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Lumbar Epidural injection

latino999llatino999 Posts: 2
edited 05/31/2014 - 7:06 AM in Spinal Injections
Doctor just suggested this Lumbar Epidural injection after MRI findings which resulted in a bulged disk L4-L5,obviously pinching nerves bilaterally . First of all i am in deep pain , every 100 metres of walking i have to sit down so honestly i will be soon considering this intervention but having an injection in such a delicate area under full anashtetic makes me think twice about seriousness level with such treatments . Tips appreciated guys .

Kind regards


  • Go for it. I get one every month or as needed. Now if the doc hits a blood vessel you will have a bad 3 days but that is rare. You will be surprised how good you feel.
  • dilaurodilauro ConnecticutPosts: 9,863
    can be very helpful in reducing the level of pain caused by various disc levels of your spine.
    While it may seem frightening the first time you hear about a spinal injection but in reality it has become a very common procedure.

    Read the details about spinal injections All about Spinal Injections

    I have had many and the results varied. For the ESI, many insurance companies and doctors will only approve for 3 ESIs per year. But read the article, I just posted for you so you can understand the various kinds of spinal injections.
    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
  • terror8396tterror8396 Posts: 1,832
    edited 05/30/2014 - 7:59 AM
    also if i remember correctly, my pain dr would not order one i believe before back surgery and a mri. i believe with the mri, the steroid messes up the pictures or something to that effect. anyway an injection is verbatim either before or after an mri. also with my mri, i had to have injections of dye because the metal would also mess up the mri pictures. back to the subject, i believe the 3 per year also is because too many injections in a period of time will affect ones tissue. injections are also good for pin pointing specific areas in ones back that are causing the problems. i would get a series of injections to try to pinpoint where specifically my inflamed area was. i never have had problems with injections and i don't get sedated either. it is a waste of time and money for me. the only problem i have with them is the first injection where they go into the disc to numb it. after that no problem at all.
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • My old clinic used to use full anesthetic for all injections & procedures but many have them done without. I can remember how frightening it was when ESI'S were first suggested. It's a very standard procedure for spine pain. Good luck! Lots of people get great relief from them. ;-)
    Osteoarthritis & DDD.
  • I've had a serious of injections. They hurt like hell, they had set on the edge of table and bend over. My brother went with me and he said "You are tougher than me, I almost passed out seeing how much pain you was in. I did all 3 times and never did one feel better than the other. I have spoken to other people that had them done under x-ray and they didn't have any issues at all.

    If a doctor recommends the shots, I would see if they do them under x-ray. I've heard many times over how much better it is.
  • 64pvolvo1800664pvolvo1800 Posts: 250
    edited 06/05/2014 - 12:14 PM
    over the years, both lumbar and cervical, have been either twilight sedation or local lidocaine. Fluoroscopy X-ray accompanied each time. Some helped and some not so much.
  • Massie - I wouldn't have ESI'S without fluoroscopic X-ray guidance. To be honest I didn't think doctors did them without anymore. When you read up on them it usually says 'minimal risk etc. If done WITH guidance.

    I know it seems like a silly question but are you sure you had ESI'S massie? Not trigger/pressure point injections? What you're describing doesn't make sense to me. Please someone, correct me if I'm wrong! Are you still seeing that doctor?

    I've had many Epidural Steroid Injections over the years. They've always been performed almost 'surgically' if you know what I mean? They had me change into a gown, I lay flat on my stomach on a special table, I had anesthesia & there was a lot of equipment around & a nurse assisting...they never had me in a 'regular' room bent over a table with family in the room. It was never distressing & not very painful if I iced straight after.

    I'd consider finding a new specialist & trying again. Sorry ;-(
    Osteoarthritis & DDD.
  • I resisted the injections and tried just about every non-invasive remedy under the sun (well, unless you count acupuncture as invasive!) and regretting waiting so long. Definitely get it with the sedation, and make sure you rest up as much as you can in the 2 weeks after the injection.

    I found that my first one sort of helped. The second one really helped (but then I relapsed a bit). Waiting for the third one now.
  • broskisrbbroskisr Posts: 52
    edited 07/03/2014 - 4:10 AM
    Get sedation if you can. Had my first yesterday with local lidacane. It toatally sucked for a few min. He had to stick twice to get it in the right spot. S1 area
  • They use lidocaine first, which is like a bee sting before proceeding with the injections. Anesthesia , or twilight really isn't necessary. The first injection is the lidocaine, the second one is the esi injection and it is over in a few minutes. The longest time is waiting for the set up for the injections.
    For other types of injections, using twilight anesthesia is a better option, rfa's, nerve blocks, etc.
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