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Doctor insights on: L5 S1 Epidural Injection

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I have herniated disc l5-s1, getting epidural steroid injections. Will it help with weakness and numbness or does it only help pain?

I have herniated disc l5-s1, getting epidural steroid injections. Will it help with weakness and numbness or does it only help pain?

Hard to say: Once inflammation is removed, then if your weakness and numbness improve it will help. Typically though weakness suggests significant compression on the nerve and that may take time to return. Numbness also in my experience is the last thing to improve from nerve injuries or compression.

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Dr. Creighton Wright
4 Doctors shared insights

Epidural Injection (Definition)

Epidural injections treat either acute or chronic pain. The most common epidural injections are to treat labor pain and usually include an indwelling catheter that provides continuous treatment until the baby is delivered. The medicine is a local anesthetic +/- opiod. Epidural injections also include single shot injections to treat chronic back pain. These usually include ...Read more


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Does a herniated disk at L5 s1 ever go away without having a epidural injection? Why does my ankle hurt so much on the right side of the disk

Does a herniated disk at L5 s1 ever go away without having a epidural injection? Why does my ankle hurt so much on the right side of the disk

Yes it does!: Lots of people live not knowing they have 1. Also if some1 has pain and 1 is found, pain attributed to it. Surgery doesn't always helpi have patients who got rid of even foot drops with yoga and or rehab. Pain is just your body telling you you are doing something wrong, and at that point it is often reversible if you listen. Yes it cd go away, but what you really need is have it silent.

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Does having a epidural injection help a L5 s1 annular tear? I am having a lot of back pain that goes to my knee when I sit down please explain

Does having a epidural injection help a L5 s1 annular tear? I am having a lot of back pain that goes to my knee when I sit down please explain

Maybe: Epidurals are indicated for leg pain and not for back pain. They do however have anti-inflammatory properties and may calm down inflammation from an annular tear. They are safe and effective if done by the right person and may be worth a try if other measures are not working.

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Does a epidural injection for low back pain L5 s1 disk herniated usually help in patients? What is the procedure for having a epidural injection?

Does a epidural injection for low back pain L5 s1 disk herniated usually help in patients? What is the procedure for having a epidural injection?

Yes: It can work. In my experience 50% of patients do very well and the other half only partially helped. The procedure involves injecting meds in the epidural space which is inside the spinal canal but outside the sac which contains the nerves and spinal fluid, it is done either by feel or using x-ray guidance.

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I have an appt for an epidural for a nerve issue, near L5 s1 I think. What can I expect at & after the appt?

I have an appt for an epidural for a nerve issue, near L5 s1 I think. What can I expect at & after the appt?

Maybe some discomfor: I might assume that you are going for epidural steroid injection, for a possible disc issue. This can work if inflammation is involved and is usually worth a shot. You might get some transient discomfort, but for the most part is benign and well tolerated. The important thing is to see if it help and call your doc if concerns arise.

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19 y o athlete on scholarship who has L5 s1 herniated disc and has tried conservative tx of pt, epidural and meds and rest with no significant relief?

19 y o athlete on scholarship who has L5 s1 herniated disc and has tried conservative tx of pt, epidural and meds and rest with no significant relief?

? MRI done: Large disc herniations with neurological signs or symptoms may require surgery - an MRI can give a good idea of the prognosis - most disc herniations will heal with time. I have used inversion tables with excellent success in many cases of back pain - chronic seems to respond better than acute but worth a try. The is is a well-studied but underutilized modality.

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A para central disk protrusion at L5-S1. Moderate to severe back pain &sciatica. Epidurals, facet blocks etc. Nothing helps. Surgeon says not surgical.

Spine Problems: Anti inflammatories (including oral steroids and injections), physical therapy and rest. Exercises to improve your strength around the injury. Seek the help of a pain management specialist.

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What's the best type of dr to treat hypermobility type 3 that presents primarily as L5-S1 pain (5 yrs tried injections, acup, chiro, PT)?

What's the best type of dr to treat hypermobility type 3 that presents primarily as L5-S1 pain (5 yrs tried injections, acup, chiro, PT)?

Physical medicine: I would recommend that you see a physical medicine and rehabilitation doctor. They specialize in musculoskeletal abnormalities/evaluation.

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Large disc extrusion at L5 compressing L5, S1&S2 n/roots. Got to decide on surgery or injections, would like opinions.

Large disc extrusion at L5 compressing L5, S1&S2 n/roots. Got to decide on surgery or injections, would like opinions.

Surgery, most likely: It seems this is a very impressive disc herniation (extrusion). If you have symptoms you may not have any options as you don't want any nerve damage.

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Lge disc ext at L5 compressing L5, S1&S2 n/roots&displacing thecal sac. Pain & numbness. Got to decide on surgery or injections, would like opinions.?

Lge disc ext at L5 compressing L5, S1&S2 n/roots&displacing thecal sac. Pain & numbness. Got to decide on surgery or injections, would like opinions.?

I suggest both star-: Ting with Epidurals, to confirm which level disc issue provides best relief from your symptoms. Is it one or more levels. I am sure, your surgeon will be getting you to habe a series of these shots before the surgery that you certainly need. Good Luck.

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If you are ordered a L5 s1 injection, does the doctor inject you at L4 l5?

No...L5 S1 injection: The L5 s1 space is one level down from L4 L5 intervertebral space.

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How long does it take for a L5 / s1 root block injection to start relief of pain?

How long does it take for a L5 / s1 root block injection to start relief of pain?

Block: I am presuming you are asking about an epidural steroid injection of L5-S1. Usually, the steroid begins to work in about 2-3 days. He block is usually done with a small amount of local anesthetic which may give a few hours of immediate relief.

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How many corticosteroid nerve blockage injections can I have, for my sciatica and discopathy L5-S1 problem?

How many corticosteroid nerve blockage injections can I have, for my sciatica and discopathy L5-S1 problem?

3-4 injections: There are no limits to how many epidural injections you can have. That said repeated steroid based injections put your body at risk for other medical issues down the road. Good rule of thumb is no more than 3 injections in 6 months. If your pain persists after a good physical therapy trial, consider the injections.

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What is the likelihood a root block injection will provide a long term fix for the back pain I feel due to my minor l5/s1 bulging disk?

What is the likelihood a root block injection will provide a long term fix for the back pain I feel due to my minor l5/s1 bulging disk?

Root block: A nerve root block is most typically done for the purpose of improving radiating leg pain (aka radiculopathy or sciatica). If you are having isolated back pain then a root block is actually unlikely to help. For a minor bulging disk, most patients will improve with conservative treatment measures such as physical therapy and nsaids (non-steroidal anti-inflammatory drugs).

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Ddd on L5 s1, done p/t, yoga, exercise, chiro, massage, edpidural, nerve block & facet injection, in pain, aside from surgery, what else can I do?

Ddd on L5 s1, done p/t, yoga, exercise, chiro, massage, edpidural, nerve block & facet injection, in pain, aside from surgery, what else can I do?

Core strengthening: Core strengthening is the best non-surgical option for DDD at L5-S1. Also, I would recommend the "Treat Your Own Back" by Robin McKenzie (a book) for additional exercises you may find helpful.

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Dr. Abraham Jaskiel
2 Doctors shared insights

Epidural (Definition)

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