Discussions that mention methylprednisolone

Back Problems board


Hello :wave: Jen,

I also had a total of four ESI's. (epidural steroid injections) I had three in the lumbar and one cervical. My lumbar ESI's were done in my pain management's office. As Successtory stated some office's have different methods of performing these injection's. I had to sit on a table and then was giving a pillow to hold onto while I bent over. The first needle with the numbing agent pinched a little and then when they had inserted the medication I felt a lot of pressure. After each injection I had to stay at the office for 15 minutes before they would let me go home. I actually agreed to all three of these and none of them had giving me any pain relief and only increased my pain levels. I chose to have them done in my dr.'s office as I was giving the choice of the office or hospital. I believe these could have been done incorrectly as successtory said. But while I was their and waiting for the nurse to call me I sat with other patients. Some of these patients were saying how much pain relief they had gotten from this injection. I just wasn't that lucky. When I agreed to the cervical epidural this one had to be done in the hospital. I was giving medication through an IV before hand and I was much more relaxed. This one also did not give me any pain relief so I told my doctor no more. I really wished they would have worked even for a little while. I am not sure what injection's your dr. might suggest, but I can only offer my experience with one's that I have had. I also had the following info saved from when I had researched the injections prior to agreeing to them.

Overview
Epidural injection is the administration of medication into the epidural space. It is used to treat swelling, pain, and inflammation associated with neurological conditions that affect nerve roots, such as a herniated disk and radiculopathy.

Epidural injections may be painful and produce uncertain results. Studies show that epidural injection may provide short-term pain relief for patients when conservative treatments have failed.

Anatomy
The brain is covered by three membranes (dura, arachnoid, and pia), called the meninges that extend through the base of the skull and surround the entire spinal cord. The spinal cord travels down the entire length of the spinal column through the spinal canal. The epidural space is located between the dura and the interior surface of the spinal canal and contains veins, arteries, and fat. Epidural injection is the injection of medication into the epidural space.

Procedure

Epidural injection is usually given in an outpatient setting. An anesthesiologist usually administers the injection, but some neurosurgeons, orthopedic surgeons, and neurologists are also qualified to perform this procedure.

A mild sedative and a local anesthetic may be given prior to the procedure to relax the patient and numb the injection site. Medications, usually an anesthetic such as bupivacaine (Marcaine®) or a muscle relaxant, and a corticosteroid such as methylprednisolone (Medrol®), are injected directly into the epidural space. (The injection is commonly called a cortisone shot.)

Effectiveness

Approximately 30% to 70% of people who receive an epidural injection benefit from it. Some patients notice improvement within hours of the injection; others improve over a number of days; and others experience no improvement with the treatment. In some cases, two or three injections are given over weeks or months.

Complications

Complications resulting from an epidural injection are rare. Possible conditions that may develop following the procedure include infection (e.g., epidural abscess), bleeding into the epidural space, and headache caused by a cerebrospinal fluid leak. Approximately 2% of patients experience side effects from the corticosteroid, such as mild fluid retention.

I really wish you the best of luck.


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Cervical MRI 10/02
Loss of cervical lordosis with reversal of the curvature.
C4-5 and C6-7 disc bulges resulting in flattening of the ventral margin of the cord.
C5-6 there is a left foraminal herniation which results in moderate foraminal stenosis In addition, there is flattening of the ventral margin of the cord due to bulging disc.
Cervical Epidural 5/19/03

Lumbar MRI 10/02
Lumbar Lordosis
L5-S1 disc herniation with moderate thecal sac deformity.
L4-5 disc desiccation with bulge which results in mild thecal sac deformity and mild bilateral foraminal stenosis.
L2-3 disc desiccation with Schmorl’s nodule of L3.
Lumbar Epidural 1/30/03
Lumbar Epidural 2/12/03
Lumbar Epidural 2/26/03
Lumbar Discogram 5/23/03
Lumbar CatScan 5/23/03
Posterior Fusion & Infuse with Laminectomy on L4,L5,S1 6/30/03
Instrumentation = 2 Rods 6 Screws & Disc Spacers
Lumbar X-Ray 7/24/03
Lumbar X-Ray 8/27/03
Still no pain relief....
Lumbar CT Scan 9/24/03
Waiting for results....