a ton of information.

HTH,

Mark

 
Old 12-23-2003, 10:13 PM   #4
Senior Veteran
(female)
 
Join Date: Dec 2003
Location: Northern Virginia
Posts: 1,691
lfoster21 HB User
Re: cortisone epidural questiona

Can anyone tell me if the cortisone epidural is painful. I realize it's worth it if my back pain eases up...still, I am some what of a whimp when it comes to needles (exxpecially near my spine). Also, how long do they tend to last. I will be having one done at the L5-S1 area on both sides. One last question. When the prev. post said 3/year were safe...is that 3 total or 3 in each spot?
__________________

 
Old 12-23-2003, 10:20 PM   #5
Inactive
 
Join Date: Sep 2003
Location: Utah, USA
Posts: 82
mspsub HB User
Re: cortisone epidural questiona

I have had one ESI and is was a breeze. Unfortunately it did not help me at all.

As I said before I have seen many opinions on the efficacy and/or potential risks associated with steroidal injections. Google Epidural Steroid Injections... you will find info there.

Mark

 
Old 12-23-2003, 11:05 PM   #6
Senior Veteran
(female)
 
Join Date: Dec 2003
Location: Northern Virginia
Posts: 1,691
lfoster21 HB User
Re: cortisone epidural questiona

[QUOTE=mspsub]I have had one ESI and is was a breeze. Unfortunately it did not help me at all.

As I said before I have seen many opinions on the efficacy and/or potential risks associated with steroidal injections. Google Epidural Steroid Injections... you will find info there.

Mark[/QUOTE]
Thanks for the input. I feel some relief...well I am off to Google Have a good night.
Lorie
__________________

Last edited by lfoster21; 12-23-2003 at 11:06 PM.

 
Old 12-24-2003, 12:30 AM   #7
Senior Member
 
Join Date: Dec 2003
Posts: 159
Standingman1 HB User
Re: cortisone epidural questiona

Just want to second mspsub's suggestion to google up a lot of the material/controversies surrounding ESI's. In particular, there are a lot of interesting studies available on PubMed.

BTW, as many of you probably know, "cortisone" is a misnomer. In most cases, the steroid injected is a long-acting form of methylprednisone.

Standingman

 
Old 02-02-2005, 09:04 PM   #8
Newbie
(female)
 
Join Date: Feb 2005
Posts: 1
LILJAGZ HB User
Re: cortisone epidural questiona

I have had one injection two days ago and feel better, but have a burning sensation in my lower back. If anyone knows what is causing the burning I would appreciate a response. thanks

 
Old 02-03-2005, 12:33 PM   #9
Veteran
(female)
 
Join Date: Jun 2004
Location: New York
Posts: 413
mlachowicz HB User
Re: cortisone epidural questiona

Lorie:
I had an ESI, and to be blantely honest, it hurt like a B*%#$ - but only for a mili-second. They gave me a sedative to relax me, but nothing was given to numb the area. The actual needle did not hurt, it was the medicine being injected in that caused severe burning and pain in lower back (L4-5, L5-S1)and down leg. Once it was injected it went away...
Good Luck! It's worth it if it helps!
~M~

 
Old 02-03-2005, 09:58 PM   #10
Junior Member
 
Join Date: Sep 2004
Posts: 34
iearnmom HB User
Re: cortisone epidural questiona

I have had 3 injections so far. None of them have worked unfortunetly. Sometimes it can be a little painful, but just tell the dr . and he can numb it more for you. After he numbed it more for me, I never felt a thing. Hope this helps...iearn

 
Old 02-03-2005, 10:18 PM   #11
Member
(female)
 
Join Date: Jun 2004
Location: Iowa
Posts: 55
Age17witbadback HB User
Re: cortisone epidural questiona

Hi, I have had 7 epidural steriod injections within a year. The first 3 I had were into my disc and I had on every week. I thought most of the time you were supposed to have them at least two weeks apart but my doctored didn't want that. The next 2 ESI's were into my sacroiliac joints. One in each joint. The next one was a nerve root block. The last and final ESI was into my coccyx. I have to say the nerve root block was probably the worst for me. And also none of these injections worked for me. I suffer with a herniated L5-S1 also. I have had two back surgerys within a year. Both surgerys were a Laminectomy/Disectomy. The first surgery when I was 16, which failed (disc re-herniated, same level) and the second surgery was about 3 1/2 weeks ago, now 17. I do know that ESI help many people with their problems and you should try all options before surgery.

 
Old 02-04-2005, 08:54 AM   #12
Inactive
(female)
 
Join Date: Feb 2004
Posts: 2,139
injured betty HB User
Re: cortisone epidural questiona

I was discussing the shots with my DO the other day and he said that there are different ones, ones with steroids and ones without and that I needed to be sure to ask for the package insert when gettting any of them. It seems that the package insert on the ones with steroids states that they are not to be used in the spine. I knew that before but now I had a doctor confirm it.

If you are even thinking about a ESI, ask for the insert. If it the one that is not to be used in the spine, refuse it!!!!! Sure, the print is small, but read it and then get back to the doc on it. It is *your body*. None of us want to be in pain, and steroids do help with inflammation, but if you really want to try steroids, ask for the oral ones first. They make you whacky, and hungry and give you an upset stomach, but they are approved for the spine, unlike the ESI's.


 
Old 02-09-2005, 05:09 PM   #13
Veteran
(female)
 
Join Date: Jul 2004
Posts: 342
Rampage HB User
Re: cortisone epidural questiona

I've had the following injections from painful to ^$&$%#$ painful, in that order: piriformis @ femur (greater trochanter), SI joint, and epidural. I have a pretty high tolerance for pain, but the last 2 I mentioned make me cry every time!

Mine were always done using fluoroscopy, and I have had flushed cheeks and pain at the injection location for 2-3 days. Then I feel great for about 3-4 weeks.

According to my research, 4 is the maximum. These things cause muscle degeneration and bone loss, so I tend to request them when I need them most, which is during the winter.

The worst, though - double whammy!!!! SI/epidural combo. OUCH!!!!!!!!!!
__________________
Rampage
Accident '00
Sciatica, L3-4 Tear, Spinal Stenosis, DDD L3-S1
IDET '04
Laminectomy '06
Fusion (BMP) L4-5 '11
Anterior Fusion (BMP) L3-S1 '13

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
cortisone injection barillo Open to All Other Health Topics 8 04-23-2010 09:09 PM
Cymbalta and Lyrica and cortisone shot blestlady Back Problems 7 09-13-2007 04:27 PM
Long term cortisone epidurals? kathy222 Pain Management 6 04-11-2007 06:41 PM
Cortisone Epidural, Weight Gain, Emotion judyswrite Back Problems 17 01-07-2007 08:43 AM
Info on cortisone Shots Please NicoleMiller999 Back Problems 3 09-13-2005 03:43 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is Off
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 09:32 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!