Any risks for pre-surgery epidural injection?

Posted by rono2410 @rono2410, Sep 15, 2023

I have nerve impingement in the L4-L5 area resulting in weakness and pain in my quad muscle. My neurosurgeon has suggested an epidural injection to confirm the specific nerve that is being affected by impingement and to accurately address the problem in surgery. Has anyone had this procedure done and has anyone experienced complications or harmful effects from this procedure?

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Profile picture for davidtrevino @davidtrevino

HELP PLEASE! I got an epidural spine injection and my lower back L4 and L5. At night time I get cold arms and thighs with cold chills and slight body aches. It’s been a week so far with these symptoms, it’s weird I don’t get them during the day just at night. I get dry mouth all day too, how long would these symptoms last I read it supposed to be two days and other places 2 to 3 weeks, can’t get a straight answer. My legs feel slightly weak and slight discomfort, but at night time I feel really sick for about 5 mins and sometimes sick all night. Hot flashes too, any idea if this is a serious concern or just side effects that will go away ?

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I have had the injections and also 2 ablation procedures that last quite a while. I only take tylenol, and Naproxen and do spine and bone health exercises. Also my My Dr. Keeps close track of my calcium, vitamin D and B12 which are related to bone health.

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Profile picture for davidtrevino @davidtrevino

HELP PLEASE! I got an epidural spine injection and my lower back L4 and L5. At night time I get cold arms and thighs with cold chills and slight body aches. It’s been a week so far with these symptoms, it’s weird I don’t get them during the day just at night. I get dry mouth all day too, how long would these symptoms last I read it supposed to be two days and other places 2 to 3 weeks, can’t get a straight answer. My legs feel slightly weak and slight discomfort, but at night time I feel really sick for about 5 mins and sometimes sick all night. Hot flashes too, any idea if this is a serious concern or just side effects that will go away ?

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Im a repeat "customer" for bilateral transforminal injections L 4/5
Im great full, I get relief.
My pain management experience has been top notch!

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Profile picture for davidtrevino @davidtrevino

HELP PLEASE! I got an epidural spine injection and my lower back L4 and L5. At night time I get cold arms and thighs with cold chills and slight body aches. It’s been a week so far with these symptoms, it’s weird I don’t get them during the day just at night. I get dry mouth all day too, how long would these symptoms last I read it supposed to be two days and other places 2 to 3 weeks, can’t get a straight answer. My legs feel slightly weak and slight discomfort, but at night time I feel really sick for about 5 mins and sometimes sick all night. Hot flashes too, any idea if this is a serious concern or just side effects that will go away ?

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Archie,
I'm a Canadian. Healthcare costs us nuthin'! I went to one back clinic for two and a half years, paid $Zero. Canada Strong!
Thanks for writing.
Will

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Profile picture for davidtrevino @davidtrevino

HELP PLEASE! I got an epidural spine injection and my lower back L4 and L5. At night time I get cold arms and thighs with cold chills and slight body aches. It’s been a week so far with these symptoms, it’s weird I don’t get them during the day just at night. I get dry mouth all day too, how long would these symptoms last I read it supposed to be two days and other places 2 to 3 weeks, can’t get a straight answer. My legs feel slightly weak and slight discomfort, but at night time I feel really sick for about 5 mins and sometimes sick all night. Hot flashes too, any idea if this is a serious concern or just side effects that will go away ?

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It is hard for me to empathize with so many of you. I have had these injections since about 2008 and I have never had a negative reaction. I have had injections and ablations in my lumbar, thorax and my cervical. I have received pain relief from as little as 3 months to as lengthy as 18 months. I am beginning to wonder how much is dependent on the doctor who is doing the procedure. As far as cost, Medicare and my supplement pays for it; except Medicare will no longer pay for the anesthesia.....it costs $100. I was going to say no to the anesthesia but my pain management doc recommended that I not do that. He said that it would be quite painful and that I would be moving around quite a bit. And that would make it difficult for him to guide the injections.

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Profile picture for brotherchuckles80 @brotherchuckles80

It is hard for me to empathize with so many of you. I have had these injections since about 2008 and I have never had a negative reaction. I have had injections and ablations in my lumbar, thorax and my cervical. I have received pain relief from as little as 3 months to as lengthy as 18 months. I am beginning to wonder how much is dependent on the doctor who is doing the procedure. As far as cost, Medicare and my supplement pays for it; except Medicare will no longer pay for the anesthesia.....it costs $100. I was going to say no to the anesthesia but my pain management doc recommended that I not do that. He said that it would be quite painful and that I would be moving around quite a bit. And that would make it difficult for him to guide the injections.

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I have had 2 injections: the first one last 3 months with no pain; the second one worked a little for 3 months. I have my 3rd one coming up this Wednesday; I hope it works like the 1st one.

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Profile picture for davidtrevino @davidtrevino

HELP PLEASE! I got an epidural spine injection and my lower back L4 and L5. At night time I get cold arms and thighs with cold chills and slight body aches. It’s been a week so far with these symptoms, it’s weird I don’t get them during the day just at night. I get dry mouth all day too, how long would these symptoms last I read it supposed to be two days and other places 2 to 3 weeks, can’t get a straight answer. My legs feel slightly weak and slight discomfort, but at night time I feel really sick for about 5 mins and sometimes sick all night. Hot flashes too, any idea if this is a serious concern or just side effects that will go away ?

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It most likely will Sue. My prayer right now is that it will. God bless you. brotherchuckles80

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Profile picture for davidtrevino @davidtrevino

HELP PLEASE! I got an epidural spine injection and my lower back L4 and L5. At night time I get cold arms and thighs with cold chills and slight body aches. It’s been a week so far with these symptoms, it’s weird I don’t get them during the day just at night. I get dry mouth all day too, how long would these symptoms last I read it supposed to be two days and other places 2 to 3 weeks, can’t get a straight answer. My legs feel slightly weak and slight discomfort, but at night time I feel really sick for about 5 mins and sometimes sick all night. Hot flashes too, any idea if this is a serious concern or just side effects that will go away ?

Jump to this post

I had 3 epidurals with no side effects. You need to let your pain doc know about your reactions. Ultimately, they did not work for me: first was “eh”, second one 3 months later was great- I thought I was cured, but the third shot did nothing. I ended up having MIS-TLIF 2 months later. I’m 12 days post op and can walk again!

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Profile picture for weinssh @weinssh

I had 3 epidurals with no side effects. You need to let your pain doc know about your reactions. Ultimately, they did not work for me: first was “eh”, second one 3 months later was great- I thought I was cured, but the third shot did nothing. I ended up having MIS-TLIF 2 months later. I’m 12 days post op and can walk again!

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Hi weinssh,
Thanks for that post. The good/no-good routine sounds familiar to me.
Do you mind my asking, what is "MIS-TLIF 2"?
WT

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Profile picture for davidtrevino @davidtrevino

HELP PLEASE! I got an epidural spine injection and my lower back L4 and L5. At night time I get cold arms and thighs with cold chills and slight body aches. It’s been a week so far with these symptoms, it’s weird I don’t get them during the day just at night. I get dry mouth all day too, how long would these symptoms last I read it supposed to be two days and other places 2 to 3 weeks, can’t get a straight answer. My legs feel slightly weak and slight discomfort, but at night time I feel really sick for about 5 mins and sometimes sick all night. Hot flashes too, any idea if this is a serious concern or just side effects that will go away ?

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Greetings Archie,
Healthcate is getting more complicsted. I sympathize with your having to navigate very complex bureaucracy.
Because there is so much dis-information amongst Americans about our CanadianI universal healthcare system, in self defense and to clarify things, I feel compelled to add that Canadians can go to any doctor in any province in the country - no conditions or paperwork, no restrictions - without paying. Our two big problems are : 1) long waits in most Emerg departments. They triage incoming patients, of course, but unless you're bleeding out or not breathing at all we have to sit and wait for many hours. When, finally, you do get a doc, however, the care is excellent and 2) we have too many specialists and too few general practitioners. If we move to a new location, good luck finding an avaiable family doc. It's not impossible, we just have to search thoroughly ! Universal dental care just came on a couple years ago, and one party in parliament has been pushing hard for universal prescription coverage. As it is, the provinces already subsidize our senior prescription meds by around 30%. Disabled people get a deeper drug discount.
And so it goes
...in the famous words of Fernando Lamaz as sent up on SNL by Billy Crystal :
" Dahlings, remember, it's always better to look good than to feel good."

I try, but it's a major daily battle. I'm only 24 in my head, so why do I look so worn and torn in the mirror?
WT

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Profile picture for willbt @willbt

Hi weinssh,
Thanks for that post. The good/no-good routine sounds familiar to me.
Do you mind my asking, what is "MIS-TLIF 2"?
WT

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Minimally Invasive Surgery- Transforaminal Lumbar Interbody Fusion. Then 2 means I had it two months after the last epidural. Fusion at L5-S 1 . Ruptured disk, spondylosthesis (not sure on spelling but it’s a common issue), arthritis, scoliosis, yada yada. I tried everything for 18 months but when the mid April shot didn’t work and, more importantly, I couldn’t walk :-), I had surgery. Honestly, no where near as bad an experience as I thought— and appears to have worked, still sore from surgery but I’m walking normally ,

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