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



Spinal Cord Disorders Message Board

  • Multiple Steroid Injections

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 11-30-2011, 07:17 PM   #1
    babyblue040102
    Junior Member
    (female)
     
    Join Date: Nov 2011
    Location: Fort Worth, Texas
    Posts: 10
    babyblue040102 HB User
    Multiple Steroid Injections

    Is it safe and normal to have multiple steroid epidural injections? I have had about 3-4 now and have 2 more scheduled all within a 2 month time span. I thought they could only do three a year and a month apart. So Im confused. THe first one didnt work the next 2-3 that they did all at same time seem to be helping somewhat and I have two more scheduled in lower back.

    Alll these are for disc degeneration and spinal stenosis brought on from rear-end car accident. No problems before and after accident everything started hurting.

    Will this also mean I will have to have these injections every year and eventually will need surgery down the road?

     
    Sponsors Lightbulb
       
    Old 11-30-2011, 09:36 PM   #2
    krazy2day
    Senior Member
    (female)
     
    Join Date: Jan 2009
    Posts: 251
    krazy2day HB Userkrazy2day HB Userkrazy2day HB Userkrazy2day HB Userkrazy2day HB User
    Re: Multiple Steroid Injections

    I had bilateral spinal injections w/ guided flouroscope and my understanding was that I could only have 3 per year. Aside from treating pain they sometimes use the injections for diagnosis. Did they do an MRI?

     
    Old 11-30-2011, 09:58 PM   #3
    noevr
    Senior Veteran
    (female)
     
    Join Date: Feb 2007
    Location: Chester, VA
    Posts: 2,200
    noevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB User
    Re: Multiple Steroid Injections

    You don't want to have too many steroids injected into your body because it can cause your adrenal glands to shut down which is what has happened to me and it is not fun I am exhausted all the time. You can radio frequency ablations done where they burn the nerve instead nothing is injected. I would ask about this instead. Hope this helps.

     
    Old 12-01-2011, 03:06 PM   #4
    babyblue040102
    Junior Member
    (female)
     
    Join Date: Nov 2011
    Location: Fort Worth, Texas
    Posts: 10
    babyblue040102 HB User
    Re: Multiple Steroid Injections

    I wouldnt think it would be healthy but I am not a spinal Dr. I am having so far a total of 6-7 in a 3 month time period and then what? WHat if it does work but only temporary then what more shots? I dont get it

     
    Old 12-01-2011, 04:30 PM   #5
    jennybyc
    Inactive
     
    Join Date: Feb 2009
    Posts: 3,892
    jennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB User
    Re: Multiple Steroid Injections

    Before other readers get confused, epidural steroid injections are used to reduce pain and inflammation near a nerve in the spine. Radio frequency ablation where they burn off the nerve endings with radio waves to stop pain is done ONLY in the facet joints, small joints on the backside of the vertebrae. They do NOT use radio waves to treat the nerve inflammation or you'd end up with paralysis.

    They used to think that cortisone would cause decomposition of the tissues if they did too much but more recent studies have shown that it won't and the chronic inflammation does more harm. It should be okay.

    And a minimal amount of the steroid actually gets into the blood stream so you don't have to worry about that either. Taking drugs like prednisone can cause adrenal gland problems if taken too much or too high a dose but not shots. Shots are always preferable to pills as they keep the maximum dose right in the area where it is needed. The amount used for the spine is certainly no higher than that used for a knee joint and I've gotten my knee joints both done many, many times with no problems. Usually the maximum number of joints any rheumatologist will inject at any one time is 4 and rarely less than 3 weeks apart and the most I've had in any one joint in a years time is 9. Maybe that will give you a few parameters as to how many and how frequently the arthritis specialists will use steroids. Whether it's a spine or a knee, it's about the same to the body.

    Jenny

     
    Old 12-01-2011, 04:39 PM   #6
    noevr
    Senior Veteran
    (female)
     
    Join Date: Feb 2007
    Location: Chester, VA
    Posts: 2,200
    noevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB Usernoevr HB User
    Re: Multiple Steroid Injections

    @Jenny I'd go to the Mayo Clinic Website and search for "Radiofrequency neurotomy" so you'll understand what I'm talking about.

     
    Old 12-02-2011, 07:54 AM   #7
    jennybyc
    Inactive
     
    Join Date: Feb 2009
    Posts: 3,892
    jennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB Userjennybyc HB User
    Re: Multiple Steroid Injections

    I did check out the Mayo site and if you notice, it doesn't say where in the spine it is used. Other sites are far more specific in calling it Facet Joint Radiofrequency Neurotomy. Mayo trys a little too hard to be "readable".

    Pain in the spine can come from many areas. You can have a spinal nerve that is being compressed by something and that causes the bad radiating pain that goes down your arm(or leg in the lumbar). Bad arthritis of the facet joints causes terrible pain in the neck or spine itself when you move, mostly from twisting type movement. You can also have pain from arthritis in the uncovertebral joints. These small joints are part of the vertebrae and it's stabilization processes.

    So they treat the facet joint pain by first doing either an anesthetic block or a steroid injection to see if that relieves the pain. If it does, they go back in and insert tiny needles (under fluoroscopy) that are heated with radio frequency waves to about 140-160*F and the heat burns off the nerve endings in the joints, giving good pain relief until the nerves grow back...which can take from 6-12 months.

    But it is NOT done for the relief of pain from the spinal nerves that are blocked at the foramen(the hole where they come through the vertebral bone). Heating those nerves would end up killing the nerve to the entire arm and leave you with major paralysis in the muscles of that area. Only steroid or anesthetic injections are given in that area.

    Two totally different problems and 2 totally different procedures. Both can occur in the same neck and both procedures are commonly done in one neck to relieve pain but both are totally different and not interchangeable. You can tell which is being done when they put small needles directly into the area on the back of your neck WHEREAS with an epidural injection, a catheter is placed in the epidural space high up from the front of the neck and then threaded down the epidural space until it gets to the area that needs injecting and then the local anesthetic or steroid is injected and the catheter is pulled out.

    Been there.

    Jenny

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Are Steroid Injections Painful? mykinzie10 Spinal Cord Disorders 7 02-12-2010 04:46 PM
    Epidural steroid injections slotr1 Spinal Cord Disorders 14 08-15-2008 10:08 AM
    Epidural Steroid Injection jitteryme Spinal Cord Disorders 12 12-09-2006 12:59 PM
    EMG, NCV and Epidural Steroid Injections Update puparoo Spinal Cord Disorders 1 09-19-2006 12:07 PM
    Cervical epidural steroid injection BEFORE physical therapy even starts? zuzu8 Spinal Cord Disorders 6 08-05-2005 10:53 PM
    steroid injections, anyone know of any sideeffects I should know about JudyBrownEyes Spinal Cord Disorders 8 05-27-2004 06:06 PM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    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




    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 03:29 PM.





    2019 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!