I was wondering if anyone has had ESI's done fairly close together in time at multiple levels?
To keep things short: I have tarlov cysts and we are starting to think they may be my remaining source of pain. I have them at T12, L5, and all the sacral levels. I had an ESI at L1/L2 to see if it would affect the localized pain I was having around T12 and it did help, but had no effect on the pain lower down in my lumbar spine. My doctor is thinking that if the tarlov cysts are the pain source, then repeating the epidural but at L5/S1 to try to get closer to the lower cysts may be a good option.
I'm just confused though because it seems like flooding the epidural space with cortisone regardless of where the needle is placed would spread the cortisone throughout the epidural space including the lower and higher levels. Is that incorrect? I know it's common for people to have multiple herniated discs, so is it normal to do the epidural at several levels to make sure all the discs and nerve roots get good steroid coverage?