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Best thing(s) for chronic lumbar pain?

Posted by mikeb39a @mikeb39a, 21 hours ago

I've had several cortisone injections and per my MRI, it should have given some relief but it hasn't. I have a follow up in two weeks but wondering what others have done to calm the pain?

Thank you in advance.

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gently | @gently | 18 hours ago

Mike30a, did the injections give you relief immediately after the injections. Sometimes we have a inflammatory reaction to the steroid after the injection which can make the pain worse for a bit. If you had immediate relief or if this pain relaxes you might have radiofrequency ablation of that offended nerve. For now, you might try ice directly over the area of the injection. The otc anti inflammatories could be helpful You can try lidocaine patches. They can be effective directly over the injection site.

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mikeb39a | @mikeb39a | 6 hours ago
In reply to @gently "Mike30a, did the injections give you relief immediately after the injections. Sometimes we have a inflammatory..." + (show)
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Mike30a, did the injections give you relief immediately after the injections. Sometimes we have a inflammatory reaction to the steroid after the injection which can make the pain worse for a bit. If you had immediate relief or if this pain relaxes you might have radiofrequency ablation of that offended nerve. For now, you might try ice directly over the area of the injection. The otc anti inflammatories could be helpful You can try lidocaine patches. They can be effective directly over the injection site.

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@gently

No, I had a few hours of relief after the injections and

This is what they wrote in my after visit summary:

"Assessment / Plan
Left low back pain individual with diffuse spondylotic changes well as facet arthropathy. We did have a lengthy discussion about his options in the office today. He tells me his pain has been in the left low back mostly with bending standing walking. We will set him up for a left L4-L5 and L5-S1 facet joint intra-articular injection. Given his medical fragility and comorbidities I do not believe he is a candidate for a radiofrequency ablation

sdm

1. Spondylosis of lumbosacral spine without myelopathy
M47.817: Spondylosis without myelopathy or radiculopathy, lumbosacral region

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