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Epidural for Sciatica
backbreaking posted:
I have a question. How does a dr. know where to do the injection for sciatic pain since it branches from 3 different vertebrae/disc?
davedsel57 responded:

First, that comes with training and experience. Second, the doctor should be using a fluoroscope which is like an x-ray machine and allows him to see exactly where to do the injection. If your doctor does not use a fluoroscope when doing injections, find another one that does.
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backbreaking replied to davedsel57's response:
Hey Dave, I know they use fluoroscope but seems to me it would be hard to tell which disc needs the injection since it branches into one big nerve. I'm going tomorrow to a pain Dr. I've used before to have an injection to see if it helps the hip/leg pain.

Hope you and yours have a wonderful day.

davedsel57 replied to backbreaking's response:
Hi again, Brenda. So, the doctor is injecting right into the disc? Not the facet nerves? What solution is he using? Just curious. I had prolotherapy many years ago which was injections of a saline/sucrose solution directly into the disc. I got no long term relief.

Good luck with your injections tomorrow. I hope they help. Please keep us updated.
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trs1960 replied to davedsel57's response:
Like Dave said, the experiance and flourscopy helps quide them to the right place.While the sciatic nerves branch out from three disks, that doesn't mean that each of the three nerve sets serves the same muslec groups.


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