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Cortisone injection after taking oral steroids a month ago

I started with the severe sciatica around June 5, before then it was a twinge then one day I had spasms and such severe pain I couldn't walk. After a trip to the ER I was given muscle relaxers, anti inflammatory steroid meds, and then after seeing my regular dr stronger pain meds. I have improved somewhat. 7 weeks later I can do only so much before my leg is screaming in pain . I can only walk about 10 minutes. I hate taking Motrin like candy and fear the side effects but without it I could do nothing. I contacted my dr for a cortisone shot after talking with people with same issue and researching it. He won't due to my already being in steroids. He is sending me to pain mgmt where he said they may give me one. I think my dr is being too cautious. I would like to know who else has had oral steroids and the shot within about a month and your success rates? And what type?
M Douglas


  • SavageSavage United StatesPosts: 5,427
    My Primary doctor worked with me about two years before referring me to Pain Management doctor.
    That was the best thing for me!

    PM doctors so much more familiar, because it's their specialty. I had different tests done.
    Most revealing to me and doctor, was EMG nerve conduction test. It showed areas of my spine effected that I hadn't even given voice to.
    PM doctors are more familiar with the medications, and the follow up of compliance, in addition to if medications are effective or not... whether treatments are effective or not.

    It can be a bit of trial and try again re meds or treatments...but I needed to stick with it. And now we have right combo and the edge is off my pain. It is never completely gone, but I have no expectations of that.
    And I am no longer having my frequent trips to the ER. That's a big, yay!

    I keep my Primary doctor in the loop updating her with PM care one orders.
    If I know I will not see her for awhile, I will even mail to her a note re recent treatments and effectiveness, and medications, added or discontinued, and of course, any new allergy I discover along the way.

    So my opinion, I don't think your Primary being too cautious. I think he wants you to have the better doctor for your symptoms!

    Please keep us posted on how you are doing!
    Spine-Health Moderator
    Please read my medical history at: Medical History

  • Hi. Do you mean the 1 week steroid pack where you taper down? For me that's about as effective as a cortisone shot, maybe a little more effective. Have you had diagnostic tests (MRI etc) to find the cause of your sciatica? I agree with Savage. There are far more effective treatments that a pain management doctor can offer. Basic cortisone shots relieve a little muscle pain for me but that's not identifying or treating your condition. It's been 7 weeks. I'd go to the specialist. ;-)
    Osteoarthritis & DDD.
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