Whats your Exp with Epidural steroid injections?

I got hit by a semi-truck back in December.Thanks to driving a Chevy avalanche; I walked away no broken bones, however I have horrible sciatica when ever im sit on anything soft.(which is almost everything) My Pain management doctor wants to do ESI and maybe even some micro surgery to relive pressure, remove debris.

Although I have tattoos all over my body, i have never enjoyed the thought of a needle entering my arachnoid space. Any one out their have any exp. with ESI….?

These are gonna be Low epidural steroid injections…like L5/S1. for constant sciatica..

I am also 26 years old, and I have already tried chiropractic care,massage therapy, physical therapy, and acupuncture…and still no relief…
I have also tried pain medication and being on pain medication is also not an option, since I am a medical professional and cannot be high (well it wouldnt be ethical) while at work.

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One Response to “Whats your Exp with Epidural steroid injections?”

  1. mistify says:

    First, to ease your mind, an ESI doesn’t enter the arachnoid space (as in spinal anesthesia), it enters the epidural space which is actually outside the dura. The epidural space is the space formed between the vertebral column and the dura matter. The idea is that the steroid reduces inflammation in either the surrounding nerves, or the actual nerve root as it exits the neuroforamen.

    ESI’s can be helpful to those who are not responding to PT or having a limited response. In my experience, those who benefit the most are those whose pain is relieved by sitting and made worse by standing and walking. For those whose pain is worsening by sitting and lessened by standing and walking, then I find that these patients often respond to direction specific exercises. I’m not sure what you’ve been doing in PT, but if your PT is not certified in mechanical diagnosis and therapy (or has at least not taken some basic MDT courses), I would recommend you see someone who is. It’s a treatment approach that is often very successful for those with sciatica. However, it’s also good at identifying those who are likely to respond to more invasive procedures.

    I’ve had many patients who presented to me as being "irreducible"…they were quite easy to identify…who either were referred back for ESIs (who then presented much differently and became reducible) or who went to surgery and had excellent outcomes.

    I’d check out http://www.mckenziemdt.org

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