Epidural Steroid Injection: What You Need To Know From A Pain Doctor

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Күн бұрын

In this video, you will learn about epidural steroid injection from Dr. Ma Luo. We will go over the main indications, how it is performed and some common FAQs.

Пікірлер: 190

@Ravenswife2021 2 жыл бұрын

Thank you for putting my mind at ease with this info I’m about to go have the interlaminar steroid epidural injection in a few days

@ESO529 2 жыл бұрын

Thanks for these info, Dr Luo - very helpful; especially the Q&A about the aftermath. My hubby is to undergo this procedure hopefully in a week's time. He had a back surgery 13 yrs ago (L3/4/5: 6 screws and 4 cages) and is in constant pain. He also had a decompression at L2/3 some 2 yrs ago (the compression was some 70%) with no improvement - it actually got worse. This Epidural Injection is our last option. I just hope we're doing the right thing!

@Ailuj234 2 жыл бұрын

Had mine 3 years ago. Brilliant! However I put on 12 lbs in 12 days. Thankfully with my new ‘comfortable’ post procedure I had that weight off in less than one month😊

@unclah 2 жыл бұрын

I was suffering for 3 years due to a herniated disc. Tried everything. Exercise. Cold and hot patches. Physio. Chiropractor. The pain would not go away. I could not sit, as I had this pain in my buttocks. After walking or running, the pain escalated all the way to my thighs and to my calves, so it felt like shin splints. I had the epidural shots 3 times, but they would not help at all. So finally the spinal surgeon did the operation just 3 days ago and I feel great. Finally for the first time in years, the pain is gone. It will take 6-12weeks to fully recover, but I can tell now, that it did work. Can’t wait to start living the kind of life I lived before and go running again.

@RBMxclusiveamazonreviews 2 жыл бұрын

What type of surgery was performed?

@mohanghimire3339 2 жыл бұрын

Was it endescopic surgery or open surgery ?

@elliegarcia9791 2 жыл бұрын

What kind of surgery did you get

@unclah 2 жыл бұрын

@@RBMxclusiveamazonreviews Sorry for a late response, it was a discectomy. It's been 2 and a half months, and I do feel great. I can do everything again. I only tried going for an easy run once, as I'm swimming regularly.

@unclah 2 жыл бұрын

@@mohanghimire3339 it was an open surgery and I do feel great.

@mariafigueroa7233 3 ай бұрын

I'm scheduled for an epidural steroid injection tomorrow morning. I just saw your video and although it seems a normal procedure, I'm nervous and also worried about nerve damage. I'm praying all goes well.

@DrMaLuo 3 ай бұрын

The risk of nerve damage is extremely low, but I do understand your concern that there is risk with every procedure, good luck!

@kennethwhite5158 2 жыл бұрын

I am scheduled for steroid injections in two weeks and reading some of these comments I am not sure if the injections are going to work. I have pain on the left side starting at the hip and down the front of my quad. I have had these pain issues off and on for over 35 years and now for the past 3-4 years, it has been constant. The pain doctors have diagnosed my pain as stenosis and are giving me two injections in separate locations along the Lumbard. All I hope is I get some relief from this pain. I will try to follow up on this channel after the injections.

@dannyumana143 2 жыл бұрын

How did it go? I am schedule too get one soon

@karenferguson3515 2 жыл бұрын

I call that pain the Andaconda. It feel like stabbing in my hip then is coils around the groin to make my thigh quiver then continue s to my ankle THEN a pain like a hot branding iron goes inside the bone all the way to ankle

@Frau44 Жыл бұрын

Did it work? Every time?

@BOOBEE4U Жыл бұрын

Dr.Luo, thank you so much for this video. I'm getting ready to go in and having four needles put into my lower lumber. I have to do this three times before they go anything further. I have three bulging discs, and one herniated disc. This is creating some pretty bad nerve pain throughout both of my legs. I have suffered with this pain for 10 years now.

@tarataylor6489 8 ай бұрын

Omg how are you doing now I'm just going threw this

@reubenadams3167 Жыл бұрын

Thankyou. Can you get more than just one level done at a time

@Omar-el7jj 2 жыл бұрын

Thanks for the video doc. My pain is on the Left glute and goes down to lateral calf only. Never get it all the way down the leg. MRI of Lumbar Spine shows Left S1 root nerve impingement. MRI of SI joints and hamstrings are completely normal. I heard you say if it is radiculopathy pain then it should radiate all the way down. Is that true for all the cases?

@DrMaLuo 2 жыл бұрын

it's definitely possible to have your symptoms being lumbar radiculopathy without touching the foot.

@gimbalair 2 жыл бұрын

Had 3 sets of this/ L3 then L5 and finally L5S1, none of it worked unfortunately. slightly better response L5S1

@davetodd3539 2 жыл бұрын

This was an excellent explanation for the single shot. Sometimes it takes more shots for the longer relief?

@DrMaLuo 2 жыл бұрын

It's possible.

@rajendrarokka224 2 жыл бұрын

L4-5 disc desiccation and broad based, central & B/L Paramedian disc protrusion / extrusion with larger central component indenting the anterior thecal sac and causing B/L L4 - 5 lateral recess / subfacetal space stenosis. What do you suggest???

@DrMaLuo 2 жыл бұрын

You should see a pain physician locally, i can't diagnose you online without physical exam.

@rajendrarokka224 2 жыл бұрын

@@DrMaLuo thank you for the response.

@annh9225 2 жыл бұрын

Very informative thank you. What about an 80 year old, who is allergic to cortisone please?

@DrMaLuo 2 жыл бұрын

They might need to find a steroid that you re not allergic to to use.

@ronvavra 2 жыл бұрын

I had this done three days ago and I'm not doing too well, but your explanation gives me hope that it will get better. Problem I had was that I had unbearable pain from the injection so I'm not going to do a second injection unless they put me under.

@Kenny-nn4rg 2 жыл бұрын

Has it gotten better?

@rockyroad7345 2 жыл бұрын

I had one 12 years ago and the doctor numbed me first. It cost nearly $800 back then so I haven't had another one.

@DrMaLuo 2 жыл бұрын

Some physician have the option to do this at the surgery center to put you under.

@kristinen7611 2 жыл бұрын

Dr. Luo. I've always been very scared about doing this. My bones in my lower back shift several times a day. I have had serious problems for 50 years. I adjust my back in the morning and evening. Without it I can't sleep or stand. My concern about these shots is for those people who have major movement with the bones/discs, would a shot be too risky if it ended up being put in the wrong spot? Also, is this risky for heavier, obese, people?

@DrMaLuo 2 жыл бұрын

The injection is theoretically hard to perform for heavier and more obese patient, so it's possible that you can have more pain with procedure, the other risks should be similar.

@alexchetwood8991 Жыл бұрын

I herniated a disc in the military and was unbearable pain down my right leg to my toes and got typical military help with just a chiropractor and Motrin so never really got better 12 years now and still have irritating pain in my leg and back so considering going to the VA hospital and trying this, really hope it works so I can enjoy things again as I’m very active and love the gym but it’s hindering everything , if you have any info to help guide me to start the process I would appreciate it greatly, thank you!

@DrMaLuo Жыл бұрын

I would ask your pcm to see if you can get a referral to the pain management branch at your local VA, if that is not possible or the wait is too long, you can ask them to out source to a private pain clinic, you should have done some physical therapy with VA first though.

@alexchetwood8991 Жыл бұрын

@@DrMaLuo Did some PT while I was in the military but when I got out no one told us about the VA unfortunately so just started using their resources a few years ago but I will schedule and talk to them and find out what to do, thank you

@Aem640 Жыл бұрын

I don’t anxious to get the procedure over but my blood pressure was too high for him to do so he said I’d have to see my primary to make sure all is well I was very anxious and knew my heart would be pounding. Was there something they could if given me to lower it now I have to see my primary abd reschedule. Thank you

@DrMaLuo Жыл бұрын

Sometimes we can give some medication for anxiety prior to injection, but if the blood pressure is too high, then it might be better to see your pcp first

@mixytampa812 2 жыл бұрын

I had mine yesterday I slept thru the whole thing pills are holding the pain nice I am very happy and my leg is no longer limping I had L5-S1 nerve root compression they also did radio frequency and burn the tips

@dianedoss1026 2 ай бұрын

What would they do if you got truer

@EpicPain- Жыл бұрын

Why are you blocking comments that disagree with you?

@DrMaLuo Жыл бұрын

I have not banned or deleted any comments, is it from KZfaq?

@heathersellens7871 2 жыл бұрын

Is the injection cortisone? I’ve had gastric bypass and if Steroids are used it can lead to osteoporosis ? I’d love to be out of pain.

@DrMaLuo 2 жыл бұрын

It usually contains dexamethasone which is a steroid. A small amount of local steroid in a specific area usually does not cause significant osteoporosis. However, we know people who take oral steroid daily for a long time can have osteoporosis due to steroid use.

@reallybadaim118 2 жыл бұрын

I seem to achieve maximum benefit a month after this procedure.

@hairballjones8451 Жыл бұрын

I am a cervical epi candidate but I'm seeing many truths that may help with my upcoming 3. Thank You Doctor for this informative video.

@danhood5239 2 жыл бұрын

After 2 years of spinal decompression I have no pain but still have tingling right hip down leg to foot, last three toes tingle and or are numb daily. I had mri 3 yrs ago L4/L5, L5/S1 herniation and large mass bulge, moderate to severe stenosis. A new mri a year ago L4/L5 5mm bulge, light to moderate stenosis. Question is with your history when or how do I get rid of this tingle? I feel a nerve is probably still being pressed, just not sure if spinal decompression is going to fully cure or if I need something else

@Mojotown69 2 жыл бұрын

I had racing heart 3 days which mad legs hurt and could not sleep! Really hard time to sleep, but pain did get better after. 2nd shot same thing for 2 days, but then constipation set in, and real bad gas for 10 days. Is this normal? Odd effects.

@DrMaLuo 2 жыл бұрын

racing heart is a common effect from steroid and so is insomnia. Constipation is not commonly reported in my experience.

@isaacfranco6982 2 жыл бұрын

is it just for nerve pain ? I have lower back pain to the point that driving is painful

@DrMaLuo 2 жыл бұрын

epidural steroid injection is usually for nerve compression/nerve pain.

@beaxiong5260 Жыл бұрын

Hi, I have vertigo. I worry about the back injection and afraid of the side of affect. so i wonder should i get it?

@DrMaLuo Жыл бұрын

Usually the injection does not make vertigo worse, I went over the side effect in the videos, so hopefully that can help you make an informed decision.

@larryhayes1446 2 жыл бұрын

I've had two epidural shots and neither worked

@abid-ali1235 2 жыл бұрын

Nice talk .want to ask should we take IV line before hand? Should we use xylocaine 2% or bupivicain? At what vertebral level should we inject?

@abid-ali1235 2 жыл бұрын

IV sedation with which medication sir?

@DrMaLuo 2 жыл бұрын

I usually use midazolam (versed in clinic) and 0.25% bupivacaine with dexamethasone for the injection. The Level will depend on the pain, imaging.

@vernonbell9125 2 жыл бұрын

I had an injection done over a year ago which gave me significant relief. I'm a weekend athlete and would like to resume those activities (ie running, basketball, tennis). Your thoughts?

@Jhajjz_dairy_farm 2 жыл бұрын

Now u feel better any sad effect

@DrMaLuo 2 жыл бұрын

I would try to gradually, the sports you listed are usually fine.

@michaellalli7693 Жыл бұрын

I have spinal stenosis - I have had three epidural injections. The relief lasted 3 weeks at the most. The last injection relief lasted one week. Tomorrow I will be having spine surgery L2 L4 Leminectomy and -L4 L5 TILF

@DrMaLuo Жыл бұрын

I am sorry to hear that. The epidural steroid injection is not magic, sometimes for people with significant lumbar stenosis, it just does not last very long. Good luck with your surgery!

@johnharwood5439 2 жыл бұрын

Dr. Luo, I had an ESI 24 days ago with little or no relief from the back pain (Stenosis at L4-L5; spondylolisthesis and Sciatica). I am scheduled to have another ESI in 2 weeks. Can you give me your thoughts on the likely success of the second ESI or any suggestions? Thanks. JLH

@Captainx_007 2 жыл бұрын

Most patients getting a relief from the 2nd injections. I always get a relief from the 2nd injection.

@DrMaLuo 2 жыл бұрын

it's going to be very hard to predict, I usually would recommend 2 ESIs, if neither one give you any pain relief, I would not recommend ESI in the same area again for the same pain. Hope that helps.

@drbharatsarkar4213 2 жыл бұрын

John : if you have spondylolisthesis with lumbar stenosis.. surgery is better option for you. Repeat steroid injection will also fail.

@johnharwood5439 2 жыл бұрын

@@drbharatsarkar4213 I had ESI #3 yesterday. The first one failed, and I got some relief (2-3 weeks) from the second one. Depending on the results of this third one, I plan to go forward with surgery (LLIF) as currently recommended by ortho specialist. Thanks for your response.

@drbharatsarkar4213 2 жыл бұрын

@@johnharwood5439 TLIF surgery is the gold standard proven technique / surgery for spondylolisthesis. Go ahead sir. Epidural steroid is also a good pain management procedure but not for your case.

@BarzOverAll 2 жыл бұрын

I'm scheduled to do this in 2 weeks but I'm nervous not sure if i want to take that chance with my spine does anybody have any other suggestions for treatment besides this?

@karenferguson3515 2 жыл бұрын

Just ask for conscious Sedation it will help you relax

@DrMaLuo 2 жыл бұрын

agree with karen, get some sedation.

@dianedoss1026 2 ай бұрын

What if you gor tremers what do they do

@DrMaLuo 2 ай бұрын

Your physician would need to see where your tremor is and see if the tremor affects the procedure.

@rogercunningham9987 2 жыл бұрын

Is it common for the needle to hit the nerve, what would the danger of this happening ?

@DrMaLuo 2 жыл бұрын

it should not be common to hit the nerve unless you have severe stenosis, even then we don't hit it routinely. If that does happen, patient can get post procedure nerve inflammation after the procedure.

@marthaashworth5608 Жыл бұрын

DR. LUO THANK YOU FOR THE INFORMATION. AM DUE ON THIS DECEMBER 1ST TO HAVE THE INJECTION. IT SEEMS TOO RISKY AND THE RESULTS MAY OR MAY NOT WORK AND ALSO QUITE PAINFUL, THEREFORE I WIL TELL THE DOCTOR TO HELP ME SOME OTHER WAY.

@DrMaLuo Жыл бұрын

Glad I can help.

@alicecrenshaw6614 2 жыл бұрын

How long do you have to be off inflammatory before

@DrMaLuo 2 жыл бұрын

I would double check with your physician. I usually don't ask patient to be off of the anti-inflammatory medications.

@lbliii7335 2 жыл бұрын

My doctor crippled me with a misplaced steroid shot,I've been suffering two years and can't walk.( I could walk before the shot)I am suing him for everything he's got and hope to make him lose his practice,he is very incompetent .That's Dr.Lam Nguyen in Tulsa of Advanced Pain of Tulsa.

@DrMaLuo 2 жыл бұрын

I am sorry that you are going through this.

@rosiejohnson6131 Жыл бұрын

I just had it done and when I walk I feel like spasms when I sit down is that normal

@DrMaLuo Жыл бұрын

it may be too early to tell, you can contact your provider if that persist.

@jeannecleland9195 Жыл бұрын

My injection was very painful. I did not want to be sedated. More pain in 2nd injection. He did put it in another area. Is it suppose to be that painful? . I do have a very high tolerence for pains. But i think this was over and beyond. Thank you for your input.

@DrMaLuo Жыл бұрын

i am sorry, jeanne, i am not sure if the injections are the same injection, it's very hard for me to answer that question if the which injection is supposed to be more painful.

@TheEDNC Жыл бұрын

Ask the doctor if ESI’s are approved for Epidural administration by the FDA for safety and efficacy? Most incorrectly say “yes they are” when in fact they are not for reasons that will scare the pajamas off your back. Oh and BTW, Pfizer recently announced that Fluoroscopic guidance does not reduce errors in their latest DataSheet for Depo-Medrol (Methylprednisolone Acetate) … it just helps the doctor bill for more $ while it informs him he just misplaced the dye, punctured the dura, or just poked a hole in your spinal cord.

@chuckefunn8624 2 жыл бұрын

Thank you so much for explaining it I have a question I was surprised that my doctor told me that I could not take any kind of pain meds one week before the procedure why is that and also I could not eat after midnight

@pedroalbizios8946 2 жыл бұрын

Am I not a doctor but those things have been said to me and explained!the lack of meds is so when they prepare (give you the medications for specific procedures)you you are safe from any medications from crashing with one another which can cause your death!and the eating? Well they like for all of your pipes(intestines,bladder etc to be free of any and all substance) so in case anything goes wrong they have a better chance at working on reviving or bringing you back up to 100% in health!

@thomasvita329 2 жыл бұрын

They want you off ibuprofen so you don't bleed out, no food so you don't throw up.

@karenferguson3515 2 жыл бұрын

A lot of people in nervousness will vomit also if something went wrong and they needed to put you under you won't asperate

@DrMaLuo 2 жыл бұрын

I am not sure about not taking any of pain meds one week prior to the procedure, that seems a bit extreme, unless you are on a crazy amount of pain medication. The not eating part is for anesthesia/sedation, due to possible aspiration risk.

@limey7376 Жыл бұрын

I had 1 right transforaminal epidural steroid injection of the L3-4. It has reduced the amount of severe pain in my leg and hip area. While I am pleased it has helped so far I don't know if I can withstand the pain of having the another injection if or when I need it, it was excruciating, is this normal for it to be so painful?

@DrMaLuo Жыл бұрын

Can you explain what you mean by the pain during the injection? It's possible you can feel the pressure while the medication is being injected, or the nerve was irritated during the needle placement.

@limey7376 Жыл бұрын

@@DrMaLuo It wasn't pressure that I felt it was terrible pain almost a cramping pain, it seemed that when the Doctor was injecting the medication in to my back it caused severe pain from the hip all the way down the leg, then he would pause for a few seconds then release more medication which again caused the pain, he did this several times. I'm really afraid to have it done again.

@DrMaLuo Жыл бұрын

@@limey7376 it sounds like your stenosis is bad, I would consider doing it under general anesthesia if that is an option.

@abid-ali1235 Жыл бұрын

Very nice...what about nerve blocks? Lumbar ESI is superior to peripheral nerve blocks?

@DrMaLuo Жыл бұрын

They are usually for different things. Esi is more for disc bulge and stenosis centrally and peripheral nerve block are done for more joint pain and extremity pain.

@abid-ali1235 Жыл бұрын

@@DrMaLuo tnx..can we use spinal/Lumber puncture needle for doing LSI? Which Guage? Or epidural needle is must?

@abid-ali1235 Жыл бұрын

Can we give LSI in sciatica patient due to disc prolapse on one side? Which steroid is superior like depomedrol or kenacort ? What about position of PT like for right sciatica pt may be in lateral position with right side down and vice versa for left sciatica?

@DrMaLuo Жыл бұрын

@@abid-ali1235 yes you can use lumbar picture needle, usually the needle we use is a 22 gauge or 25 gauge for transformational and 21 gauge for interlaminar. There is not one steroid that is superior but most physician use dexamethasone for transforaminal for safety reason. Position wise, it depends, different people prefer different positions.

@abid-ali1235 Жыл бұрын

@@DrMaLuo thanks

@lattem2141 2 жыл бұрын

My hurt a lot.

@ronvavra 2 жыл бұрын

Update; this morning I had a second round of injections. I had a phone talk with the doc and he said he thought a second round would be easier because one had already been done. I asked for Ativan and took 2MG before procedure. It was tolerable to the point where I will consider injections on an on-going basis. I wanted to let people know this so they wouldn't not get shots because of what I said. Also, I had played tennis 16 hours before first time and that probably aggravated the hell out of my spine. Good Luck!

@ESO529 2 жыл бұрын

Just wanted to tell you that your update encouraged my hubby and me to go for it. He's had everything (see my previous posting) and was just getting more and more miserable. Finally we went for the ESI 3 days ago and he's feeling an improvement already. We're to expect a set-back we were told and then it should go steady for- and upwards. I hope the docs are right. I only witnessed the agony but it must be one of the most excruciating pains. Hope you're doing better too and thanks again for your positive update!

@ronvavra 2 жыл бұрын

@@ESO529 Great, thanks for letting me know.

@mamabear6710 2 жыл бұрын

I have DJD, with multiple fusions in both c spine and lumbar. I have never had any relief from steroid epidurals, except for the short period , following the injection. It's very disappointing, when you are hoping for relief. 😥

@candylewis7328 2 жыл бұрын

I’m going through the same thing right now.

@KAZALO9 2 жыл бұрын

I shore would like to know how you feel about my situation.. c3 4 5 mild to severe stenosis and herniation .. I had my 1st set of 3 inje tons 2 weeks ago w 0 relief ... should I try one more? Or just get going on surgery? Any advice please

@DrMaLuo 2 жыл бұрын

You may need to consider spinal cord stimulation if the epidural steroid injection is not helpful.

@mrsthomas3964 2 жыл бұрын

Hi Dr luo, i have been having this L5-S1 disc herniation for 4 mths. Nothing seems to be helping me. Been on arcoxia for 2mths n today i get the back pain shooting down to my feet with tingling pain. . Do u think it is too late to get an epidural steriod jab .? Thks n appreciated.

@Expert_Advice 2 жыл бұрын

For any spine issue and for sure result.....do watch this clip kzfaq.info/get/bejne/p8-fgpySztXemp8.html

@DrMaLuo 2 жыл бұрын

No, it's not too late, but I would recommend to consult with a pain physician and make sure it's the appropriate next step.

@iamhere7629 2 жыл бұрын

Hello. Doc. I have hernia L4 and i had the pain in my left leg. Do i need the surgery to became better?🤗

@celiasexton3582 2 жыл бұрын

NO... Please don't have this procedure. DepoMedrol Steroid is not approved by the FDA for ESI. Can cause permanent spinal cord damage. ARACHNOIDITIS

@DrMaLuo 2 жыл бұрын

Haha, I can't give medical advice without seeing you. It's hard to respond to this. It would be a same as I have a black spot on my skin, is this cancer? 🤗

@marcelacasas2187 4 ай бұрын

I'm scheduled for a epidural injection and just watching this video has me shaking my legs and feet. 😢

@stevekelley2341 2 жыл бұрын

Had this done today, didn't work, still feel the same pain

@Expert_Advice 2 жыл бұрын

For any spine issue and for sure result.....do watch this clip kzfaq.info/get/bejne/p8-fgpySztXemp8.html

@GrizzlyUrsusArctos 2 жыл бұрын

Mine didn’t kick in for 14 days after injections. Then it lasted with 75% pain and mobility relief for only 6 months. Going in for second round of injections under sedation next week.

@stephaniebroschinsky5298 2 жыл бұрын

Why don’t they automatically do sedation?

@stevekelley2341 2 жыл бұрын

@@stephaniebroschinsky5298 idk

@wric01 2 жыл бұрын

Painful injection regardless of novacane.

@cathythoman Жыл бұрын

I function at a 6 every day 24/7. So waiting for a steroid to kick in is nothing. I’ve been at a 6 for 13 years.

@paulyash219 2 жыл бұрын

How many epidural are safe in a year !! Great Doc 👍

@DrMaLuo 2 жыл бұрын

i usually try not to do more than 6 a year, but when you do more, you increase the risk of getting too much steroid induced side effect (weight gain, mood swing, osteoporosis/fracture, suppression of your own steroid.

@paulyash219 2 жыл бұрын

If younger gets more relief in the long run where elders dont then why yours clinic booking over 60 and plus ...you seems great Doc

@DrMaLuo 2 жыл бұрын

@@paulyash219 We see patients from 15/16 years old and up, I don't only see patient 60+.

@glamourshotsbyDeb4 2 жыл бұрын

Are these approved by thd FDA now???

@DrMaLuo 2 жыл бұрын

This is a long discussion, but the short summary FDA has not approve epidural steroid injection due to the fact hat in the past, there were significant adverse outcome with particulate steroid injected into the epidural space and none of the catastrophic events with non particulate steroid (dexamethasone) injection in the epidural steroid. I only use dexamethasone because of these concerns.

@031shubhrajitporel2 2 жыл бұрын

Why outdated treatment when regenerative treatment is possible

@DrMaLuo 2 жыл бұрын

I do offer some regenerative treatment, however, for people with certain condition regen treatment are not shown to be effective and not everyone can afford the cash price for the regen treatment.

@resistor8735 Жыл бұрын

Would one of those be peptides?

@brodygoalie 2 жыл бұрын

A cortisone shot in the L4 L5 facet joint. Is that completely different getting a cortisone shot for siatica?? Thank you

@DrMaLuo 2 жыл бұрын

Facet joint injections are not the same as epidural steroid injections. It's rare that we do fact joint injection now in the US since they are not diagnostic. We usually do medical branch block and rfa for fact joint arthritis.

@brodygoalie 2 жыл бұрын

@@DrMaLuo so I am getting cortisone shots in L4 L5 facet joints this Wednesday. If I get no pain relief then I will assume my spin doctor will choose to pick another area. Might be the periformis muscle? Or what other area? Much for your guidance.

@DrMaLuo 2 жыл бұрын

@@brodygoalie it would be hard to tell without physical exam, piriformis is pretty far from the l4/l5 facet joint though.

@brodygoalie 2 жыл бұрын

@@DrMaLuo okay understood. Thank you. I will assume my spine Doctor -DR Mazzafaro will do an examination to determine where he will give injection if my pain from the L4 L5 facet joints gets me no relief.

@brodygoalie 2 жыл бұрын

Will try and remember to get back to with results from my facet joint cortisone shots in L4 L5. Much appreciated for your support and guidance

@leslyjanvier6952 Жыл бұрын

If its not working can you stop taking it Dr?

@DrMaLuo Жыл бұрын

Yes

@jerrycharity2673 2 жыл бұрын

I couldn't understand my health anymore cause it was really horrible until I went to test and was diagnosed of HPV, I was really frustrated until I saw a comment on KZfaq about Dr Ojeabu and I can testify I am cured.

@DrMaLuo 2 жыл бұрын

🤔

@ruthokpara7857 2 жыл бұрын

Doctor alued on KZfaqcured me from diabetes I'm diabetes free after 2 years of suffering

@debikierstead9218 2 жыл бұрын

This does not work. Take it from me get a Rhizotomy. Been there done that twice. No epidurals for me

@DrMaLuo 2 жыл бұрын

So medial branch rhizotomy are for osteoarthritis and ESI are more for nerve pain. ESI won't help everyone.

@izatrini439 2 жыл бұрын

One year ago he posted this video and he didn't respond to any of you. Hmmmm not helpful to your questions.

@DrMaLuo 2 жыл бұрын

I have been busy :(, just circling back to these comments now.

@izatrini439 2 жыл бұрын

@@DrMaLuo in the mean time my back pain is much better by using the Atheq System, which most doctors knows nothing about. I skipped the injections and the surgery and the PT, and of course health insurance will not cover Atheq System because it works and the insurance system cannot milk patients of their money.

@DrMaLuo 2 жыл бұрын

@@izatrini439 awesome!

@lululove6175 2 жыл бұрын

ESIs caused symptomatic Tarlov cysts for me…these ruined my life…the docs make a fortune 🤑🤑from these..

@DrMaLuo 2 жыл бұрын

I am not sure there is a direct correlation of ESI with Tarlov cyst. However, still sorry to hear. Symptomatic Tarlov cysts are no fun.

@lululove6175 2 жыл бұрын

@@DrMaLuo No, they have ruined my life….three TC surgeons in the whole country. Read up..go to Tarlov Cyst Foundation, Dr Frank Feigenbaum in Dallas, TX (clearly has indicated they are, especially myelograms, heavy lifting, trauma, and all those injections. Dr. Forest Tennant, expert on Adhesive Arachnoiditis . Many women have gotten symptomatic Tarlov cysts epidurals for C-sections. I will never leet another pain by mgm doctor touch me..

@soheilabakhit3580 2 жыл бұрын

👌🙏🙏🙏🌷🌷🌷

@keenerblue2 2 жыл бұрын

Did 5 of these. Zero success. Thank you.

@karenferguson3515 2 жыл бұрын

Sorry

@DrMaLuo 2 жыл бұрын

sorry to hear that they put you through 5 of these, I would not recommend to continue after 2 in the same place and it is not helpful.

@Ameliaheart1999 2 ай бұрын

Well , it doesn't work it like a waste of time and money

@DrMaLuo 2 ай бұрын

Unfortunately, sometimes if the nerve compression is really bad or if the problem is not coming from nerve compression, the epidural steroid injection does not help people.