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Old 02-15-2005, 06:05 AM   #1
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erg57 HB User
Neck Pain Has Returned After Steroids

My neck was pain free for five weeks after the neurosurgeon gave me me the one-week pack of Medrol. Now the pain is creeping back. I really thought I was over with this. Anyone had the pain come back after taking oral steroids? I have learned from all of you to be proactive so I need to get searching different answers. Should I ask for another course of steroids? Looks like I am back to square one.

 
Old 02-15-2005, 06:56 AM   #2
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Re: Neck Pain Has Returned After Steroids

Steroids tend to be only a temporary fix, like a band-aid, if there is an underlying structural problem. They're great for relieving inflammation, which may be why you got some relief, but if the pain has returned you need to see your doctor again. Have you had an MRI done yet to see what's going on? If not, that's probably the next step for you. Make another appt with your doc as soon as you can so you can set things in motion. Good luck!

 
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Old 02-15-2005, 08:35 AM   #3
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Re: Neck Pain Has Returned After Steroids

Thanks. I have had MRI, Multiple Xrays, etc. None of them have ever found anything structurally wrong. I think I might go to a pain doc. Anyone ever doen this? I have seen a Chiro, PT, Fam. Doc and a Neuro. Any other doctors to try that you'd recommend?

 
Old 02-15-2005, 08:37 AM   #4
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Re: Neck Pain Has Returned After Steroids

[QUOTE=erg57]My neck was pain free for five weeks after the neurosurgeon gave me me the one-week pack of Medrol. Now the pain is creeping back. I really thought I was over with this. Anyone had the pain come back after taking oral steroids? I have learned from all of you to be proactive so I need to get searching different answers. Should I ask for another course of steroids? Looks like I am back to square one.[/QUOTE]


Jessie is right - if there's an underlying structural problem that's causing the pain (via inflammation), the steroids will wear off and the pain will likely come back.
I would highly recommend finding a spine specialist who can start trying to find what your problem is. Regular doctors are NOT able to properly treat spine problems, IMO, even if they're very good general practitioners. You need a specialist who deals with this sort of thing all the time.

 
Old 02-16-2005, 05:34 AM   #5
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Re: Neck Pain Has Returned After Steroids

I decided to go se my family doc to let him know that the pain has come back. Can he just prescibe more steroids? I took the first pack of Medrol in the beginning of January. Would it be too soon to try another course? I know you cannot take these things too often. Ohter inflammatories (like Indomethicin) have not worked. The narcotic painkillers work but I am sure he is not too keen on handing those out to me if this is a chronic thing.

I did try calling a pain mgmt practice and they only take patients by doctor referral. I was kinda hoping to see them for a second opinion without my primary doctor knowing

 
Old 02-16-2005, 07:56 AM   #6
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Re: Neck Pain Has Returned After Steroids

Erg, I too had MRIs and x-rays that showed nothing, so they did a discogram, and that finally revealed what is most likely the problem - I have a leak in L 4-5. You could very well have a structural problem that just didn't show up on the other tests.

As I said earlier, your family doctor is most likely not able to properly treat this, since it hasn't resolved itself already. I would HIGHLY recommend finding a specialist, and yes, get a referral from your doctor to a pain management specalist. You have every right to ask your doctor for that, and if he doesn't give it to you, get another doctor.
Family practitioners are great, but to treat something like this you need someone who specializes in that area. Spine problems can be difficult to diagnose properly and to treat.

 
Old 02-16-2005, 01:31 PM   #7
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Re: Neck Pain Has Returned After Steroids

I think you have to be very careful about the amounts of oral steroids you take. That is a question to ask your dr for sure. Have you tried a transverse epideral steroid injection? I had one back in OCtober, and though it took a month, my neck pain went bye bye. It is now returned sadly and slowly getting worse. I don't know what my next step is. I am still only two months post op from my lumbar fusion and now as I am sure you have read, am moving and have to find all new drs. I am even asking for a new Cervical MRI to compare to the one pre injection that was taken In August. I think if you have not had an ESI that it may not hurt to ask about it. Transverse is the way to go, they go in both sides of the neck through the nerve root instead of just into the disc space and it is supposed to work much better than the single injection. If you have already done these and they did not work, then I don't know. Have you tried Neurontin? Do you have any arthritis in your neck? I am so sorry it has returned, I def def understand what you are going through! Best wishes! Let us know what is decided.

 
Old 02-17-2005, 05:08 AM   #8
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erg57 HB User
Re: Neck Pain Has Returned After Steroids

Yeah. MY family doc is a good egg. I am seeing him on Monday and I am sure that he will not p'scribe more steroids. All roads go through him via my insurance so I am hoping he can come up with another idea.

I have never had an ESI and have never tried nuerontin either. I am not sure that its arthritis but I have heard that word brought up before. I will be 36 in few months and am in really great shape other than my neck. Isn't 36 too young for arthritis? AsI said before in other threads, Id let them amputate if I knew it would have a positive outcome.

 
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