Most commonly in the case of spinal stenosis
, your condition has progressed to the point where epidural steroids
aren't going to work.
Stenosis is a decrease in space available for the nerves to pass due to facet arthritis
, disc bulging/herniation or congenital reasons. Because of this, injecting fluid under pressure may cause the space to be further compromised.
If a treatment that was working no longer works, it means that you likely need to be re-assessed with new x-rays and possibly an mri
. If you are a surgical candidate, don't panic. Decompression
in a situation where spinal stenosis is causing symptoms such as neurogenic claudication is very rewarding. Patients note significant improvement in their symptoms almost immediately after surgery.
But surgery should only be considered as a last resort, when all conservative measures are no longer effective. In order to make an informed decision, make sure that you educate yourself with resources necessary to make an informed decision in the treatment of your spinal stenosis.