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Old 05-29-2005, 09:15 PM   #1
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EPI...Relief???

I recently had my last cortisone injecton, appox. 2 1/2 wks ago. I have an impingment,and herniation.
Is it possible for a while to go by before it takes effect.. I know it usually takes up to a week, but these ESI are my last resort? Any advise would help.
Thanks

Last edited by spineo2; 05-29-2005 at 09:17 PM.

 
Old 05-30-2005, 12:03 AM   #2
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Re: EPI...Relief???

Did you get any relief from the previous injections? I've noticed the most drastic results from the first injection in a series of 3 and then additional relief of symptoms from the other 2. I hope you get more relief..

 
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Old 05-30-2005, 07:47 AM   #3
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Smile Re: EPI...Relief???

I asked my specialist the same question. He said that I should notice pain relief in 24 hours. When I had one of the injections and I got some relief only after a week he claimed it was not the injection. This guy does does over a thousand a year so I think he might know what he is talking about. If they don't get the injection into the right area your chances of pain relief diminish. The steroid will travel to a degree but the nearer to your area of inflammation the better. Also steroids work more often for radicular pain (leg pain especially lower leg) they are not that great for back pain. Hope this helps.

 
Old 05-30-2005, 12:11 PM   #4
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Re: EPI...Relief???

I had my series of 3 ESI's back last October.....mine was my lumbar area, at my S1 nerve root, because I have nerve damage to my S1...... I had my first one... NO help... they proceeded to do the 2nd one... NO help.... and then the 3rd No Help.....as someone else said, if one doesnt help then most likely non are going to.....I got my bill after the insurance paid what they would on my injections, and I have a bill of like 1200.00 to pay because each injection is like $4500.00 and the insurance pays all but like $600.00 of each one..... ontop of it not helping the thing that really ticked me off was that I have a bill for something that did not help....and that I can not afford.... and they continued to do the other 2 after the first one did not help......reason being, the doctor said, we are hoping that the 2nd and 3rd one will help even thought the 1st one didnt.....he gave me this big lengthy explaination and me not knowing anything about this stuff, figured since he does hundreds of these a day.... that he knew what he was talking about and went ahead and let him do it......Wish I knew then what I know now....

ESI's arent nessecarilly the last resort.... has anyone talked to you about surgery?? That my be your last resort.... Where exactly is your herniation and inpingement???

Good Luck!

 
Old 05-30-2005, 04:16 PM   #5
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Re: EPI...Relief???

Yup my last resort is surgery, I'm just waiting for an appt. I have with A surgeon in Manhattan the end of June. I'm currently out of work and as you probably can relate I'm going crazy.. To give ya a brief hx, I had a disc bulge 1/04 with pain that never went away in my lower back. 1/05 I developed full blown herniation impinging on the s1 nerve root. I had the b/l hip pain, and right leg pain radiating down my leg into my calf. Numbness in my great toe.
Funny, two docs wanted to do surgery before resorting to EPS they said it probably will not work, they were right it didn't. The only thing I can say is it took away the pain in my hips and I can do a straight leg raise alittle better.
Anyway, I have had 2 MRI,X-Ray, and CTscan. PT did not work in the beginning, but I'm trying it again after the epidurals. Soooo, getting back to your first ? Ihave a L5-s1 herniation that is impinging on the nerve, the NS I saw said there could be poss. framents that are lingering around. ANY sugg. would help. The Ortho spine spec. recommended a microdissection w/partial laminectomy. The doc I saw at the Hosp. for special surgery in Manhatten did the EPS, he was great and now I'm worrried about surgery.
My ? are should I wait till The materialin my spine dissolves or do surgery to fix the problem???

Last edited by spineo2; 05-30-2005 at 05:55 PM.

 
Old 05-30-2005, 08:13 PM   #6
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Re: EPI...Relief???

[QUOTE=spineo2]Yup my last resort is surgery, I'm just waiting for an appt. I have with A surgeon in Manhattan the end of June. I'm currently out of work and as you probably can relate I'm going crazy.. To give ya a brief hx, I had a disc bulge 1/04 with pain that never went away in my lower back. 1/05 I developed full blown herniation impinging on the s1 nerve root. I had the b/l hip pain, and right leg pain radiating down my leg into my calf. Numbness in my great toe.
Funny, two docs wanted to do surgery before resorting to EPS they said it probably will not work, they were right it didn't. The only thing I can say is it took away the pain in my hips and I can do a straight leg raise alittle better.
Anyway, I have had 2 MRI,X-Ray, and CTscan. PT did not work in the beginning, but I'm trying it again after the epidurals. Soooo, getting back to your first ? Ihave a L5-s1 herniation that is impinging on the nerve, the NS I saw said there could be poss. framents that are lingering around. ANY sugg. would help. The Ortho spine spec. recommended a microdissection w/partial laminectomy. The doc I saw at the Hosp. for special surgery in Manhatten did the EPS, he was great and now I'm worrried about surgery.
My ? are should I wait till The materialin my spine dissolves or do surgery to fix the problem???[/QUOTE]


Hi Again... Well first I am not sure what you mean by the material in you spine dissolving.... from what my Neurosurgeon told me I had a 9mm herniation impinging on the Right S1 nerve root... and I also had loose fragments in there..... and they told me the only thing that was going to fix my problem was to have a Microdiscectomy/Laminectomy....

My Neuro did tell me that the pain would eventually go away.... I had all the same pain you speak of... lower back pain... hip pain....back of my right thigh... down into my right calf.. and my right foot and toes... have the pain, burning, tingling, crawling pain... straight leg raise hurts... cant bend over... or backwards.... walking or sitting and standing even hurt....He told me that if we just left it alone the pain would eventually go away because the nerve would eventually die and then I would loose the use of my leg..... So I of course had the surgery...When I woke from my surgery my pain was completely gone...But I will be honest, I was completely pain free for roughly 2 weeks, then my pain started to come back......I now have all the pain back in my lower back, and right side.....and also on my left as well ..... My Neuro said, that My pain is from Damage to my S1 nerve root, I had scar tissue that had started to grow over the S1 nerve to protect it where it was being compressed, and had been compressed for quite some time... they removed a good bit of the scar tissue, but there was some that could not be removed.... they did the Discectomy/Laminectomy... and removed the loose fragments...my Doctor says that if I am going to heal it will take a long time... at minimum 3-5 years.....because he said nerves regenerate at something like 1/8 an inch a year.....

My best suggestion is if you have tried all the other options, and you doctor suggests the surgery, then I would go with the surgery, and I would not put it off to long, because the longer you wait the more damage the impingement of the nerve is going to cause...and you stand to have permenant damage...

Please Take care of it as soon as you can.... Keep us up to date on what you do...

Take Care

 
Old 05-30-2005, 08:55 PM   #7
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Re: EPI...Relief???

Thanks for sharing, every bit of someone life experience helps. One of the several opinions I have gotten the doc stated that the leakage from the disc would posslible be causing some of the pain and that over time it would dissolve and calcify or harden. That is not to say that any inflammation wouldn't cause pressure on the nerve. How long did you wait till you deciced to do surgery?? Thanks for the help.. It definetly helps relieve some of the anxiety. Did you have constant numbness and how bad did it get before you decided to have surgery?

 
Old 05-30-2005, 11:30 PM   #8
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Re: EPI...Relief???

[QUOTE=spineo2]Thanks for sharing, every bit of someone life experience helps. One of the several opinions I have gotten the doc stated that the leakage from the disc would posslible be causing some of the pain and that over time it would dissolve and calcify or harden. That is not to say that any inflammation wouldn't cause pressure on the nerve. How long did you wait till you deciced to do surgery?? Thanks for the help.. It definetly helps relieve some of the anxiety. Did you have constant numbness and how bad did it get before you decided to have surgery?[/QUOTE]

I started with slight twinging pain In Nov- Dec 03.....In March 04 I fell doing yard work and my pain became very unbearable, so went to my family doc, he said I had a torn hamstring, said rest, heat, ice... and muscle relaxers.... after about 4 weeks I had not gotten any better, so I went to a Orthopedic Surgeon, he ordered XRays, then an MRI... and it showed a HUGE 9 mm herniation at L5-S1, He had me go through PT, When that didnt help, he then referred me to a Neurosurgeon, and the Neuro said my only option was surgery with it being as bad as it was, so on June 2, 2004 I had my surgery....as soon as he told me surgery was my only option I said ok, and within 2 weeks of him telling me this, I had my surgery..

To answer your question, Yes I had horrible numbness and unbearable pain, all the time, it got so bad, I could hardly walk, or stand for my feet to touch the floor....Just dont put it off for too long, or it will cause more extensive damage, and even possibly permenant nerve damage.

Good Luck

 
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