Doctor insights on:
Injection In 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
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
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
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
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
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
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
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
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
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
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
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
Epidural: For temporary relief of low back & sciatic pain. ...Read more
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
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
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
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
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
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
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
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
8 hours post lumbar block injection. I have had awful left hip pain ever since and hard time walking. Is that normal? What's happening? What do I do?
Not normal.: Call the doctor who performed the injection. ...Read more
What happens to dyes used in lumbar or cervical epidural injections? Are they absorbed in epidural spaces? Don't they do any damage in epidural space?
Dr. Suggested 4 small injections near the inflammation to my lumbar instead of pain killers. Lubricants! It's not on the spine. Is he correct? Go ahead?
Well: I think they're discussing triggerpoints in Jackson is in the muscle these are often helpful follow your doctor advise ...Read more
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
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
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