I'm currently recovering from a laminectomy with a repeat discectomy at L4-L5 on Jan 26th this year . We know that the level above and below the site are messed up but are believed to be stable.
I'm still under the care of my NS but I returned to see my PM doc last week because of continued stiffness, 'nerve jolts' if I move the wrong way and pain across my lower back as well as tenderness. She did about 15 trigger points on me from my neck to my butt, and noted that really all of my tight areas on my left side (I had left sided herniation too x2). After performing her physical exam, she thinks I might have an SI joint issue. We agreed to schedule an SI injection for this coming Monday (tomorrow).
I've had a total of 3 ESI's previously so I have a pretty good idea of what to expect. My 2nd one hurt like h#ll (she was trying to get the needle into a tight foramen space) and the 3rd one was not as bad. I did request Xanax before all 3 just to calm myself a bit.
What can I expect with an SI injection? Should I just go ahead and ask for the Xanax? Should I premedicate with pain meds? I do find some relief with my Zanaflex and Percs but would that mask the results if we want to find out if the SI joint is an issue?