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ajamieson's picture
User offline. Last seen 1 year 23 weeks ago. Offline
Joined: 09/30/2009
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Points: 126
Oral Prednisone, day 5 of 6 days, no change... what is wrong?

All,

Shouldn't my sciatic pain feel even a little better by now? I am on day 5 of a 6 day "shock" regimen of prednisone and so far no change. My sciatic is still excruciatingly painful. I feel like I am going to lose my mind! I emailed my doc but no response so far.

Thanks, Ann

User offline. Last seen 1 year 27 weeks ago. Offline
Joined: 04/13/2009
Posts: 50
Points: 100
Unfortunately, sometimes it

Unfortunately, sometimes it just doesn't work. The dose pak did nothing for me. My doctor tried a larger dose over a two week period and that did help some.

Have they suggested steriod injections yet? They are usually in a series of three.

Patience is crucial with this; they will just keep trying other things until something works.

Hang in there, I know how frustrating this can be.

Maryanne

ajamieson's picture
User offline. Last seen 1 year 23 weeks ago. Offline
Joined: 09/30/2009
Posts: 63
Points: 126
Thank you. Wow, I don't

Thank you. Wow, I don't have anything at all scheduled until December 23 which is the earliest the doc could get me in for a spinal epidural. Does that just mean living with this excruciating pain for another 6 weeks?

User offline. Last seen 34 weeks 1 day ago. Offline
Joined: 06/23/2008
Posts: 3026
Points: 6166
If it gets to

be unbearable is there another doc that you could see earlier? Don't count the medrol dose pack out yet. It has always been a few days after I stop taking them before I noticed a difference. If there just is no other option you could go to the ER. They may be able to give you something to get you through until your appt. if the pain is not tolerable.

_____________

I am in no way associated with the medical field. Anything that I post comes from personal experience only.
DDD, Facet Arthropathy, DJD,Collapsed Disc, Sleep Apnea
PT, Epidurals, Facet Blocks,Medial Branch Block, Rhizotomy,Discogram,Annular Tare L3/L4 Endoscopic MicroD and PLDD,
Methadone, Percocet, Baclofen, Welbutrin

BionicWoman's picture
User offline. Last seen 7 weeks 4 days ago. Offline
Joined: 06/21/2008
Posts: 642
Points: 1360
It may be worth your time to

It may be worth your time to call back and see if you can get a regular office visit, rather than waiting on the procedure date.

I know with my doctor, I can usually get in for an office visit pretty quickly, but he always has a long waiting period when scheduling procedures because he only does them 1-2 days per week and since they take longer to complete, he sees fewer patients on those days.

_____________

RESPONSIBILITY, n. A detachable burden easily shifted to the shoulders of God, Fate, Fortune, Luck or one’s neighbor. In the days of astrology it was customary to unload it upon a star.

Z06
User offline. Last seen 7 hours 33 min ago. Offline
Joined: 06/19/2008
Posts: 1411
Points: 3010
Dose packs

I've had the dose packs a few times. 6-5-4-3-2-1. By the 3rd day I have felt the difference. Once I took a full dose and nothing happened. My surgeon told me I was past dose packs and didn't want to do more. There are long effects to Prednisone, especically in women. So don't be too quick to take more of them.

Waiting until late December to get an ESI is bogus. Call the doc and start pushing that the dose pack did nothing. Be prepared to take a cancellation of another patient on a moments notice. You might get in. Or get him to refer you to a PM clinic. They do this all day long.

If it's just a temporary injury then hopefully an ESI shot and some PT and you'll be good to go.

_____________

• The only valid excuse you have to give up is if you are dead.

sandi's picture
User offline. Last seen 2 days 6 hours ago. Offline
Joined: 06/19/2008
Posts: 421
Points: 862
Cortisone

Be very careful with how much prednisone/medrol/cortisone/kenalog type of medications you take and how often. I was very recently diagnosed with avascular necrosis, which is believed to come from having too much prednisone/cortisone type of medication too often. It causes the bones in your joints to loose their blood supply and then the bone dies. Hip replacement,or other surgery to remove the bone, replace the joint or do a bone graft to treat the blood supply loss is the common course of treatment for this.
I had never heard of it before, but now have it in my wrist and possibly my hips as well. I am waiting for the MRI to be done to determine what type of surgery I will need to try to re establish the blood supply or if they will need to remove that row of bones in my wrist to treat this.
Sandi

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I am not a physician nor a medical professional. All opinions expressed by me are of my own making and thus should be considered with that in mind.
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