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Doctor insights on: Injection In Lumbar Area

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What do I need to ask about an epidural steroid injection in the lower lumbar area?

What do I need to ask about an epidural steroid injection in the lower lumbar area?

Under Xray Guidance: Most trained physicians perform these under Flouroscopic X-ray equipment to guide them correctly and safely to the epidural space. The older technique is still used without x-ray guidance only for those patients having a baby, getting a surgery or needing a catheter placement for infusion of anesthetic in the hospital. This older technique is not recommended for a steroid based injection. ...Read more

Dr. James Dukelow
1 Doctor shared a insight

Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more


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Should a MRI or CT scan b done befor steriod injections are givin in the lumbar area near the tail bone? And if allergic to them what can be given/don

Should a MRI or CT scan b done befor steriod injections are givin in the lumbar area near the tail bone? And if allergic to them what can be given/don

Yes: Generally it is better to have a diagnosis before getting the steroid injection if you already had surgery doe and know the diagnosis then it is ok to skip the MRI or ct scan. If you are truely allergic to the medication you can not have the medication but lot of time peoplecan nottolerate the carrier medication in the preparation so you have to talk to your doctor if an alternative is available. ...Read more

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4 lumbar facet injection 4 weeks ago. No pain in this area prior. Now have soreness in area of injection in center lower back, Is this normal?

4 lumbar facet injection 4 weeks ago. No pain in this area prior. Now have soreness in area of injection in center lower back, Is this normal?

Low back pain: Yes. Sometimes the injections can irritate the nerves, muscles and joints. Try moist heat and stretching the back in the morning. Apply ice to the back at night. A low profile back brace may help relieve the pain too. If the pain persists then see a neurosurgeon. ...Read more

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I have alot of back pain- ONLY around area of injection site of lumbar puncture performed one year ago, and no prior back issues. What doctor to see?

I have alot of back pain- ONLY around area of injection site of lumbar puncture performed one year ago, and no prior back issues. What doctor to see?

Your doctor: Your primary care physician or family doctor will be your best starting point. He or she will decide based on the history and physical exam the need for further tests and/ or the next therapeutic step. ...Read more

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After you get a lumbar injection, if it doesn't work, how long before it can be redone?

After you get a lumbar injection, if it doesn't work, how long before it can be redone?

Lumbar injection: Depending on what you were injected with will determine how frequent it can be done. If it was a steroid injection, 4-6 months is what a patient must wait before getting another. ...Read more

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How many have had lumbar facet injections?

How many have had lumbar facet injections?

Was more common..: Less common today, since some studies cast doubt on serious benefitss. In my experience they appeared to help. However, their is no coding specific for facet blocks, so that doctors can bill. These are called cpt codes and facet injection was removed 1/1/11. Nonetheless, a common procedure, which if done properly will not hurt. ...Read more

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What are the side effects of lumbar steriod injections?

Minimal: Sometimes a rash or heat sensation can occur. If you have a significant case of diabetes, your glucose levels can be affected. Occasionally, a headache can occur or local back pain or pressure sensation from the injection. These all tend to resolve quickly. ...Read more

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I received an injection for lumbar pain. Why do I feel more than before.?

I received an injection for lumbar pain. Why do I feel more than before.?

It depends.: Occasionally your pain can be worse after an injection like an epidural steroid injection (esi). Occasionally you have had a period of less pain and when the original pain comes back it feels worse. Rarely its a complication related to the injection like an epidural hematoma or infection. In those with symptomatic pain, there is 70% likelihood that the pain will be adequately managed with esis. ...Read more

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I received an injection for lumbar pain 48 hours ago. Why do I feel more than before.?

I received an injection for lumbar pain 48 hours ago. Why do I feel more than before.?

You had a procedure: It is not unusual to experience temporary increase in pain after a lumbar injection. The pain should be lessening after a few days. If this does not happen or your pain increases consult your physician immediately. ...Read more

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What's bilateral lumbar facet injection?

For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read more

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What is the definition or description of: lumbar facet injection?

What is the definition or description of: lumbar facet injection?

Easy: A lumbar facet injection is a procedure that involves directing a thin needle into a lumbar facet joint with the guidance of fluoroscopy (x-ray). Corticosteroids (such as depo-medrol or kenalog) plus a local anesthetic is injected.

As a physiatry spine specialist, I typically only perform these on patients with newer facet joint pain, or those that need quick pain relief. ...Read more

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What's the next step after a lumbar facet injection if it doesn't work?

What's the next step after a lumbar facet injection if it doesn't work?

Hard to say: Depends on your pain issue. Facet injections are helpful and can be long-lasting, however if your get short lived relief you may need to get evaluated for a radiofrequency ablation for longer lasting relief (greater than 1 year of relief is typical). ...Read more

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What are the side effects of having lumbar facet injections two weeks apart?

Lumbar facets: Many times the injections are done with deferent medications to rule out a placebo effect There are no real side effects past infection unless a lot of steroid is used the the side effects would be steroid related possible increased blood sugar ...Read more

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Is it common to faint after a lumbar block? I fainted lay tone and they want to do 2 more injections. Apprehensive about doing it again

Is it common to faint after a lumbar block? I fainted lay tone and they want to do 2 more injections. Apprehensive about doing it again

Not uncommon: Some people faint after any painful procedure, or sometimes just at the sight (or thought) of the needle. You should ask the doctor for a pre-treatment (pill usually) that will reduce your anxiety level and help you to relax if you need to repeat the procedure. S/he can also give you a medication at the time to stop the fainting reaction if it is severe. Good luck! ...Read more

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What is recommended if lumbar epidural steroid injections don't work?

What is recommended if lumbar epidural steroid injections don't work?

Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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When does someone need a lumbar epidural injection?

When does someone need a lumbar epidural injection?

Epidural: For temporary relief of low back & sciatic pain. ...Read more

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Is there any side effects of ozone injections for disc issues? For both cervical and lumbar disc issues?

Is there any side effects of ozone injections for disc issues? For both cervical and lumbar disc issues?

Ozone injections: With the exception of ozone injected into a blood vessel (very bad complications) there are no known complications but also this therapy is questionable at best...What is being treated? I don't believe you should be trying this. ...Read more

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2 pain block injections in lower lumbar 6 days ago. Now feeling constant pressure mid spine. Very painful to bend over. Is this normal post injection?

Pain block injections in lower lumbar: Have you had a traumatic event in the past? Such as an MVA, sport injury or a bad fall?
Did the Dr. Did imaging studies of the lumbar, pelvic studies? If so can you share the results. Where were injections placed? epidural? or in trigger points?
Please get the imaging studies, get an appointment, and we will go over the injuries you have. What medications you are on? ...Read more

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Can lumbar spine epidural injections really work for anyone?

Yes: For the type of patient who after getting an epidural will take the initiative toward rehabilitation with the help of a competent physical therapist. ...Read more

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What lumbar facet injection and epidural injection used for? And what is the defferent

What lumbar facet injection and epidural injection used for? And what is the defferent

Different Areas: Facet injections are used for typical whiplash and arthritic pain that emanates from the facet joint in the spine which is in the back of spine. The epidural steroid injection can help with the same, however typically is used to treat the spinal nerve pain that is due to spinal stenosis or herniated disk that is pinching the exiting spinal nerve (s) which is in the front of spine area. ...Read more

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Where is a lumbar facet injection usually done? At a hospital?

Pain Dr's office: Injections into the facet joints of the spine are usually done in the pain dr's office or wherever he usually does injections. ...Read more

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Is it okay to have 5 or more epidural lumbar spinal steroid injections in one procedure?

Is it okay to have 5 or more epidural lumbar spinal steroid injections in one procedure?

No: Three a year is outdated. In the past, docs used to do a series of 3 esi's in sequence. Patients were limited to 3-4 "series of 3" per year. This is different from your question, which is how many injections should be part of one procedure. I typically do one or two injections at each sitting, which covers the targeted area. In the past 10 years, I have 3 in one sitting twice. 5 is excessive. ...Read more

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Going to start epidural injections in my back for the pain caused from a lumbar sprain. What is it like?

See below: These injections or not given for a lumbar strain. This usually responds with physical therapy. You may have some other disk pathology which this procedure has been recommended to you. These injections are usually given 1 to 2 weeks apart. There are usually administered by a orthopedic surgeon pain management anesthesiologist and administered with local anesthesia under flouro scopic guidance. Please review all the benefits risks and alternatives and complications associated with the procedure with the physician who is doing the procedure at least one week in advance prior to undertaking this procedure. Good luck thank you. ...Read more

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Hello doctors, I need help with what to do for transforminal nerve block injection lumbar and versed for pain?

Hello doctors, I need help with what to do for transforminal nerve block injection lumbar and versed for pain?

Versed for Injection: Versed may be given to help anxiety associated with a transforaminal nerve block, but you may still experience some procedure related discomfort since the versed is not an analgesic medication. Hopefully the transforaminal injection will provide some of the lasting relief you are looking for. ...Read more

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Had a lumbar steroid injection this morning, and throughout the day my pain has gotten progressively worse. Really bad now...What should I do?

Had a lumbar steroid injection this morning, and throughout the day my pain has gotten progressively worse. Really bad now...What should I do?

Not Uncommon: This is not uncommon, but it would be best if you contacted your doctor as soon as you can to make sure something more serious is not the issue. ...Read more

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I have lumbar and cervical radiculopathy pt. Nor injections have worked what can be done for this nerve pain?

Surgery: If you have completed a proper work-up and have failed a reasonable period of conservative care (at least 6-8 weeks) and you are in significant pain that prevents you from doing your normal activities, then surgery is an option to discuss with your doctor. Check out spine-health. Com. ...Read more

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What is the difference between a transforaminal and a epidural injection? Left l.4.L5 two level injection lumbar radic.

What is the difference between a transforaminal and a epidural injection? Left l.4.L5 two level injection lumbar radic.

Transforaminal Inj: In the transforaminal approach to the epidural steroid injection the the epidural space and nerve (s) is coated with the steroid/anesthetic mixture. The epidural injection you refer to is called an interlaminar or translaminar epidural injection where the medication is placed between the two spine bones in your back. Check out Spine-Health. Com for more info. ...Read more