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Who best to give injections?

I'm thinking about getting one of these spinal injections for my L4/L5 disc herniation. Seems there are many docs out there offering this procedure and many of them are anesthesiologist's by training. They also appear to offer them as less $$ than, say, the neurosurgeons and ortho docs. Since I am self-pay cost is a factor especially if this is something I may need to get more than once.

Can someone comment on this. The good, the bad and the ugly if this even applies.
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1

Comments

  • Joewright90JJoewright90 UsaPosts: 10
    edited 04/19/2017 - 6:38 PM
    I have read they cost about 1100.00$
  • memerainboltmemerainbolt IndianaPosts: 3,422
    dirtbikeguy

    Welcome to Spine-Heealth

    What kind of doctor are you currently seeing? And, are you in pain management?
    If you are seeing a specialist I think I would get a referral from him. If not, then pain management can do the injection.
    If neither situation applies you are still going to have to have an appointment with someone to set this up.

    Also, for more research on the subject, below is a link to Spine-Health's Library of articles. There, you will find a lot of valuable information. Please click on the links below for more useful informatio.

    Welcome to Spine Health

    All new members should take the System Tutorial 

     
    Sandra
    Spine-Health Moderator
    ---------------------------------------------------------------
    Please read my  Medical History
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  • At the moment I have no specific doctor. First went to a chiropractor for six visits. He did not help. Suggested I get an MRI, which I did. Showed the L4/L5 issue. Called one highly rated back doc but he would not accept self pay patients. My primary doc will not give narcotics.

    So here I sit looking for advice and how to proceed. Does "pain management" mean a spine doctor... a neurologist?

    Or is this a doctor (of what type?) that issues only pain meds... narcotics... and/or injections?

    Thanks.
  • memerainboltmemerainbolt IndianaPosts: 3,422
    A pain management doctor (PM) will try to help you manage your pain with physical therapy, injections and meds. They are not a spine doctor or neurologist. For patients that are trying to avoid surgery or are in chronic pain, PM doctors are the ones to see.
    A lot of pain clinics have popped up everywhere, they are just pill mills
    My PM is at a hospital and works out great. Anything, as in test, is done there and sent directly to him and my portal via email.

    Chiropractors are not spine doctors either. When you have an issue with your spine you see a spine specialist.

    Check with your primary doctor to see if he can refer you to PM.

    Hang in there and take care.
    Sandra
    Spine-Health Moderator
    ---------------------------------------------------------------
    Please read my  Medical History
  • itsautonomicitsautonomic LouisianaPosts: 2,561
    For the cheapest ESI, you would want it done without sedation. Some say it hurts that way, but I don't do it any other way unless forced.
    Do your due dilegence, trust you know your body and question everything if it does not fit. Advocate for yourself and you will be suprised what will be revealed trusting your body and instinct.
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  • dirtbikeguyddirtbikeguy Posts: 18
    edited 04/24/2017 - 2:11 PM
    I have an appointment tomorrow with a local PM. Really his PA. Was told she can prescribe medications, which is all I'm after right now. The shots can wait unti I'm sure they will work for me.  

    Was told self-pay patients need to give them $250 upfront before the visit. Seems shady for an eight doctor ortho practice to require this. Not all of us self payers are deadbeats or druggies. Why must one be made to feel that way. Thanks Obamacare.
  • memerainboltmemerainbolt IndianaPosts: 3,422
    I think I would be asking what does the $250.00 cover? 
    As far as the shots go, you are not going to know if they work or not until you try.
    Sandra
    Spine-Health Moderator
    ---------------------------------------------------------------
    Please read my  Medical History
  • nutcase007nnutcase007 United StatesPosts: 273
    My best results have been with a physiatrist.  It really varies from doctor to doctor.  Get references.
  • dirtbikeguyddirtbikeguy Posts: 18
    edited 04/25/2017 - 12:06 PM
    Had my initial visit with PA-C at the ortho practice this morning. As self pay they asked for $250 upfront. Very busy office but they took me in right away. Had to dress in a gown. PA loaded up my (supplied) MRI. She saw the issue and showed me the problem. I had already seen on my computer but easier to make out on hers. Small section of the L4-L5 disc has come off and is now pressing on the nerve. She put me through a battery of tests pressing on my body, walking, bending, stretching, strength testing my legs and so forth. Sent me for three X-rays on mt hips. Those were fine.

    options: do nothing, try physical therapy which she said would likely not help, try injections... but she felt with the piece located where it was they might not work, or have surgery. Met the physiatrist doc that would do the shots. Said I'd have to think about it. 

    She sent me home with a script for Oxy 10mg. No Tylenol at my request. I will add my own as needed. Said to call her in a few days to see if the Oxy did anything. She also told nerve pain does not react well with opiates so any relief may be minor or not at all. Was not happy to hear that. Had to pee in a cup too.

    Asked at the front desk for a cost for the shots. They will have billing call me.
  • memerainboltmemerainbolt IndianaPosts: 3,422
    Hey dirtbikeguy

    Just have a question. Did she mention giving you anything for the nerve pain? That might be an option before injections.
    Sandra
    Spine-Health Moderator
    ---------------------------------------------------------------
    Please read my  Medical History
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