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I've had persistent lower back (and some leg) pain for 2 years now. Not intense, more low to mid level crampy pain. I had an epidural done at the L5S1 level last year. No impact at all.
I went to another doctor today, and he suggested that I could do another epidural at L5S1 and L4L5. Alternative he suggested a facet joint injection for diagnostic purposes (followed by ablation, although he only referred to as 'burning nerves'). Also, for insurance reasons, I would prefer to get this done before the end of the year if I decide to do it all.
So does it make sense to repeat the epidural injection (but including a different level) ? Alternatively, is it worth trying the facet joint injection at all ? No other doctor I've visited has suggested a facet joint injection. Is this a relatively infrequent procedure (so only a few pain management doctors might suggest it) ?
[ I should add that the doctor I visited yesterday didn't do that much of a physical exam, he seemed to rely on radiologists report which suggested I may have facet arthropathy).
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