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



Hernia Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 05-06-2009, 02:12 PM   #1
Junior Member
(female)
 
Join Date: May 2009
Location: MN
Posts: 14
RockofAges HB User
Herniated L4 & L5-ESI shots not working - Now What?

Hi everyone, I am new to the boards and have spent the last few days reading everyones posts. This seems to be a great place to get the skinny on my situation.
Here is my story thus far...
Just before my cystectomy surgery I had additional symptoms of extreme headaches, and numbness and loss of movement in my right foot. The doctors felt these new symptoms were not related. We went forward with the surgery and found that the cyst had burst on its own. The abdominal pain moved from the front to my lower back while I was in the hospital recovering, so they ordered an MRI. The MRI showed a herniated disc L4 & L5, last Wednesday I had an ESI at Ridgeview performed by Dr. Gross. The steroid shot made the back pain much worse, and now I am laying flat most of the day.
I saw the Dr. yesterday and she was happy with movement in my big toe, and wants to have physical therapy for 8 sessions, and have another ESI done next Wednesday. She feels two weeks apart will provide optimal results.
My day consists for laying on my back for most of each day and taking a muscle relaxants to help with muscle spasms. I start physical Therapy tomorrow.

Some of my big questions are -
How does one get their primary care physician to perscribe pain meds that let me function? Currently I am on Hydrocodone 5-500 and Cyclobenzapr 10mg. The hydro does not do a thing for the pain and the Cyclo just makes me sleep. I have two boys 3 & 4, and for the past 2 weeks they have been staying at Nana and Grandpas.
I am scheduled to see a Pain Management Dr on Monday - what should I expect from this appt.? I was told to bring my MRI and the dictation, so I have that ready.
If the first ESI made my pain and mobility worse can I expect the same outcome from the second ESI? Has anyone had a better second ESI than their first?

Any insight is greatly appreciated.

Last edited by RockofAges; 05-06-2009 at 02:14 PM. Reason: Missing some information

 
Sponsors Lightbulb
   
Old 05-06-2009, 02:40 PM   #2
Junior Member
(female)
 
Join Date: May 2009
Location: MN
Posts: 14
RockofAges HB User
Re: Herniated L4 & L5-ESI shots not working - Now What?

I am also wondering how long people have been dealing with their pain, and how has their life changed because of a herniated disc? Thanks.

 
Old 05-06-2009, 09:39 PM   #3
Veteran
(male)
 
Join Date: Dec 2006
Location: My Happy Place
Posts: 311
Michael8466 HB User
Re: Herniated L4 & L5-ESI shots not working - Now What?

Ask your pm dr. about trigger point injections. I just started receiving them on both shoulders and they've given my lower back and legs so much relief. I didn't believe the dr. at first when he told me my problem was with my muscles. He says I have knots on my uppper back that is causing the pain.

 
Old 05-06-2009, 09:52 PM   #4
Veteran
(female)
 
Join Date: Jun 2008
Location: USA
Posts: 353
brendaks1 HB Userbrendaks1 HB Userbrendaks1 HB User
Re: Herniated L4 & L5-ESI shots not working - Now What?

RockofAges,

Sorry to hear of your problems, but you are in the right place to talk to others who can completely understand your pain and how it can take complete control of your life.

For the ESI's, there is sometimes increased pain for a day or two after you have the injection, but often after 2 days or so you will have improvement in your symptoms for a few days or a few weeks, or in some lucky cases a few months. I remember reading somewhere that if your back pain is related to a herniated disc, 85% of people will get at least some relief for at least a few days after having an ESI. If you go to the doctor and say you had no relief they may determine that your pain isn't coming from your disc herniations, so pay close attention to whether or not you actually have some lower back/sciatic pain relief in the 3-5 days after your ESI injection as this may alter your future course of treatment and diagnosis. I have had 5 injections, and one left me is some pain for about a week while the others it was only for a day or two, and 4 of the 5 I had noticeable relief for about a week afterwards. It's possible they may have hit your nerve when they did the injection which caused you more pain than normal, but if so it should heal soon.

As far as getting correctly medicated, GP's generally don't give anything stronger than hydrocodone and a muscle relaxer when you first have sciatica/back pain. Your PM doctor may or may not be willing to give you something stronger, and it would be helpful if you brought a daily journal which shows your pain level at various times of the day and how well you are sleeping or not sleeping because of the pain, as well as what activities cause more pain and what makes the pain better. Doctors will often give people who have had back surgery much stronger pain meds, but it can be hard to get them before surgery.

As far as how long I have been dealing with back pain/sciatica, it has now been over a year for me. I had laminectomy/discectomy at L4/L5 last August followed up by an additional surgery 2 weeks later due to a hematoma/infection, and never got fixed from that surgery. I have had recent additional tests that show my L4/L5 disc is reherniated and completely shot. I see a surgeon next week and have been told I will likely be facing a fusion. My biggest problem is that I have severe nerve root compression when I sit, so I am unable to sit at all. This means I cannot drive, go out to dinner, or work right now, and my social life is basically non-existent. Most people, however, have back surgery and get back on with their life after healing so my experience is not the norm.

There are many people who, even though they are in severe pain due to a herniated disc, are able to get back to a reasonable life with conservative treatment and time. Surgery should be the last option, and I am proof that complications can occur and the surgery may not fix your problem or may make you worse.

Good luck!

 
Old 05-08-2009, 05:16 AM   #5
Junior Member
(female)
 
Join Date: May 2009
Location: MN
Posts: 14
RockofAges HB User
Re: Herniated L4 & L5-ESI shots not working - Now What?

Thank you for posting and sharing your experiences with me. I went to see my primary Dr. on Tues. and she felt there was nothing more she could give me for the pain except the muscle relaxers and hydrocodone. I understand her position in being careful about addiction but if I am unable to care for my family and not able to work, what other options do I have? Disability? How does a person go about finding information on that?

I am seeing a Pain Specialist on Monday, and have been journaling my pain and limited activities. I hope that will help. The muscle relaxers are helpful, but they also make me sleepy and make it hard to take care of my kids. I have been unable to work for several weeks, and wonder if this is going to be my norm.

I am fortunate to have my parents living close and they have taken the boys for many over nighters thelast 2 weeks - but I miss them.

Most people on the boards - of the ones I have read - have had a worsening in their quality of life after surgery, what are the statistics of those who actually get better? It seems like it should be something I stay away from.

I appreciate your point of view and wish we all were spared this drama in our lives.

 
Old 05-13-2009, 05:41 AM   #6
Newbie
(male)
 
Join Date: Apr 2009
Posts: 7
gizmo61151 HB User
Re: Herniated L4 & L5-ESI shots not working - Now What?

how or what kind of a dr gives trigger point injections? my dr says i am fine and healthy but i really need something that loosens up my muscles but doesnt make me feel drugged. i have been on hydrocordisone- what a joke i was up the whole night. i have a family to support and of course in this economy you have to have alert and completely funcioning at work. the only thing the dr told me is that i have a vit d deficiancy and gave me a script for vit d. the muscle pain i have is an all over pain that responds to rubbing. the muscles are tense. besides a 65 dollar massage is there anything i can do to help with the pain? the drs are so unhelpful saying it might just be in my head. i am gaining weight probably from the inactivity. it seems like my time off from work is spent trying to recoop from a stressful busy day. i really want to get over this fast i have so much to do. any suggestions?

 
Old 05-13-2009, 02:26 PM   #7
Veteran
(male)
 
Join Date: Dec 2006
Location: My Happy Place
Posts: 311
Michael8466 HB User
Re: Herniated L4 & L5-ESI shots not working - Now What?

My pain management dr. gave me mine. He shot me up with a needle. I had no side effects and no drousyness at all. I've been able to be on my feet more. Please look into this, It's the only thing that has helped me. I haven't felt this good in years! Good luck

P.S. I haven't had to take meds since starting the injections.

 
Old 05-13-2009, 03:11 PM   #8
Newbie
(female)
 
Join Date: May 2009
Location: Virginia, USA
Posts: 3
kiriki HB User
Re: Herniated L4 & L5-ESI shots not working - Now What?

Quote:
Originally Posted by RockofAges View Post
Hi everyone, I am new to the boards and have spent the last few days reading everyones posts. This seems to be a great place to get the skinny on my situation.
Here is my story thus far...
Just before my cystectomy surgery I had additional symptoms of extreme headaches, and numbness and loss of movement in my right foot. The doctors felt these new symptoms were not related. We went forward with the surgery and found that the cyst had burst on its own. The abdominal pain moved from the front to my lower back while I was in the hospital recovering, so they ordered an MRI. The MRI showed a herniated disc L4 & L5, last Wednesday I had an ESI at Ridgeview performed by Dr. Gross. The steroid shot made the back pain much worse, and now I am laying flat most of the day.
I saw the Dr. yesterday and she was happy with movement in my big toe, and wants to have physical therapy for 8 sessions, and have another ESI done next Wednesday. She feels two weeks apart will provide optimal results.
My day consists for laying on my back for most of each day and taking a muscle relaxants to help with muscle spasms. I start physical Therapy tomorrow.

Some of my big questions are -
How does one get their primary care physician to perscribe pain meds that let me function? Currently I am on Hydrocodone 5-500 and Cyclobenzapr 10mg. The hydro does not do a thing for the pain and the Cyclo just makes me sleep. I have two boys 3 & 4, and for the past 2 weeks they have been staying at Nana and Grandpas.
I am scheduled to see a Pain Management Dr on Monday - what should I expect from this appt.? I was told to bring my MRI and the dictation, so I have that ready.
If the first ESI made my pain and mobility worse can I expect the same outcome from the second ESI? Has anyone had a better second ESI than their first?

Any insight is greatly appreciated.

 
Old 05-13-2009, 03:18 PM   #9
Newbie
(female)
 
Join Date: May 2009
Location: Virginia, USA
Posts: 3
kiriki HB User
Question Re: Herniated L4 & L5-ESI shots not working - Now What?

I have had a the esi's and the pain goworse with each one until the last one, in which, two weeks after the pain was so bad that I could not walk or hardly move.

I have been to 4 pain management doctors and the only thing that has even helped a little is methadone. Some pain management doctors don't prescribe it but the one I went to (Dr. Ross) in Newport News, Va. did and it helps once your body gets past the wanting to sleep all the time.

I think the doctors had tried everything else because I have been on over 100 different nedications and that is the only one that helped. BUT, there are side effects with that, just like any medications, so I would look into it and talk to your dr. to see if your condition could benefit from small doses of methadone pills(not liquid methadone that they give herion addicts).
Yes, I freaked out when they wanted to give it to me too because I told them I did not want it because I am not nor have I ever been a herion addict. But, I have been on it for over a yaer and it does help.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Herniated L3,L4 and L5 justdoit67 Hernia 5 02-18-2009 06:00 PM
Help?? Qustion about Herniated L5 S1 disc Roadworker Hernia 5 03-17-2008 04:25 PM
sciatia/herniated L4 and L5- HELP! jules26 Hernia 14 05-06-2007 05:51 AM
Herniated Disk-Help! Hypergirl48 Hernia 2 08-08-2006 01:25 PM
Second herniated disk Butch0926 Hernia 5 10-26-2005 09:53 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 On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



tUrRrRa (8), janewhite1 (3), jennybyc (3), babafirehorse (2), EducatedPanther (2), jjunda (2), KayTuck22 (2), dmayn (1), Sol (1), steve1950 (1)

Site Wide Totals

teteri66 (1180), MSJayhawk (1009), Apollo123 (909), Titchou (856), janewhite1 (823), Gabriel (760), ladybud (755), midwest1 (669), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 12:27 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!