Pain Relief Results After a Steroidal Epidural

A Real-Life OSC Patient Tells of Their Pain Relief Experience

My last post dealt with the yucky after-effects experience with the epidural were over (1 day max), I eagerly began waiting to see if I would feel relief.

When they put the steroid medication into  your epidural space, they use numbing medication.  This numbing medication does provide temporary pain relief, but the real relief that I am seeking can come several days to a week after the injection.

Steroid use for pain relief

Epidural Injection of Steroids for Pain Relief

For the first few days, I really did not feel that much of a difference in my pain.  After about 4 days, I started to notice that my arm did not hurt quite as much.  Then after about a week, I noticed a small improvement in my shoulder and neck pain.  This improvement however, was not the big payoff that I had hoped for or expected from the epidural.

As a matter of fact, I really did not see a huge difference in my pain level from before.  So, being a good patient, I waited for a whole month to see if things would change.  To my chagrin, they did not.  So, I went to talk to Dr. Mark McFarland, one of the spine specialists here at OSC, to tell him the epidural had not given me the relief that I sought.

Dr Mark McFarland OSC orthopedic associate

Dr Mark McFarland examines a patient's spine

Dr. McFarland listened patiently to me as I opined that I would be headed for the surgery table because that silly epidural did not work and there was no hope for me, except to be cut open and have the offending disc herniation removed.  Dr. McFarland surprised me when he suggested that I should head back for yet another epidural.

I guess he saw the surprise on my face and explained to me his rationale.

He told me that many times, the first epidural does not reduce the inflammation around the nerve as well as it might.  So, they do another epidural in a different area or even a level above or below the herniation.  Many times, this second one does the trick and relieves the patient’s pain significantly.

Hmmmm.

I guess I lived through the first one, I guess I can try again and see if it will work this time for me.  I am willing to do anything to feel better, so here goes.

Next time – My second cortisone injection epidural!

MRI Results with Dr Mark McFarland Orthopaedic Associate

Diagnosing Causes of Orthopedic Pain in the Neck and Spine

Almost immediately after my MRI was completed, I was able to walk over to the OSC physician station where Dr. Mark McFarland was working and have him pull up my MRI results. Dr McFarland is one of only two doctors on the Peninsula to be fellowship-trained in performing cervical and lumbar disc replacement surgery as well for surgery for pinched nerves. I guess that is a benefit of working at OSC!  Between patients, Dr. McFarland pulled up my MRI images on OSC’s digital imaging system.

Orthopedic Associate OSC Mark McFarland MD

Dr Mark McFarland

I must admit, it is pretty amazing to have a complex imaging test done and be able to view the test images immediately on the system.  Dr. McFarland looked at the images with me and was immediately able to point out the cause of my neck, shoulder and arm pain…I had a spinal disc herniation at level C4-5.

MRI result for neck

MRI Scan of Patient (side view)

Dr. McFarland showed me how the MRI images looked as if my body had been sliced in half at the level of my disc herniation, so that I could actually see the detail of where the disc material was bulging out, pressing on nerves and causing my pain.  I also saw a side view which showed my whole cervical spine and could see the herniation from that view as well.  Although I did not want to get bad news about my spine, I was relieved to know that there was a specific reason for my pain.  I felt comforted by the knowledge that now we knew what was wrong, we could treat it most effectively!

Next time….the treatment plan to relieve the pain in my neck!

Don Hollomon Hip Replacement

If you haven’t heard already, the Orthopaedic & Spine Center is now offering outpatient total joint replacement.  Recently, Dr. Mark McFarland performed an outpatient hip replacement on Mr. Don Holllomon.  14 days later, here’s Mr. Hollomon going up and down his stairs.

Pretty impressive.  If you’re interested in outpatient total joint replacement, please contact us to schedule a consult.