Doctor insights on:
How Long Can An Epidural Catheter Stay In For Post Operative Pain Relief
Great Question: Unfortunately, there is no good literature to give exact amount of time that a patient might expect to receive relief from any type of epidual steroid injection. Caudals are usually done for spinal stenosis or complex fused spines fo relief of pressure on nerve structures. No two spines are alike. They are like snow flakes and fingerprints and so different are patient responses. ...Read more
The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more
Steroid injection: Every patient is different. Some respond to one and some need more than one injection. Main thing is that you are evaluated after the injection. ...Read more
For how long does a caudal epidural steroid injection provide pain relief for compressed disks at l4/l5?
Depends: Epidural injections have a variable relief pattern and it really depends on the steroid used and location of pathology. Typically epidural injections work best if placed next to or on top of the level of pathology. Caudal epidural injections are several levels below l4/l5 and sometimes may not provide adequate relief. Epidural injections if they work can provide from weeks to months of relief. ...Read more
Please help! What is the difference between a facet block and an epidural injection for back pain relief?
Different: Facet joints are places on the spinal bones where two bones actually meet and articulate, therefore a facet joint injection is into that place where they meet. Many times arthritis or inflammation can arise here and cause pain. Epidural injections are into the spinal canal area or around the spinal nerve roots exiting the spine. ...Read more
Plz give me a good pain relief plan after C-section by IV not by epidural after ga. Which can I ask from any hospital to give me this I haven't paintol?
I have one ruptured disc and two torn discs. Epidurals have never worked, is surgery my best chance for pain relief?
Not necessarily: Surgery should be used if progressive nerve or spinal cord problems, and especially if bladder gets involved, but not the best idea to control pain, as postop scarring may make things far worse. A european study showed disc shrinkage at 9-10 months if no surgery. Try to learn mckenzie back exercises from a quality physical therapist, and consider starting your exercise in a pool first. ...Read more
Is a catheter nessesary during labor if you get an epidural or other pain releif? Do you have to get one?
Ask a health question... Alternatives to catheter for post operative urinary retention for male 65?
None reasonable: Bladder will continue to fill + has to be drained because of pain and discomfort. Intermiitent ctheterizaion is management of choice with much lower risk of UTI than an indwelling catheter. Voiding ability, if present before operation, should return and can be aided by medications. ...Read more
Is RACZ catheter an option when numerous times of epidural steroid injection fails to relieve the pain? Then how many injections before considering RACZ?
For Scarring: Racz catheter is used on a procedure called epidural lysis of adhesions which is codespeak for scar tissue, assuming you've had back surgery. Generally it is used to deliver an anesthetic/enzyme mixture to break up that scar tissue but is also used for mechanical compression to breakup the tissue as well. Generally your pain/spine doctor should discuss when this is a good option for you. ...Read more
What means soft tissue effacing posterior epidural fat post operative tissue does this mean soft tissue pressing nerve or causing problem or normal?
I've had an epidural as post operative pain management and it hasn't worked. Is that normal? Can it be related to my thoracic syrinx?
Possibly: Epidurals are not 100% successful. The syrinx could be related, but more than likely it is not the reason. ...Read more
What is the current consensus on cervical nucleoplasty after failed conservative cares including racz catheter and epidurals? How effective could it b
Level 1c- good: Large group studies have shown favorable results if patient selection is strict. Disc displacement cannot be > 6mm, must be contained, no prior surgery, >75% disc height, no spinal stenosis or instability. 12 month follow-up shows sustained benefit. Risks include infection (discitis), neural injury, and device failure. ...Read more
I had a baby a week ago naturally with epidural and a cathedor. I had 3 stitches 2 inside 1 outside and now I knowdess I have a pain from my urethra it burns a little bit when I pee but most pain I knowdess it to sit or move the wrong way mostly painful
Possible Infection?: It's not entirely clear from your question where those stitches were placed; I assume the vagina during delivery, but, am not sure. Painful urination may be coming from the mild trauma associated with catheter placement, stretching of the opening of the birth canal, existing stitches, or a mild infection. This is one of those occasions i'd strongly suggest you see your ob/gyn soon. ...Read more
4-8 hours: Typically it will take 4-8 hours to obtain peak concentrations in your system after taking amitriptyline. That being said, if the dose is low you may not notice a clinical effect (discuss with your prescribing physician). ...Read more
Elavil (amitriptyline) or Amitriptyline is not a new drug. It is a tricyclic antidepressant which has been used for many years to treat burning, stabbing, tingling pain (neuropathic pain), particulary in the feet (diabetic neuropathy).
Side effects include drowsiness and extreme dry mouth. ...Read more
Amitriptyline for pain relief., If stop taking. How long before I will know if it was actually helping.?
Why do the instant release and extended release opana aka oxymorphone take so long to kick in? I need it for immediate pain relief.
Depends: It sounds like you are in the midst of changing your pain med regimen. It might be that the previous pain medicine you were on had faster onset characteristics. Also extended release is always much slower and steady in release than any instant or short acting release formulation of a pain medicine. This may take awhile for you to adjust. If not tolerating I would contact the doctor you are seeing. ...Read more
Lots: Almost any of the extended release opioids. (er, sr, xl). ...Read more
I had an injection of Intraosseous nerve block. How long before I start feeling some pain relief. How often should I get these injection (Frequency)?
Weakness: If your pain is relieved with sitting buut worse when active begin a strenghtening program for your hips and back. If you do not see gradual improvement then you need to have a physician evaluate you. ...Read more
On 10mg amytriptoline for nerve pain in my thighs how long does it take to get in your system and give some pain relief?
10mg Amitriptyline: Hello. This is a very low dose. I start patients this low if they are extremely sensitive to meds. Next dose up from 10mg is 25mg. You may just need an additional 15mg in your system to make the difference with your neuropathic thigh pain.In my patient population 10mg-100mg at night has worked the best. Gradual increase to achieve the "correct dose." We increase every 3 days to a set dose per pt. ...Read more
Vicodin: That depends on severity of pain, if it is used with other medications, and how long you've been taking it. For acute pain, duration usually 4-6 hours. ...Read more
A recent study showed that in a hospitalized group of patients it was not the actual degree of pain relief that determined patient satisfaction. It was the perceived concern on the part of the heath care providers and their attempts to alleviate the degree of pain that mattered. Even ...Read more
A catheter is a thin plastic tube that is inserted into the body to obtain fluids/blood or give medicine. So some catheters can be placed in the veins and medicine given directly into the body, IV fluids given or blood sampled. A catheter can be placed in the bladder ...Read more
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