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pain doc neary broke needle!!

strakerstraker Posts: 2,066
edited 06/11/2012 - 8:27 AM in Spinal Injections
hi all
i went to see my pain consultant last monday.after we had talked about the usual how are you .? normal chatty type stuff.she paused and i asked her whats wrong? she said that during my last epidural .my back was so congested with scar tissue .that when she tried to put the needle in she had to use so much pressure that the needle almost broke! i said that i have no recollection of this ..she said yes i know i had to fully sedate you because you were in agony! and we {the surgical team} were worried that we may have gone straight through !!!!!!!!!!!!.the x rayed my spine using that dye they use and luckily she had not gone through.
she said that she wont be trying to do any more spinal injections on me again .and want to MRI scan my back to find out just why my DDD has got so bad after the last operation.so its the weighting game again for me.
STRAKER
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Comments

  • Sorry to hear about that. I hope you're hanging in there. That must be hard to hear that. Just have to wait for the MRI results, Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Hello Straker,

    My advice - Seek the advice of several other pain management doctors who are EXPERTS at giving ESIs. REAALY experts. AND do take your MRIs with you to those doctors.

    Something just doesn't souond right to me.

    RichT
  • hi rich t
    my pain consultant IS the best !! .i have seen others .my doctor sent me to see her .you can also see her privately but she charges a lot and there is a long waiting list .i had to wait for 6 months before i could see the first time as people want to see her rather than anyone else.
    not only is she highly qualified and has a awful amount of experience..she has a nice way with her and is easy to talk to she is very understanding and kind .i would not go anywhere else now as i have been to see other pain docs in the past and i have had bad times with them.
    all i can do now is wait for the MRI scan and see where we go from there
    STRAKER
  • Dear Straker,
    I firstly presume that the epidural was in your Lower Lumbar.

    If that was indeed the case, I had a similar experience to you except that I only had minimal local anesthetic in the area at my own request. The doctor had great difficulty getting the needle in the right place and the pain from his efforts was still somewhat extreme to say the least. I told him to abort the effort and he fortunately complied. I decided to change my pain management doctor and I then went to a large hospital with a renowned PM Department. I had "Caudal Epidural" method shots which were less painful for me than the previous shots and they worked well for a long period of time. These shots take about 25 minutes in total and are very accurate if the doc does it as he should with fluoroscopy and Iohexol contrast for real pinpoint accuracy. All this may sound a little complicated but it is really very effective and very accurate and a great way to avoid the scar tissue as well as the pain of a regular epidural.

    I would suggest that you find a very competent pain manager and you may want to do some worthwhile research first.

    Good Luck
    John Blunt
  • Hello Straker,

    As you wish. However, if you won't open your eyes to the opinions of other doctors, then there is nothing I can do.

    RichT
  • Thank goodness for sedation, huh? Wow. I have never had a peace of mind about ESI's, nerve blocks, etc., so I have had minimal done. And now with all my scar tissue (as evidenced by my horrid experiences with the SCS trial and placement procedures during which I used 2 different doctors, one a highly renowned neurosurgeon, the first one, just a regular anesthesiologist who will never touch my back again!), I guess I have reason to be.

    And you had no idea until she told you later? Isn't Versed a wonderful med? lol

    Take care,

    Cheri
  • dilaurodilauro ConnecticutPosts: 9,332
    and started to ask a few doctors.
    What I got in returned was a very disturbed look!

    How could the doctor not realize they were about to break the needle? Besides the help of instrumentation and just experience, they were amazed that a doctor could accomplish that.
    Not saying its not impossible, I guess there is a first time for everyone.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • That is scary S#@t. I'm so sorry Straker. Maybe they shouldn't mess around in there since you have so much scar tissue. I hate the thought of something going terribly wrong the next time around. I have had transforaminal ESI's and was never sedated. I would never want to be awake if something like that were to happen. I pray that nothing has been made worse. Please let us know about your next MRI and take care, my friend >:D<
  • hi all and thanks for your advice and replies/as some of you know my wife is a health visitor and before that she was a midwife..i asked her if she knew of any occasions where the anesthetist had broken the needle when giving epidurals for labour pain.she told me that although it is very hard to break a needle it is very easy to bend and kink a needle as they are very long.and she thinks this is what has happened to me ..when the needle is bent and kinked it is useless the danger comes when you attempt to straighten the needle in order to remove it .there is a tendency for it to break due to metal fatigue..all i know is that my anesthetist said that she would not attempt to give me another epidural of facet joint injections because of all the congestion in my lower spine..i have mt MRI on the 12th feb 2009 .
    STRAKER
  • Straker,

    Jeez!! I have the same issue with over scarring and found traditional ESI's to be completely ineffective because of it. It makes sense because the medication could not get beyond the scarring. Then I had my first Transforaminal ESI, where they actually take an approach from the side instead of trying to go straight in. This actually allowed the medications to reach where it was needed and I, for once, actually had temporary relief where as with the traditional ESI's I had none. He also did ALL of his ESI's, no matter what approach, with flouroscopy (real time xray) to make sure he could see where he was going. I just don't see how any doc could try to do it WITOUT flouro as it's like taking a shot in the dark to hit the right spot.

    I hope relief finds you soon.

    Amy
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