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  • steroid injection for S1 area....please advise

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    Old 09-29-2007, 03:06 PM   #1
    jacquelineforde
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    steroid injection for S1 area....please advise

    People on this site were extremely helpful to me (search minor boney lipping for original thread) in directing me to finally seek a spine specialist after months of being thrown around so here I am again. However I went to specialist with 2 possible diagnoses-scoliosis or osteoarthritis, expecting one or other to be confirmed, but he suggests S1 area problem (sorry, will find proper language and post it). He believes my scoliosis is so minor it cannot be a problem, agrees with minor narrowing at L5, but thinks fall to coccyx over 10 yrs ago led to S1 inflamation and suggests steriod injections. He says he cannot guarantee this is route of problem, and that it has 2/3 chance of helping. Can I get people's take on this? I had quick search here and seems to have mixed reactions. Actually I'd really appreciate layman's terms as to what these injections are, what they will do and side effects I may need to weigh up. Thank you so much for any help.

     
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    Old 09-29-2007, 04:32 PM   #2
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    Re: steroid injection for S1 area....please advise

    They will spray a numbing agent on your back, under guided fluroscopy, they injected the suspected area with steriods to bath the nerves and affected areas. For a couple of days after the injection you will more than likely have increased pain and you should take it easy for a few days to let the medication work. They usually do a series of 3 injections one week apart.

    Just make sure they are doing the injections under fluroscopy.

     
    Old 09-29-2007, 05:35 PM   #3
    Roy47
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    Re: steroid injection for S1 area....please advise

    I had these as well and it was the turning point in considering surgery. I know a couple of people that have had this done and it has been years and they are doing excellent. It is what it is I guess. I hope that it does you a lot of good.



    It is hard to say and they are not all that pain - full in you ask me. I have had a lot of worse pain and discomfort as far as a myelogram. I did not like that at all and was miserable for almost a month after my attempted myelogram.


    I wish you nothing but the best.....



    Roy



     
    Old 09-30-2007, 11:54 AM   #4
    jacquelineforde
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    Re: steroid injection for S1 area....please advise

    thank you both for your input. I am on NHS (UK) waiting list for it so not due until Christmas but I will start asking the questions you mention. I was told it would be one injection, then maybe 6 months later if needed, so not sure about the three you say. By the way, is weight gain a given side effect? Also, these steroids, I am assuming, are simply pain relief rather than anything preventative or dare I say 'curing', right? Forgive any naivety but I am still fighting the assumption that being relatively young (37) I should be able to cure my back problems....!

     
    Old 09-30-2007, 12:03 PM   #5
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    Re: steroid injection for S1 area....please advise

    Hi, I thought I would add my experience with a steroid injection. I had one about two weeks ago in the lower lumbar region. I have a herniated disc in that area. I have had other injections in the neck area as well, and these were cortisone shots. The steroid injection really did not bother me at all. They gave me something to relax me (through an IV), but I don't think I even needed that as I really didn't feel any different as far as relaxation wise. I hardly felt the injection and was surprised when the doctor said I was finished. That evening I had a slight headache and felt a bit anxious, so don't get scared if that happens to you. It was quite mild, and no problem at all. I felt very good for about a week, but then my pain came back. However, I really think I over did it after the shot, with cleaning, etc. I would advise you to take it easy after yours, and don't do too much for a few days. I do feel better now, and may have another injection soon. These injections do help a lot of people, so I hope you have a good experience with them. I wish you luck, and don't be nervous.....it isn't too bad at all.

    Good luck to you.

    Judy

     
    Old 09-30-2007, 11:24 PM   #6
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    Re: steroid injection for S1 area....please advise

    Hi! I have had sacroiliac injections over the past few years. They have helped a lot! This last year I have had a lot of pain in that area and have gotten shots every 3-4 months. The procedure is not bad-I do ask for the light sedation which helps. They do a numbing shot and then the cortisone shot. It is over very quickly! Try to take it easy for a few days afterwards and ice/rest. That seems to let the cortisone "settle in" better. If you try to do too much, sometimes it doesn't work as well. Just my experience-I have not gained weight from the shots. Take care, Kera4

     
    Old 10-03-2007, 01:47 PM   #7
    jacquelineforde
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    Re: steroid injection for S1 area....please advise

    Once again, many thanks for taking time to write....I can't emphasize enough how grateful I am to this site and people's insightful info. I may be back, if you don't mind, with more questions as they pop up.....

     
    Old 01-23-2008, 03:49 PM   #8
    jacquelineforde
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    Re: steroid injection for S1 area....please advise

    Over several months I have (very gratefully) followed advice on this site and after an x ray, got an MRI in December which showed the suspected problem is indeed L5 DDD and the Dr thinks my SI joint is inflammed, so I have just received my appointment for the steroid injection he recommented even after only seeing the x ray. I am however a bit panicked as it is now just two weeks away, and so had another look at various threads here, and am full of questions/ doubts again. Can you help?

    I am still very confused about teminology...sacroiliac, cortisone, ESI, steroid injection...help! I don't even know which one I am having or if they are all one and same! I guess I am also still unsure, even at this late stage, if I am following the right path as I have gone from Ibuprofen as my primary pain management to this injection. Have I jumped any steps or am I just getting cold feet about the injection? I am still scared of pros and cons after reading one thread saying ESIs make things worse generally. My pain is bad, but not unbearable. Should I even reconsider having the injection at all? Also, I am even still unsure as to what the objective of the injection is;am I just relieving pain by (hopefully) treating inflammation of SI joint, or is the inflammation the reason for my increasing back pain anyway rather than the DDD? I guess inflammation is actually a result of DDD right?

    Thank you as always for any answers.

     
    Old 01-23-2008, 05:03 PM   #9
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    Re: steroid injection for S1 area....please advise

    Hi! I know it can be confusing, since there are many types of injections that can be done. The SI injections go directly into the joint. The SI joint is below the area where your L5 disc is. I also have a degenerated disc at L5/S1. One of the tricky things is figuring out whether your pain is coming from the bad disc or the facet joints surrounding the disc or the sacro iliac joints below. When they do an ESI injection, the shot is put near the bad disc, in the space around the disc. This is different than being put in a joint, like the SI injection you are going to have. Your doctor will suggest a shot where he thinks it is most likely your pain is coming from. He probably saw inflammation "light up" on the xray-that is how mine looks when it is inflammed. I hope that makes sense. I am having SI injections done next Thur. 1/31-they are really not too bad. It is so quick-and they give you a light sedation. Just be sure to rest the next couple days. Good luck, Kera4

     
    Old 02-02-2008, 01:28 PM   #10
    jacquelineforde
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    Re: steroid injection for S1 area....please advise

    Thank you Kera4, and I hope your injection has gone well. I seem to be getting more back pain these days, dull throbbing all down spine. I am going to ask many more questions hopefully pre injection next week, as to be honest I am not sure which injection I am getting. However, I was wondering about the DDD at L5/6 that I have. When the doc showed me it on MRI he mentioned it was much lighter than other discs showing lack of fluid. Something like that! I realise that what I seem to be getting now re injection is classed as pain relief rather than repair or preventaive action, right? Is there however anything one can do to 'restore' this liquid disk space, or whatever it is. I am concerned that being in discomfort at 38 may mean much worse to come as it degenerates more, if that is indeed what happend to these disks.

     
    Old 02-02-2008, 11:27 PM   #11
    kera4
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    Re: steroid injection for S1 area....please advise

    Hi! I had my injections in the sacroiliac on Thursday, and they went well. I have been resting for a couple days, and now starting to do more. I can really feel the difference in pain relief! In answer to your question, the injections cannot restore damage, but they definitely can prevent further damage by removing inflammation. My doctor told me that if the inflammation is not brought down, it can wear the joints down (arthritis). Also, a degenerated disc will put more pressure on the sacroiliac joints below, so they have to work harder and become inflammed. I guess the injections are both pain management and preventative. My best advice with the injections is to rest for a few days (even if you don't have much pain afterwards). I have had many of these, and if you don't let the cortisone settle, in my opinion, they do not last as long. My doc said that the cortisone does its work within 7 days and then it is out of your system. The length of time you will get relief depends on how much of the inflammation is reduced. Often, a repeat injection is necessary if you have a high inflammation level. Good luck! Kera4

     
    Old 02-03-2008, 07:03 AM   #12
    jacquelineforde
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    Re: steroid injection for S1 area....please advise

    Much clearer to me now, thanks a lot for this. I realise rest is crucial but I have to fly back to where I live less than 48 hours after my injection. Do you think this is a problem? No doubt I will be back for more info/thoughts as and when. I appreciate you taking time out to get back to me. Glad you're feeling better, by the way.

     
    Old 02-03-2008, 12:32 PM   #13
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    Re: steroid injection for S1 area....please advise

    Hi! I think if it is not a long flight, you should be ok. I would just get up and walk around the plane a bit, not sit too long. Then when you get home, rest and ice a bit more. As long as you can rest more than you usually do, then you will let the cortisone work. I hear about people going back to work the day of the injection, which is what I think doesn't work. I know a lot of people try to schedule them for a Thur. or Fri. so they have the weekend off.

    I would reccommend asking for sedation during the injections. It wears off right after the procedure (versed or fentanyl), and it will make it less painful and stressful the first time. The way I look at it, they require a IV to be inserted for emergencies, so I might as well be comfortable during the procedure Take care-let me know how it goes! Kera4

     
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