What Happens During a Lumbar Epidural Steroid Injection?
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- čas přidán 28. 07. 2024
- This video will explain what a lumbar epidural is, how it is performed in a surgery center, along with discussing potential risks and outcomes of the procedure.
Lumbar Epidurals are a very common treatment for patients suffering from sciatica or other lower back pains. Introducing steroids into the epidural space around the effected nerves can help reduce inflammation and help reduce the patient's discomfort.
0:00 Intro
0:25 What is a lumbar epidural steroid injection
0:48 Who performs a lumbar epidural steroid injection
1:07 Types of lumbar epidural steroid injection
1:37 What does epidural mean
1:57 Type of medications used during a lumbar epidural steroid injection
2:22 Where are lumbar epidural steroid injections performed
3:13 What is a "Time Out" ?
3:23 Start of the procedure
3:47 The "Time Out" happening
4:33 IV Medications are given
5:07 Patient getting in position for a lumbar epidural steroid injection
5:25 Medications are prepared for the lumbar epidural steroid injection
6:20 Needle preparation for the lumbar epidural steroid injection
7:12 Local anesthetic is given
7:20 Needle placement
8:41 Contrast dye injected
9:53 What a tight space for injection is
10:24 Procedure is completed
11:21 Risks of a lumbar epidural steroid injection
11:40 Postdural Puncture Headache
12:09 Post procedural recommendations
12:35 How often you can get a lumbar epidural steroid injection
12:59 Can you drive home after a lumbar epidural steroid injection
#thespineguy #lumbarepidural #fluoroscopy #lumbarepiduralsteroidinjection #postduralpunctureheadache
#sciatica #contrastdye
Dr. Brian W. Su, MD
Spine Surgeon
Chief Development and Strategy Officer | California Orthopedics and Spine
Medical Director of Spine Surgery | Marin General Hospital
Director | Marin Healthcare District Board
Chairman | Marin Specialty Surgery Center
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Contact two locations:
www.caorthospine.com/
415-927-5300
2 Bon Air Road, Suite 120
Larkspur, CA 94939
7100 Redwood Blvd, Suite 200
Novato, CA 94945
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FTC: This video is not sponsored.
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this CZcams channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease.
After suffering for over 3 years, ordering a cane, laying on acupuncture mat, hot tub, massages and drinking too much wine....taking ibuprofen, tramadol in order to work, getting ergonomic desk chair, computer stand, stopping all my dancing (ballroom and swing), I FINALLY did this procedure. I elected semi-sedation which was perfect for me. Doctor used much numbing solution which was fine until he “hit the spot”.....even with semi-sedation I about came off the table (I was in surgi-center) and I heard myself say “oh F”! I am 64 and would never ever say this in public. Of course, I felt amazing right after the procedure. Went to lunch and was able to enjoy sitting in a booth for a $65 lunch with my driver. At 16 hours and I am nearly pain free (soreness) and to me, it’s a dang miracle. Yes, I understand this won’t last but I will take what I can get! I am able to go up stairs, sit in a chair or car without being utterly miserable. I was told it usually improves over a month or so..... I am thrilled, pain went from 7 to a 1.
Any update on how you are managing after this procedure .
Thanks for the reply too much wine😂 I'm going tomorrow been suffering thru many bottles of wine and whisky after having L5 Sl fused and 3 levels in the neck 7 years ago. Looks like I'm gonna need lots of 💉 injections
This actually made my back pain worse
I had it done a couple of years ago. The procedure was almost painless. I didn’t notice any difference in my pain following the procedure but the next day the pain I had been suffering with for 3 months was completely gone. It was like a miracle.
Did you get selective nerve root block injection ?
@@jazzk8176
Not that I know of
How long did it last? Are you still pain free?
@@phxrt3608
I was there about 2 hours but the procedure on lasted maybe 1/2 hour if that long. I am still pain free.
I just got a epidural injection last week and I’m still waiting for a miracle
I’ve been getting epidural injections at L4-L5 for pain and sciatica from degenerative disc syndrome and spondylolisthesis for 18 months at three month intervals. Pretty good pain relief. I am fine with just local numbing. I di pilates, lots of walking and stretching. Trying to keep going and put off surgery as long as possible. These videos are very helpful in explaining the procedure.
You can also watch the videos on spondylolisthesis
How long did it take too work
I had them for years with little help
I have the exact same thing had every shot the book for 12 years the pain clinic I go to is amazing they finally put a spinal stimulator in my back and it’s the best thing that’s ever happened to me it has controlled 85% of my pain
@cynthiagonzalez5893 does the stimulater help. I'm considering that. I take kratom for pain.
2 epidural shots didn't help me. Neither did nerve block and nerve ablation. My sciatica was crippling and I was using a walker the pain was that bad. 3 orthopedic drs recommended spinal fusion. I refused to believe I needed that drastic surgery. Went to HSS in Manhatten and saw my 4th orthopedic dr. He recommended micro surgery of a laminectomy. 2 hr surgery. Went home that night. 2 months after surgery I'm sciatica pain free. Still have back pain but livable. 100x's better than crippling sciatica from back to feet. Thank God for Hospital for Special Surgery. They believed what I believed that spinal fusion was not needed.
I had this done about 6 years ago. Mine was done as a series of three, and it did help me out immensely. The shots allowed me to get back to exercising, and strengthening my core, which has help alleviate back pain.
I've had 2 epidural of my L4&L5. I really felt nothing!! It has helped my sciatica!! Pray it keeps helping and is controlled by injections!!
I had the same epidural (L4&L5) a month ago and a huge difference!
I’ve had this procedure done several times. It’s a lifesaver.
How bad was the pain during the procedure? I have to get one and I’m very nervous.
Excellent video, Dr. Su! I had this procedure done yesterday. I wish my doctor had taken the time to explain things as well as you did. It would have relieved a lot of anxiety.
How are you progressing. Still ain free after 4 months? A.
@@anthonydavid5121 Actually, I ended up having surgery two weeks ago. Recovery has not been easy.
Suppose to have this done on Wednesday July 3rd 2024 now I’m getting second thoughts cause my doctors haven’t explained anything to me they just scheduled me and haven’t said anything else 🤦🏾♀️ everyone in a rush these days smh
@@stephaniesearcy6265 You need to know exactly what is going to happen and why, before you sign the consent form. If you do proceed, I wish you the best.
I always wondered what went on during one of these procedures. Thanks for the clear explanation.
I had it done today in office setting by one guy at ORTHO SPINE CENTER in Charlotte. my Physitrist and one assistant. No sedation. I was on and off the table with 4 injections in 5 minutes. Drove home. So far so good😊
Fascinating. I wish I'd seen this video before I had my procedure. Thanks for publishing this!
Best video i have ever watched explaining the injection process. Thank you so much.
Fascinating. Thanks for doing the video. I'm contemplating the TF process. Will try PT first.
So far this was the best video I’ve watched on this procedure. Thank you so much.
Great video, thank you for sharing.
I had my 1st lumbar epidural injection on Tuesday morning (3/12/24) with no sedation, just a local anesthetic, it was quick and painless.
The rest of the day I felt good, a little uncomfortable, the next day (Wednesday) I felt so good, almost completely pain free!
Today I woke up and my low-back felt a little tight.
Like you guys, my Doctor also told me it may take several days for the steroid medication to work itself throughout that area. I hope my first shot brings me pain relief for a long time.
❤ Thanks for showing the videos specially to patient sharing the Experiences ❤
Thank you for showing how this should be done.
Thank you, Doctor, for this great video .
I have suffered for years with severe Sciatica. I would get minimal relief and pain would always return 4 weeks after the epidural steroid injections. After years of receiving the maxim doses allowed my Dr suggested a Spinal Cord Stimulator. He referred me to a Neuro Surgeon and after two years I continue to be pain free. it was done in the hospital as Day Surgery. It is wonderful. No larger than a pacemaker. The best part is that I am pain free!!!!!
Thank you for your thorough explanation of this procedure. I will be doing this in the morning, and nobody told me anything about how this is done. Thank you for what you do, and thank you for this video.
I had an injection L5 (in a CT facility) and would not recommend driving home. I walked from the scan room to my change room where I sat for 10 minutes. I was informed I could go and could not walk in a straight line, it felt like I was inebriated. I sat at Reception waiting for my car ride to collect me. I went outside to meet the car, had a vasodilation (chronic sweating and loss of hearing and eventually vision) and collapsed. So warning to everyone do not drive yourself, and if you can be put into a wheel chair from the scan room to reception do not hesitate to ask for one, just in case the same happens to you. H&S.
but the hearing and vision came back after how many hours?
I am having my L5 done today; good video showing the procedure. Thank you.
Had this done for L4 L5 complete herniation (blow out) in Oct of 2021 lasted until 4/6/2023 and got 100 % relief unless strenuous work was done as in outside yard work or working on vehicles. I was amazed. Hope this latest round this week works well, but pain is nowhere close to what it was before. I could not sit and barely walk. Two little toes were numb. Now only lower back pain when waking or trying to sleep but hope it goes away after injection this week.
Wonderful, educational video. THANKS
Thank you, I watched this video last week. I had this done yesterday & I knew what to expect and was very relaxed. It went exceptionally well although I don’t remember anything!
Early June date for my procedure. Thank you for your explanation and also to the patient. Knowledge is the key portion to improved outcomes. I feel that i am now better prepared.
Great information and it put my mind at ease. I have a herniated disc and dealing with sciatica pain for 12 weeks. Chiro, Therapy and various rx are temporary. The needle is next.
Both Dr. Naidu and Dr. Su have changed my life for the better. They turned me from a cripple into an active person again.
Dr Brian Su, thanks for your information and real case. The video was important to us 👍
Thank you for sharing this. I work for Memorial MRI Diagnostic as a MA scheduling pain injections. This helps me be able to answer not only my question but any questions needing answered by pt. Also it was exciting to watch. Thanks again.
You need to ask if corticosteroid injections are FDA approved, I bet you'll be surprised
I’m having occipital block done next Wednesday for the first time which I’m more than quite worried about but I’m so grateful to find your videos
I suffer chronic lower back pain and sciatica. My local hospital past it off and just said to take naproxen when it’s too much to deal with. Sadly I’m in the uk as if I lived near to you I’d be asking for any and all help you could offer
Will definitely be going back to my go to ask about this nerve block treatment for my back
I've had both in-office and surgery center. Definitley recommend the surgery center.... the sedation helps a bit. 😊
Thanks for the upload. Severe pain started 3 weeks. My epidural is schedule in a week. It always good to know what is going on.
I love this old guy I hope he feels better the patient
Thanks for bringing this very informative and Educational Video to us.I had it done once and going through it second time.
I appreciate your video, I have been very anxious and offsetting the procedure for a while now, worried about so many things.. now it seems more clear and now I know what to expect. Thank you
Excellent content to help up understand the procedure and all the dynamics involved. I’m a new subscriber to your channel. Thank You for helping all of us in pain. Well done.
Thank you for this helpful video. It's been many years since I've had an esi. I have one coming up in 2 days. I just learned Medicare will not pay for ANY " managed anesthesia care". So there will be no pain or anxiety management during the procedure. Just an oral Valium before. And only because I reached out to the Drs office to ask about it. I've had to wait for a month to get in. And now I'm dreading it more than ever.
Thank you for showing this on a real patient and not just an animation. This was so helpful, thank you!
I am getting this in a few days and I have so much hope, ive been in severe pain a while.
DR SU u r the best Dr on spinel stenosis for me. Thx for the hope!
Still havent got injections but choose a different Med facility than Kaiser. I cant recall not being a couch potato. Miss living! Thx.
God bless you DR Su
Wow this video was so helpful thank you !
I'm about to undergo Bilateral L2/3+L3/4+L4/5 decompression surgery in a couple of weeks. This video gave me an excellent overview of the procedure that would have been useful from the NHS here in the UK. Pain in my buttocks and down my legs is being controlled by Pregabalin so I look forward to a successful outcome which does not rely on such pain blockers.
Did the surgery work? And were the medical providers hesitant to do it? All I want is surgery and I'm having to jump through a bunch of hoops to get there.
I had L5 S1 herniated disc, I had two steroid epidural shots, I’m so thankful that those worked for me, I’m pain and wheelchair free now, the Dr was an Angel sent by God, Dr Claudio Vicenty from Jax Spine Center, Jacksonville Fl, thank you❤
Thank you for this video. I know what questions to ask now. I am going for a consult for this procedure.
Very good videos, thank you
So helpful. I will be accompanying my boss. This is helpful
Thank you !!!!!!
I have this done every 4 to 6 months and it's a God send.
Thank you very much for the excellent video - on Trans foraminal lumbar steroidal injection .
Thanks for this video. I wished my doctor did this procedures with IV Pain medications . With The Pain Injections. I had several done in doctor's office. The 4th injections was the most pain. Never went back, and pain is severe. Now, having anxiety just starting the injection again. I will seek the IV version. God Bless You
Thank you doc for explanations that are wonderful and easy to understand. I had taken the first epidural for L4-L5 lumber stenosis which is going down in my both legs. Hope it will work and I will be free from pain which I am experiencing almost from one year. Thank you for this video.
Thank you Dr Su for explaining this and making it easier to understand. You are a great teacher. I have one scheduled for tomorrow in Charlotte and a lumbar fusion in the near future
No sound
I had this done one time when I was 17 when my back was initially injured and had a bad herniation. This was the most painful procedure I’ve ever had in my life. It was conscious live torture. I’m glad it works for some people but never again for me. I rather have surgery over again.
Worst one for me was a discography. That was brutal pain.
I have them put me to sleep for mine..not a fan of pain
I agree, incredibly painful. I have big pain every day but THIS WAS HORID! I streamed to the top of my lungs and thought I was going to flop right off of that bed.
@@Soccertz1 I had the discography years ago. It was pure TORTURE !! I had no sedation because I had to be awake to tell the doctor if he's creating the same pain I experience. Doctor tells me not to move as he's sticking needles in my spine ! Almost impossible. I feel like I have PTSD from my constant back pain and all the very painful procedures I've had ; a discography test , numerous lower lumbar epidurals injections, nerve blocks didn't work and 2 failed back surgeries . But, that discography test was pure torture and recently one doctor told me that they don't do discography's anymore or health insurance doesn't cover them anymore ..
@@kimberlymarie3651 wow hope you’re doing ok now
What a totally professional procedure and accompanying description by Dr. Su. My experience was quite the opposite. I believe the injection was put into the wrong site based on my pain profile so I wasn’t surprised that it didn’t provide any relief whatsoever. Can’t believe the difference between this comprehensive procedure and what I would liken to a “fast food approach” to the epidural injection I was subjected to. Summing up it seems to have been a complete wast of time. Australian patients deserve better.
Canadian patients also deserve better. My experience was nothing like this video shows.
I totally agree. I’m from Australia too. The dr was so busy telling the technician off. Did not put in local and the pressure was intense.‘I’ve never had it done again !!!
Australian here too. Pain relief lasted about a week and I was back to terrible sciatica two weeks later. Happened to be overseas where I saw a neurologist after the pain got unbearable, and basically I was injected at the wrong site and at only one level despite needing two levels. He also couldn’t believe its just a radiologist who does the procedure in Aus. Now been pain free for 6 months thankfully.
Same here in michigan. Its like cattle thru a shoot. All about the $$$$$$$$$$
Anyone can be on their best behavior if they know they're being filmed! I do hope this worked out well....But my experience doing these injections was HORRIBLE! l was getting these injections several yrs ago every three months. Despite they did nothing for me, I was told it had to be done bc of insurance. The last time I went I was lying on the table waiting for the dr to get off his cellphone. Then when he finally came in and did the injection, I heard the nurse gasp and immediately felt warm fluid on me, then my heart was RACING! It felt like I was going to explode, my head was pounding so hard and my BP shot up 200+/100+! All they did was give me Tylenol and have me wait until my BP went down. Of course the dr was nowhere to be seen. I felt like I was going to die when that happened and I've never had it done since. Insurance procedure or not, it's my body and if it's not working I shouldn't have to expose myself to it! Do you think any of that episode was documented....of course not! I need to start recording all of my visits to dr, hospital, etc., because in the end it's their word against yours...we need a voice! And people were lined up for these injections on gurneys in the hall, in rooms, and in talking with several of these people they all said the same thing...they don't work and if by chance they do work it's not for long and that it's all about the insurance money! The older I get the more I see this type of practice and it just sickens me! Most drs seem like politicians....they're just in it for the money. This is just MY honest opinion and experience to those of you who are ready to start with the hate comments!
Excellent video.
Please do one on Ablation of the lower back. I just had one this week.
I pray this is what my Dr decides to do with me. I’m a tattoo artist and being in the profession for 16 has ruined me!!! I’m praying for some healing this week. Been in excruciating pain for a while now. Just watching this made me feel better 😅
I’m getting this done Monday thank you for this😌🙏🏽🤞🏽
Did you have your procedure? How was it? Feeling any benefits? Side effects?
I just had this done 10-27-23 I was very sore for about 7 days but a Big relief from pain from my back and sciatica going down my legs so I just want to thank the doctors now wings for a fantastic job
This video is very very helpful I'm going in to get my lumbar.
Fix I'm having the same procedure.
That this gentleman just had I hope it will go.
Very well I thank you for this video.
And helps me to calm down.👍
Thank you Dr.Su
Very informative video. Just a week ago my epidural steroid injection. It's getting better now. Hoping to be well.
I had the injection about two months ago for L3-4 herniated disk with severe nerve impingement. It was absolutely the most painful process I have ever experienced. I wasn’t given any pre-procedure medication. Didn’t feel like there was any anesthetic given at the time of the injection. I was not prepared for the amount of pain I experienced. I wish I had seen your video before the procedure. I would have asked for medication or anesthesia.
Same happened to me at a different pain management facility. Now I'm at a better place that DOES give sedation before procedure. 🙏
How are you now? Did it work for you?
Great memories in N.Y. Medical Center. About 3 time. Last time 1913?. Had surgery in 2008 in N.Y. In Lenox Hill Hospital 🏥. They fuse the L-4and L5. Plus I have four Titanium Screws also. Almost Four hour surgery. I was really doing bad. I did receive episodes about 3 time after surgery. Now I’m 64 years old living my retirement in Temple Terrace Florida. The pain is there but I can function much,much better. Brings me memories. Thank you doctors. I was surrounded with 12 residents drawing my surgery. Great educational video friends. Amen 🙏. Doctors 🥼.
Just got my injection on december 29th. I was wondering what they were doing. Gotta say though, when the steroid was injected it aggravated where i felt the pain originally. It hurt a lot but at the same time there was a sense of relief when they finally let me stand up
thanks again
I've been waiting for this video!! Have very bad lingering axial lumbar pain... I had a R selective nerve root injection L3, L4 about 8 months ago. My sciatica went away for the most part, but my axial lumbar pain is still there in varying degrees. What is the next step? laid flat for 3 days following the injection per doctors instructions... DID PT. Pesky axial pain still. Causes thoracic spasms constantly.
Thank you!!!!! 👍✌️😊
I am thinking about it. Just not sure yet.🙏🙏🙏
thank you
This is old
I had ablation today and drove home. I had the Epidural and Facet to predetermine my ability to have the ablation
Neither hurt and we're done in the Drs office with one assistant who pulled my pants down so the Doc could do his deed.
NO PAIN. Thanks Doc
I have severe lower disc degeneration and worn out facet joints, I couldn’t walk straight for 2 months and was heading towards injections but thankfully it became better in month 3 and didn’t want it done.. Maintaining with exercise using weights and working on my core . I know in the future I might need to get these done , great video thanks for sharing
What type of exercises do you do? Im trying to avoid these shots next month...ive been stretching and using an inverted table. Its helped a little so far
Susan who helped you figure out these exercises? I need that too!
I had done epidural injection on17th May 2023 your video encouraged me and now I will wait until two weeks thank you.
I’ve done this 3 times, no dye needed. It works.
I’m 23 years old with a bulged disc in L4-L5. I’ve had it for about 5 months. Pain was in my back initially, but the last 3 months it’s been from my right hip ALL the way down my entire right leg and it’s constant. PT has provided no relief or changes. I go in for my injection in about 8 hours. I’m very nervous but I’m praying that this works and won’t need surgery in the future
I'm 24 with the exact same thing! Similar duration too. I'm getting my injection done in about 24hrs. I hope we both finally get some relief :)
@@littlefishiesinthese Injection went well. Pain was bad when they first numbed it and when they shot the medicine in. My legs and butt went completely numb and felt lots of pressure but went away after about a minute. Didn’t have any changes in pain from my injury until I woke up from a nap an hour ago. The pain in my legs is almost virtually gone already. But we’ll see in a week or 2. Hope yours goes good
I’ve had a couple of these without any anesthesia. After I had two radio frequency ablation procedures. I had to have sedation for those. About due for another. Waiting for my MRI appointment so my pain management physician can see if there’s any physical changes. I have spinal
Stenosis and scoliosis bending to the right.
I had mine done with just local anesthetic, doctor and one x-ray tech. Was in and out in 15 minutes. First time hurt like hell. He poked the root to see if he was in the right spot and I felt a lightning bolt down my leg. Exactly the same symptom I have for months. Was a relief know someone had a correct diagnosis. Now I'm looking at the surgery as I still have back pain a glute pain after 5 injections over the course of almost 2 years. The injections started to relieve less consecutively.
Been there done that too. Eventually a mini back fusion L4-L5.
@@anncata7368MINI?
@@anncata7368Did the mini fusion work to eliminate your pain? How was your post op recovery?
I had similar. L3-S1 & just a local. Second type now & it's worse & less effective than the first one. I seriously bawled it hurt so bad- full on ugly cried. The nurse asked if I was ok, but the doctor had 3 needles down to the bone already in me. I wish they had gave me something for anxiety, especially since I made them aware I already had anxiety. Not even a week later, still dealing with the flare with no relief from the pain- insult to injury
Thing is , I'm learning all the spinal epidurals I've gotten that's never helped my pain speeds up bone loss and I have severe osteoporosis and my bones are to weak for a fusion!!! I'm getting vertebrae compression fractures from doing nothing. Those epidurals only made my pain worse and speeds up bone loss to keep you a life long patient. Now, they can't do surgery!! I'm beyond furious ! People get surgery to fix your back while you still can.
I’m getting this done in FIVE DAYS.!! Friday June 21st 2024… am NERVOUS but hopeful 🙏🏼🙏🏼
Yes some do get short term relief from radicular pain, but that group is a narrow percentage. The FDA’s 2014 AADPAC hearings on the safety and efficacy of ESI therapy found that the majority of patients (68%) fall outside this narrow window. In fact they refused to approve all ESIi’s and stated that serious adverse medical events including death have been reported. They added that fluoroscopy did not prevent dura puncture and concluded by adding a serious new WARNING to all injectable steroids that this procedure should not be attempted. All true doctor, all of it!
Excellent very good and informative video really appreciate,Shafqat Ali from Pakistan
I had a spinal anaesthetic 28 years ago. I still get bad pain in the area in which the anaesthetic was administered
I'm going in later today for this. After reading some material and watching this I feel all the more comfortable. The comments were a big help as well. In conversation with others --they all seem to have had a good experience. Only negative I've heard really is from ppl afraid to have the procedure.
Great and informative video
I get these for sciatica pain, doesnt always last long like this last one , only lasted 2.5 wks hoping for another try before i go on vaca
I had this done 4 months ago at St Josephs Hospital in Tacoma after a bad year. Small office and not at all like this set up. Only a nurse and the guy doing the injection. Some pain when injecting. Didn't give me anything just numb the area. This worked for my L4 L5 problem. Had surgery in 82 disc bulge removal with small 2 inch cut, Have just lived with the flair ups till now. Im 68 and dont want surgery. Pain comes and goes but not using shopping cart as a walker at the store so have strength back and drop foot better.
My experience is much like the video. I presented with L4-L5 stenosis and some other problems 10 years ago after several days of strenuous lifting heavy objects in odd position. Severe 10/10 pain - hip, leg, buttocks, sciatica - complete agony. Got some immediate relief from a course of methylprednisolone, but temporary and not complete. Had the epidural steroid injection and have been mostly pain free ever since. (One spinal orthopedist at the same practice said I had to have fusion surgery and laminectomy immediately or it would get worse). I'm retired (desk job) but have always been active in sports and now very active in a lot of home improvement projects. I occasionally experience relatively mild flareup if I lift super heavy objects or otherwise overdue but generally a day or two of ibuprofen is sufficient.
Two years after the lumbar stenosis, I presented with cervical spinal stenosis, severe head and neck pain. Received cervical epidural with pain free result. Had one bad flareup a few years after but knocked it down with course of methylpred.
I may be luckier than most as I have had numerous cortisone injections in multiple joints (arthritis) over the years - both shoulders, both knees, elbow, finger, thumb - and respond almost immediately, usually within six to 12 hours or less with complete relief within 24 - 48 hours.
Good luck to all dealing with back issues.
Hiding you had any side effect with the epidural injection
@@Annie-pg3vz Had no side effects
Thank you for the video. I have epidurale each 5 or 6 months. Now i know what happen in my back. But i don't receive fentalyn and it's okay with me. I'm aware of drug body addiction. I haved many discussion about this...
Dr. Su, I want to thank you for this content. I found out on 12/23/22 that I have severe multilevel advanced degenerative disease with multiple herniated discs and severe multilevel stenosis from c4-5 through c6-7 AND severe multilevel degenerative disease and stenosis with herniated discs in L3-4 through S1.
I also have a rare condition called osteopoikilosis, which in my case actually does cause considerable pain (I understand that it is normally benign and painless).
I used to be 6’0” and now I’m barely 5’8”. I’m unable to look up, and even holding my head up normally is getting difficult.
It’s reduced me to sitting in a chair, in constant pain, and I can barely move. I already have pretty severe diabetic neuropathy, so the effects combined are pretty miserable.
I have to wait until the end of February for a consultation, which is a very long time to wait when it feels like you’ve got a baseball in your backside (and occasional hornet stings).
I am still trying to come to terms with everything, since I only found out 3 days ago.
You’ve given me a bit of hope, however small, that I won’t have to spend the rest of my life in pain.
Thank you.
Dwight, I feel and Hear You. I'm in a comparable position. I have disc issues from L-2 , L3 L5-S1, T9 , T10, and up to the top of my neck C3-C7 have issues too. 6 Spinal and Neurosurgeons consulted - all told me that there is No Surgery for me. Too much arthritis in the spine vertebrea and Facet Joints So I can only deal with it with Pain management. Had facet injections which was good for 1 week, the epidurals in the Lumbar and neck - didn't do anything!. Lots of DDD too & Dextroscoliosis of 25 Degrees. I'm 71 YO, and have suffered over 45 years with back issues - progressively worse over the last 15 years. I used to 5' 11 1/2 " tall, now about 5' 10". I'm too Fat (can't lose weight !!) at 225 lbs (ranging from 220-226). My goal this year : is to continue to pursue answers for these health/ spinal issues With the InterWeb, answers are out there. You must do your own research - the Doctors have no time or no Interest to seek and treat the causes only Treat Symptoms. Try Supplements to see if they work for you Turmeric, Ginger, Boswellia, Bromelain, White Willow bark [Nature's Aspirin], MSM, etc. Chronic Pain (and sometimes to me, it's the horrific Stiffness in all my joints and back that is Worse than the Pain), SUX and destroys your Life and well being.
I'm so sorry Dwight, I can't imagine, my best friend is pain, I'm slowing down unfortunately, But NOT giving up. I pray for you, Please keep your chin up, PRAYING FOR A CURE FOR ALL OF US
Was told there's no cure had 2 operations that did not work so now its injections from now on thanks for video very helpful hope you all are well take care of one another happy Easter greetings from Dublin
I get these injections routinely with some relief. The last time very little relief, 2 months ago. Going in for a repeat soon.
Aw poor fella! I know that hurt! I’ve had 2 of these. First-one didn’t really feel anything, 2nd one had a “bite” to it like this gentleman had. First one I had pain relief almost immediately. Second one took about 2 weeks. It’s time for me to get another one soon.
I had my 2nd one yesterday 😢 I had my 1st bad reaction headache, overheating and naseau. It went away quickly, just the pain 😢
The epidural (3rd session) was so painful it woke me up. Afterwards both my legs hurt so bad, now I also have numbness, tingling & pain both legs & feet. Not sure its from the epidural (Doctor said it wasn’t) but it started that evening. It didn’t help with pain either.
This is why they is a black box warning on ESIs.
Excellent! I’ve been in pain mgt for 20 years - L5-S1. I’ve had 3x microdiscectomies, rhizotomies, stringently self-controlled use of opiates and finally a spinal cord stimulator. Epidurals still play a role as , now 65, degenerative disc disease and arthritis are compounding my dysfunction and pain. Regarding epidurals - I kvetch at my doc every time I get an epidural because he never puts the video screen far enough forward so I can watch the injection process. Doc just gives me the stink-eye when I grumble. Alas, I do not look forward to my future of increased pain as I age. Excellent video! Thank you.
I hear you! Doesn’t get better as you get older. I want to swap out one of the epidural injections for euthanasia injection.😂
Does the injection help with the pain though.. I'm having this tmora s1/l5 I have heard it doesn't work for this
How is the spinal cord stimulator working for you? Do you regret it or are you glad you did it?
@@user-zd8os4wr7d The stim worked fabulously…. until I fell. I twisted to save my face, the torquing of my torso broke the lead. Doc had to go back in to replace the old with new wiring. It hasn’t work well since - probably due to scar tissue. Mine is the Boston Sci, the one released in 2016. It was wonderful. Now it just doesn’t quite get the job done. Regrettable.
@@amyflynn1965 Yes, the injections help, tho they are temporary. I don’t get euphoria with traditional opiates. But I now know why fentanyl is so dangerous because my doc uses fentanyl in the epidural process. I hate to say it, but fentanyl is like the best chocolate I’ve ever eaten. The sensation is indescribable. Combine a pharmacologically-dangerous drug with that payoff, add in an illicit Chinese chemist unconcerned about product ‘purity’ and the result is death by fentanyl.
I had to go in twice. Once for each side. Thf first injection went good but afterward I heard a man tell a nurse he felt the injection. I was ok, then,
My second injection about 2-3 weeks later,was late as the doctor was so behind with patients. By the time I went into the operating room I jerked from the first injection because my body felt it. The doctor looked at me then proceeded to do the next injection on the same side. I felt that one too! About a month later I was having so much pain and sciatica I never had before. I was in worse shape than before. I believe I had nerve injury. And I ended up with diabetes right after that procedure too. This was done in Las Vegas.
How are you feeling now???
All the best to you..
Your video provides THE BEST EXPLANATION OF THE ANATOMY AND PROTOCAL WHILE THE PATIENT IS UNDERGOING THE PROCEDURE that I have found on CZcams. Thank you!
How is the patient doing since his ESI?
Wow! I wish I had you guys do mine. None of that was explained to me 😔
I've always been told not to put any heat on my back for 72 hrs because the steroid will move around. Is that correct? I ask because when I've watched any epidermal vid, not one has mentioned that. My most recent injection was a caudal epideral focusing on L4 and L5. Thank you.
Just got one of these today. Already feeling better. Pain is extremely minimal and actually feels good - like a deep massage type of pain. Anyone too scared to do it - DO IT!!!!!
Dang, I wish I had you guys do the steroid shots for me. I got them done twice when I was 20 for two herniated lumbar disks. It was very painful to the point I was in tears, but couldnt move cus of the anxiety medication they gave me. Its been over 15 years since then and the shots gave me a ton of relief. Hopefully I only ever need those two!
Me too. I got this ESI done but it was a totally different procedure. It was done while I was in a sitting position and two nurses held me tight from the shoulders. There was no CT scan or anything it just injected blindly. I was given anesthetic prior to the injection but I was in severe pain I almost fainted and had a blackout too. Now two weeks in the injection, it cured like 75% of the pain I had. But still a slight numbness is there in my right leg and I can't walk properly. Also I can't grip tightly from my right arm.
Imparted knowledge well remain blessed by Almighty Allah Aameen