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!

After my Cervical Epidural Injection

What Happened After my Cervical Epidural Steroid Injection

I went home after my epidural and continued to experience light-headedness, so I went and got in bed, laid flat and watched TV.  OSC’s Dr Sureja gave me an instruction sheet  to help after the procedure, and I immediately followed the instruction to ice the injection site, so I did.

My instruction sheet also gave a list of potential side-effects and complications to watch for and what to do should those occur.  Infection, nerve damage, bleeding, and a dural puncture were all discussed as rare, but possible complications.  More commonly, the side-effects possible were dizziness, pain at the injection site, flushing, leg pain, headache, high blood pressure, elevated blood sugar, anxiety or irritability, weight gain.

Dr Jenny Andrus

Dr Jenny Andrus

Unfortunately, I experience several of the side-effects, starting with leg pain and heaviness.  I also experienced a lot of flushing and feeling hot.  However, armed with the knowledge that these side-effects were common and although uncomfortable, not life-threatening, I dealt with them.  I took a long hot bath as I was having leg pain and I could not sleep.  I continued to ice my neck throughout the night, on-and-off.  I started getting a headache early in the morning and by 9:00 AM, it was very bad.  I did not go in to work.

So I called the practice and Dr. Sureja’s partner, Dr. Jenny Andrus at OSC, phoned in a mild pain prescription for me.  She said to let her know if I did not get relief in a few hours.  I took the medication and quickly started to feel better.  I felt pretty much back to normal in about 24 hours after the epidural.  After that time, I did not experience any more or continued side-effects.  Dr. Sureja told me that the epidural might work well within a few days, might take a while to feel better or might not work at all.  I certainly wanted it to work and I was willing to wait a few days to see if I began to feel relief from my chronic neck and shoulder pain.

Next time….Pain Relief…YES or NO????

 

Preparing for my Cervical Epidural Steroid Injection

Interventional Pain Management with OSC’s Dr Raj Sureja

Okay, I think that I have told you in my previous blog posts that I am a BIG CHICKEN and TERRIFIED of needles.  So, it should come as no surprise to you that I was facing the prospect of having an epidural injection into the space surrounding my spinal column with great fear and trepidation.  I could lie to you and tell you I had no fear, because I work for OSC and have faith in the physicians here.  But, no matter how much I trust them and their skill level, I was still scared to death.

A needle, not only in my back, but in my spinal canal???

Am I crazy???

pain relief with epidural
Schematic of Epidural Injection

When the pain becomes so bad, that your life is affected everyday by your plans to manage your pain and how many activities you can complete during the day before your pain gets too bad, and how much time do you have to spend in the tub or lying on the heating pad before your muscles relax enough so that you can get some sleep, you become willing to do things that you never thought you would or could do to get relief.  Hence, I made an appointment with Dr. Raj Sureja, Interventional Pain Management Specialist at OSC, to perform my cervical epidural.

Dr Raj Sureja
Dr Raj Sureja with OSC’s Dr Jenny Andrus

In preparation for the epidural, you are given a sheet of instructions that are easy to read and follow.  Mostly, you are warned against taking anti-inflammatory medications of any kind for several days before your procedure (this includes Advil and Aleve).  They are concerned about the effect that the medications will have on bleeding and any complications that could arise from having the procedure done while on these drugs.  The OSC personnel also asked if I had any known allergies to drugs or if I had ever had a reaction to dye during a radiologic procedure.  They also checked to see if I could possibly be pregnant or have any other condition that might make having an epidural dangerous.

Given the go-ahead, I stopped taking my anti-inflammatory medications, switched to Tylenol and waited for my appointment!  Next time….E-Day!