winnietrey
seattle
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Joined: 03/26/2005
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As a Chiropractor, I order about a dozen ESI'S a year. I could write paragraphs on this, but just to give you ideas.
1) Low back and leg pain have different cases, ESI's work better for some than other low back pain causes
2) literature says about 50% effective, I feel when combined with manipulation more like 75%
3) Doc is going to read the MRI, and make a judgement call on what he thinks the pain generator is and inject at that point. He/she will put you under a fluoroscope, and guide the needle placement to that specific part of your spine
4) If they hit the right spot, relief will be pretty quick. (Called guided image injection) If no relief, that too is of value, because it rules that area out as the pain generator. Remember they are making an educated guess as to what is causing the pain, and sometimes they are wrong. So that will help with 2nd shot placement, and or surgery
5) Many times, it will be enough to calm down the nerve, and the patient may have long term relief
6) I always refer to a neuroradiologist, that is what these folks do every day.
They tend to be better at it that most Orthopedic folks. And same for surgery a neurosurgeon is your best bet
Just to hazard a guess, from your MRI findings, sounds like you may have what's called lateral canal stenosis, super common finding. ESI's do pretty well with that, along with exercise, ergonomics, manipulation combined with it.
If it comes to surgery, you might consider (MISS) minimally invasive spine surgery. Which is more like a rotor rooter job, than full on surgery with sawing away stuff and putting in all the hardware.
Hope it all works out for you
* This post was
edited 08/28/22 11:56am by winnietrey *
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IAMICHABOD
Sunny So Cal
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Joined: 12/12/2011
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I want to thank all the Forum Members that responded here.I seems that from this it is mostly a good start and may get rid of this bad back pain and the pain in my right leg and foot and the limping around so I can get back to the RVing
I am going for it and right now I am waiting authorization from the insurance and the referral.
After I get that and the procedure I will come back and let you all know how it went and results.
Thank again.
2006 TIOGA 26Q CHEVY 6.0 WORKHORSE VORTEC
Former El Monte RV Rental
Retired Teamster Local 692
Buying A Rental Class C
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DanielDGranger
USA
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Joined: 09/09/2022
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wildtoad wrote:Good advice from your surgeon to try the shots first. Depending on the cause of pain which MAY only be determined with a MRI the shots may work as a cure or for temporary relief. I did the shots and had to have them several times a year. Finally decided to get the surgery. Two inch (or less) incision cleaned out a cyst and calcium build up. Much better now. Good to know that surgeon suggest shots before cut.
Yes, you are right.
healthcare
* This post was
edited 09/24/22 12:15am by DanielDGranger *
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dturm
Lake County, IN
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DW has had the injections and radio ablation that toedtoes described in lumbar area. She had weeks of relief from the injections and months from the ablation. Right now, she's considering a procedure where spacers are glued into affected disc spaces (my interpretation of the procedure). This is minimally invasive and offers immediate relief with little recovery from the procedure and a more permanent solution.
Her physician is an anesthesiologist that specializes as a pain doc and done many of these procedures with good record of positive results.
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Fisherman
Angus, Ontario, Canada
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dturm wrote:DW has had the injections and radio ablation that toedtoes described in lumbar area. She had weeks of relief from the injections and months from the ablation. Right now, she's considering a procedure where spacers are glued into affected disc spaces (my interpretation of the procedure). This is minimally invasive and offers immediate relief with little recovery from the procedure and a more permanent solution.
Her physician is an anesthesiologist that specializes as a pain doc and done many of these procedures with good record of positive results.
Please keep us in the loop, I'm going through the same agony, L1-L5 discs pretty much pooched. North of the border we are still years behind in these types of operations.
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IAMICHABOD
Sunny So Cal
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Hello OP back here.I said I would come back and tell how it is going with my Lumbar Epidural.After a referral to the pain DR.and a consultation then the OK for the procedure to have Depo Medrol injected. So after about 6 weeks I had the procedure.
It went well and after 48 hours I have some small relief.the DR. said that it may be 1 to 2 weeks before the full effect is felt,we will see.
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Fisherman
Angus, Ontario, Canada
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Thanks for getting back to us, appreciated.
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IAMICHABOD
Sunny So Cal
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Well I am back,after 3 weeks I have not seen much improvement in my pain. So now it looks like we will go for a second try,this time at the L5 location.This was discussed before as maybe the next step.I am good with that. My Dr. has been very good at explaining this all and I have hopes that this will do the job.I have an appointment for about 2 weeks and I will come back and report if anyone is interested....![[emoticon]](http://www.rv.net/sharedcontent/cfb/images/biggrin.gif "biggrin")
I have waited up to the last minute to cancel my week long camping trip hoping that I would be better.This would have been the 11th year with this new camper. Looking forward to next year.
Happy Thanksgiving Everyone!
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cptqueeg
Idaho
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Sorry you had to bag your trip, good luck w round 2, and pls come back w an update.
Happy Thanksgiving!
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klaster79
Florida
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Joined: 04/20/2023
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It's great that your orthopedic surgeon is exploring non-invasive options before considering surgery for your moderate impingement at L5-L4. Considering the active lifestyle of many senior members here, it's possible some have experience with this procedure. I'd recommend sharing your specific concerns and condition with the community to gather more personalized insights on how well it worked for them.Also do not forget to buy all medicines at high-qualified pharmacy like Canadian Pharmacy.Always consult with your doctor and consider their advice along with the feedback you receive here. Wishing you a successful outcome!
* This post was
edited 07/30/23 11:58pm by klaster79 *
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