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karenckkarenc Posts: 104
edited 06/11/2012 - 7:22 AM in Spinal Injections
Hi everyone!

Well tomorrow is my first ever SI injection and I am scared out of my mind!!! :O :SS All I can see is this big needle coming at me!! I know I am going to be put out but I am still having a really hard time with this. I think its also because i am scared that it wont work and worse yet that it will do more harm than good. So PLEASE!!! if anyone out there has any advice for me on how to deal with this I really need your help!




  • I had this done last week and have great relief. If they are knocking you out first there is nothing to worry about. I have had several epidural injections with no sedation at all...now that is stressful and painful. You are going to be so happy. It takes a couple 0f days to get the full effect so don't let that worry you.
  • thank you so much!!!

    yes they are going to knock me out prior to doing it. i am so glad to hear from someone that has already been thru it. i am scheduled to go back to work the next day. do you think that will be possible?

    thanks so much!!

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  • dilaurodilauro ConnecticutPosts: 11,349
    Hi Karen,

    The fear of going in for one is much worse than the actual procedure.
    This is the procedure that MOST medical professionals use for performing ESIs

    1) The doctor who will be performing the procedure will come in and explain the entire procedure with you. They might even
    'mark' the spot where the ESI will be done.
    2) A nurse will take your vitals and you will be dressed in one of those hospital gains
    3) You will be rolled into a Operating Room like environment. The doctor will probably be assisted by 1 to 3 nurses.
    4) You will lay down on a table, a pillow under your stomach.
    5) Additional vital signs will be taken and in most cases an IV is started, where some mild sedative can be given (I strongly recommend this)
    6) Assisted by a fluoroscope the doctor will insert the first needled and then follow up with the actual needle that performs the ESI
    7) This procedure takes about 15-20 minutes
    8) You will be rolled out into a recovery room for about 15 minutes.
    9) Vital signs will be taken again and you will be offered some beverage and crackers
    10) You will be released to someone who can drive you home

    You may be sore (in the needle area) that evening and part of the next day. The effects of ESI generally dont start until 24-36 hours after the procedure.

    But these are just general ground rules and may NOT apply to every situation

    The Spine-Health site provides an excellent video on the Epidural Procedure.

    Epidural Steroid Injections
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • thank you Ron!

    you said "The effects of ESI generally dont start until 24-36 hours after the procedure."

    what did you mean exactly? does that mean that it will feel better or that's when the pain will set in? do you think i can go back to work the next day?
  • Hi Karen

    Ron is right about the worse part of the procedure is the worrying about the procedure.

    The doctor will numb the area before the epidural needle goes in. This numbing shot will feel pretty much like any other shot - maybe even less painful or so it seems to me. These shots always worked very well for me and I never actually felt any pain at all from the epidural going in - just a sort of pressure. In fact, I had it so easy that I didn't even bother getting sedated my second time and it was a breeze ( although I recomend it your first time as you will most likely be nervous & tense ).

    When you are done, those numbing shots should keep you feeling pretty good for several hours. Go home and lay down for as long as you possibly can - even if you are feeling great from the medication and don't want to. Ask your doctor how long he/she feels you should take it easy and not return to work. Mine said I could go back the next day, but I'm sure each doctor is different.

    Good luck and try not to be scared - I hope you're one of the lucky ones who really benefit from this procedure!!
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  • thank you summer2!!

    i will go home and lay down and rest. that really sounds good right now. i just hope it will be a time that i can truely rest and not some of these days that it just hurts worse the longer i lay there and does feel better if i get up. i wish i was a person that laying down all day was possible but that's just not me. oh well, dreams dreams dreams! lol :D
  • I just had a cervical epidural injection 8 days ago and I was absolutely terrified before they took me back. I was shaking and my palms were sweating I was just that nervous. The only needle I saw go into me was when they were getting me ready for the IV cap and even then I tried not to look because I hate needles.
    As soon as I got into the room, I laid down on my tummy, they started the feel good medicine in the IV right away and it was took effect IMMEDIATELY, I felt one prick on the back of the neck but it wasn't bad at all. I was able to communicate with the doctor throughout the procedure, so obviously I wasn't knocked out. I remember everything clearly but I was very relaxed throughout.
    I felt really well afterwards. I came home, ate like a pig and went outside to work in the yard. I will tell you that almost exactly 24 hours later, the numbing stuff wore of and I could tell right away. The injection site felt a little tender and the pain and tightness I'd been dealing with crept back in. For me I can't say that it worked-yet. But I'm still hopeful. Sometimes a person has to go through a series of them before there's real progress. Good luck tomorrow and let us know how it goes. I hope yours goes as smoothly as mine did. :)
  • thanks angela!

    i will keep you all posted! glad to know that yours went well and i hope you get more relief to come! maybe you shold try to take it easy and see if that will help. i know, look who's talking right?? lol hope you feel better again!

  • I wish you the best Karenc. I am scheduled for my 1st cervical ESI 9/10 and am nervous as heck. Please do let us know how it goes. I really appreciate all the info. here as it answered many of my questions. I see now why you need a driver!
    I do have 1 question though, the IV they do....Is this a sedation type med going into you before the procedure?
    Again Karenc....Please let us know how it goes.
  • The IV sedation was the first thing administered to me. Then I got the numbing medicine injected and after that, the epidural itself. I felt NOTHING at all from the epi. No pain, not even pressure. My experience went well and I really worried for nothing. :D
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