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shot or no shot?

veajavveaja Posts: 22
edited 06/11/2012 - 8:34 AM in Neck Pain: Cervical
I am changing PM docs. I know the new one will want to give me ESI. I have had 4 in the last year with no help (3 before ACDF and 1 after). Should I let the new PM give me more ESI? Thanks for the input


  • My understanding is that you're not supposed to have more than 3 cortisone ESI's in one year, but I've also heard of people getting more than that. There are also different medications used in ESIs - I could have this wrong, but I think a selective nerve block is done via spinal injection, and there may be another type of injection as well.

    Overall though, don't "let" your doctor do anything you don't feel comfortable with! Remember, it's your body, your pain -- you get to choose what's done to it.

    Good luck,
  • Why do you think they will be doing another ESI. What are they doing the ESI's for. Usually if they are not providing any level of relief they don't find the cost effective. Typically if someone has a poor outcome with a injection the insurance company won't approve any more of them as well. As lissielou stated there are different types of injections. The nerve blocks are done like a ESI and mimic the procedure but are done for a different reason with a different meds as well. Trigger points are not done under flourscopic but can really help with muscle spasms. If I were in your shoes I would want to know what is being accomplished by doing them and what other choices can be used in combination with them. For myself my pain management has been the combination approach and has taken many different trial and errors to get the pain in a manageable range. Good luck and keep us posted.
  • You are absolutely not meant to have more than three ESI's in any one year but there is always the doctors discretion and judgement for a special circumstance. However if you have not had any releif whatsoever then I would suggest that your new PM may want to re-evaluate the whole situation, otherwise he may be somewhat in the dark.

    I wish you good luck and please come nack and let us lnow what happens.

    John B
  • For giving me other views. I have the appt today and will ask the outcome of these.
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