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Hi this is my 2nd post ever. Im wondering about injections
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dano1259 posted:
I am pretty new here, Dave gave me the sites to go to,witch helped.
I have been on different meds. for about 7 years now for my back pain and
Its like every where else in my body that hurts. I worked construction
for 35 years. my doctor wants me to try L.E.S.Injection in my spine..most I have read about them is risky,so I was wondering about any ones personal
experiences with them thanks, if anyone has any.
Dan
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bj1208 responded:
hi and welcome to the support group

I've had steroid injections - unfortunately I found out that I have allergic reactions to them so instead I get pain shots (mixture of mild pian med and numbing agent). these do work but not as long as steroid injection treatments.

There have been quite a few members here that have received the injections and get great results. as with any treatments for spine issues there are always risks involved. I would make sure when your doctor does these shots that they are done under a fluoroscopic x-ray machine - you lay on table and the x-ray machine helps the doctor guide the injections to the right spot. If the doctor does not use this then I would not have the injections done.

hope this helps please keep us posted - take care - Joy
 
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Anon_160307 responded:
I have had 7 lumbar epidural steroid injections and they have been very helpful for me. Without them, I couldn't walk very far nor sit in a chair for more than 5 minutes. But like Joy, they don't work for everyone. And the only way to know if they would be effective is to try them yourself. You could try an oral steroid burst pack first...if you get relief from that, you should get better relief from the injections as the steroid is injected right into the epidural space wear the inflammed nerve is located versus oral steroids going first through the GI tract and slowly making its way to the right location...by the time the med gets there, the amount has been reduced significantly as the acids in the GI tract breaks down some of med prematurely and then the body excretes it.

Most doctors use live X-ray or fluroscopy to properly place the needle. Most doctors also use a dye contrast that they inject to make sure the needle was not inserted in a vein. There have been cases of patients going into cardiac arrest from the numbing medication being injected into a major artery and died. So if your doctor just lies you down on a table and there isn't an X-ray machine in the room, you should get up promptly and tell the doctor that you won't consent to the injection unless they have an X-ray machine along with dye contrast to verify that the needle isn't being injected into major artery. If they can't produce the proper medical equipment, you should leave.

The best doctor to do your injections should be a orthopedic spine specialist. I go to a Spine Rehabilitation Dept. at a teaching hospital for my injections and my primary care doctor prescribes my medications.
 
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dano1259 replied to Anon_160307's response:
Yes, my P.M.Doctor has x-ray machine I will find out about dye.
her nurse said she is pretty good. I have ulcers so oral is maybe
not good ,they can sedate me. but heart attack is scary.I will
talk to them more. It will still be hard to try, from all risks I will have to make a decision and I will ask about pain and numbing
shots pain meds don't work as well anymore. I don't know if
allergic. I have been seeing her for about 4 years now . Thanks Dan
 
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Anon_160307 replied to dano1259's response:
There are many different strengths of opioid pain medication. You didn't provide info on what meds you are on that are no longer working. Depending on the type of opioid pain medication that you are on, you most likely are tolerant to it now. This happens naturally as your body adjusts to the medication over time so much that the medication is no longer effective. I encourage you to talk to your doctor about the ineffectiveness of your pain meds and ask if there is another medication you can try for your pain.

Many offices do offer sedation with the procedure. I have never asked for it as the pain doesn't seem to be too bad to me. However, there are others that can't deal with the pain from the needle and then the shooting pain that follows after the steroid is injected and starts to bathe the nerve roots. The procedure doesn't take long, 15 minutes in total, which includes prep time. The needle part probably lasts 5-7 minutes. I typically get two steroid injections at a time at two different levels in my spine.

I was super paranoid when I got my very first shot but once you get through the first one, you'll see that they are not all that bad. I wish you best and please update us on how your treatments are going.

Take care.
 
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dano1259 replied to Anon_160307's response:
I take 3- 30mgs oxycodone she added 1-4mgs dilaudid -day, but
its like those doctors sumitted to the FDA I think the DEA comes down on the drs so they are scared too. I have noticed
in the last 7 years. I think its ones who abuse, hurt the people
that are in cronic pain.
.
I am on disabilty, 33 years construction work
Ive been on these meds and morphine, tramadol, hydrocodone, methadone, yea Im tolerant to them
so she has said maybe steroid injections she offers all techn.
but side affects are scary Thanks Dan


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