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About a month and a half ago I had my first ESI's - bi-lateral transforaminal ESI's at L5/S1. I have herniated discs at L4/L5 and L5/S1 with more stenosis at the lower one. This was an attempt to reduce sciatica that is on both sides, though worse on right. It went well, though the doc was a little surprised by how tight the muscles were due to guarding - It was almost as if he became more believing from that discovery. Anyway, no side affects other than more stiff a couple of days. It took about a week before I noticed improvement, and it alleviated a lot of the sciatica. In fact, it felt really good for a few weeks. It actually made me realize that the sciatic stuff was causing more leg fatigue and pain than I even realized.
At about 4 weeks from the injections I started noticing the sciatica coming back. Pins and needles in my feet when driving, then about a day later the pain started coming back. This was about 4 days before the 1 month follow-up visit. This time he recommended something he also said he'd never tried - 2 levels of bilateral injections at one time. He thought it might help with the annular tear and therefore help the low back pain. A couple of days later I had the worst flare of sciatic pain in my right leg I'd ever had - I couldn't stand to push the gas pedal on the car while driving. Anyway, the 4 shots were done yesterday. The muscles seemed even tighter, and he had to give extra versed and a couple of hits of fentanyl through the IV to get all 4 in. He commented on how tightly they were guarding.
We'll see how this goes in a few days I guess...