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ESI's without even seeing a Ortho. or Neuro?

morris8790mmorris8790 Posts: 57
edited 06/11/2012 - 8:27 AM in Spinal Injections
Hi again another question. My primary has sent me to a PM and he wants to start me on the ESI series of injections. I have my diagnosis (L4-L5 bulge and L5-S1 herniated w/pinched nerve) but I still haven't been in to see a specialist. my primary is trying to get me in to a neuro. I am to receive my 1st ESI next Tuesday. I've had drop foot for about a month and a half now. Just wondering don't you usually see a specialist before you start with PM treatment? I've not even had an EMG yet and my PM has already told me that we won't know for 6 months or more if I have permanent nerve damage. Just confused feel like I am being jerked around this is a w/c case and it just feels like no one wants to help me. Anyway any feedback would be great.
Thanks, :/


  • Every place has their own protocol, and sending someone for an ESI by PM prior to seeing a specialist isn't that uncommon. Most specialists want to see if that has helped you in anyway, so normally an appointment is booked for about 30 after having had the first ESI.

  • dilaurodilauro ConnecticutPosts: 9,875
    varies from doctor to doctor and from patient to patient.
    All decisions for a particular treatment needs some level of justification (if for only insurance purposes)

    If a patient has been clinically showing a condition, a doctor might just go ahead and schedule a ESI. I would think though that that decision would not come from a Primary Care Physician, but from almost any Pain Management doctor. Depending on the results of those ESI's, then perhaps seeing a specialist would be required.
    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
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