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Pain Management Doctor and Epidural

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:35 AM in Back Surgery and Neck Surgery
I haven't even seen this pain management doctor yet, and all ready he sends me this packet of information to fill out. This doctor is all ready stating that he wants to give me epidural shots and he hasn't even examined me as of yet. I was referred to him by the neurologist. I have two slipped vertabrae in my neck, one pretty bad and the other borderline. I have had a minimal disectomy in the L-45 area of my lower back in 2006 and it is starting to give me trouble again. I have filled out for disability and have a hearing in November. But I was trying to work partime and a sign came loose at work and hit me and knocked me into a wall, the sign being about ten pounds heavy. I am now on Workmens Comp. Why wouldn't the neurologist want a new MRI of my neck and lower back? Will the pain management doctor want one? I donated a kidney in 2006 and have been doing steroid shots since 2004 and now they don't do anything for me. I have heard that the epidural can lead to arthritis and I can sneeze and my back will freeze up and I will be in pain. Does anybody have any answers?


  • Just for clarification, did you see a neurologist or a neurosurgeon? The former deals with disease of the nerves and does testing. For the kind of injury you sustained, I would think you would want to see an orthopedic spinal specialist or a neurosurgeon who specializes in spines. I would think they would want a new MRI.

    I certainly wouldn't want to start with a pm doc without having an accurate diagnosis and a plan for treatment, particularly when dealing with the cervical spine. I suppose it doesn't hurt to go in and meet with the PM doc to discuss your issues, but I don't think I'd sign up for an epidural until you have further information.
  • I would say that all docs have different strategies. I've been seeing my pain mgmt doc for about 6 months or more and she hasn't mentioned injections. I've had them somewhere else before. I have to bring things up to her if I want to try something new. I got the tens unit after requesting from her. I also requested to get the epidural injection since this is the only injection that I haven't tried yet. I'm waiting for insurance approval. Whatever route you take, I wish you the best of luck. If you aren't comfortable about this injection before seeing the new doc you should call the doc office and express your concerns and feelings.
  • Then if you have something structurly wrong it can be taken care of. A pain Dr is a good idea, once you know what is wrong. I dont think I would want a shot, not knowing what a mri would show. This is just my opinion.
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