I have a herniated disc and need to have an epidural in my lower back. Does this really relieve the pain?

Would having an epidural injection for a herniated disc in my lower back help relieve pain, or would I be taking a risk?

I have had many spinal injections and it does depend on what kind you are having a simple nerve injection or a lumber puncture. The more common is injecting into a spinal nerve ending which is not too painful a bit uncomfortable for a few days after, it should not be very painful during the procedure. This type of injection can last from about 6 months to a year with reasonable results a decrease in pain and often allowing more mobility because of less back and leg pain. This type of injection can be repeated on a regular basis and some hospitals will give you a direct phone number to book a repeat injection when necessary. It is fairly risk free but don’t drive directly after and take a friend as sometimes the legs go wobbly for a while, temporary side effects.
The lumbar puncture steroid injection is a very different procedure and not as common these days, it involves injecting steroid straight into the space in the spinal column. It is a more risky procedure and can be fairly painful but can greatly help especially when mobility is near non-existent, strenghtening the spine and helping some people to walk again after serious spinal problems.
Personally if it is an epidural nerve injection I would advise you to have it, they work extremely well, in my experience they have improved the pain by up to 30% and greatly helped with mobility. The small amount of discomfort is worth it and a good hospital should have a repeat program, bypassing long waiting lists, so that any releif gained can be maintaned.
If you are worried about any risks it would be best to discuss it with your specialist or a member of his team who will reassure you.
I hope this helps and feel free to mail me if I can help with advice
Andy

Wall NJ Spinal Stenosis Sciatica herniated disc back pain

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Diagnosed With a Herniated Disc? What to Do Next…

You’ve probably heard people say they have a “slipped” or “ruptured” disc in the back. Sometimes they complain that their back “went out”. What they’re most likely describing is a herniated disc. This condition is a common source of back and leg pain.

Discs are soft cushions found between the vertebrae that make up the spinal column (your backbone). In the middle of the spinal column is the spinal canal, a hollow space that contains the spinal cord. The nerves that supply the arms, leg, and torso come from the spinal cord. The nerves from the neck supply the arms and hands, and the nerves from the low back supply the butt and legs. The discs between the vertebrae allow the back to move freely and act like shock absorbers.

The disc is made up of two main sections. The outer part (the annulus) is made up of tough cartilage that is comprised of series of rings. The center of the disc is a jelly-like substance called the nucleus pulposus. A disc herniates or ruptures when part of the jelly center pushes through the outer wall of the disc into the spinal canal, and puts pressure on the nerves. A disc bulge is when the jelly substance pushes the outer wall but doesn’t completely go through the wall.

What do you feel?

Low back pain will affect four out of five people during their lifetime. The most common symptom of a herniated disc is “sciatica”. Sciatica is best described as a sharp, often shooting pain that begins in the buttocks and goes down the back of one leg. This is most often caused by pressure on the sciatic nerve that exits the spinal cord. Other symptoms include:

Weakness in one leg or both legs

Numbness and tingling in one leg (pins & needles)

A burning pain centered in the low back

Loss of bladder or bowel control (seek medical attention immediately)

Back pain with gradually increasing leg pain. (If you have weakness in both legs. Seek immediate attention.)

How do you know you have a herniated disc?

Your medical history is key to a proper diagnosis. A physical examination can usually determine which nerve roots are affected (and how seriously). A simple x-ray may show evidence of disc or degenerative spine changes. An MRI (magnetic resonance imaging) is usually the best option (most expensive) to determine which disc has herniated.

Why do discs herniate?

Discs are primarily composed of water. As we become older (after the age of 30), the water content decreases, so the discs begin to shrink and lose their shape. When the disc becomes smaller the space between the vertebrae decreases and become narrower. Also, as the disc loses water content the disc itself becomes less flexible.

While aging, excess weight, improper lifting and the decrease in water in the discs all contribute to the breaking down of discs, the primary cause of a herniation or bluge is uneven compression and torsion that’s placed on the discs.

This uneven pressure is caused by imbalances in muscles that pull the spine out of its normal position and then your body is forced to function in what I call a physical dysfunction. Every human being develops these dysfunctions over time and eventually they cause enough damage to create pain.

The best treatment options

When it comes to treating a herniated disc, there are traditional treatments such as ice/heat, ultrasound, electrical stimulation, cortisone injections, anti-inflammatory medications and even surgery. While these may deliver some relief, it will usually be temporary if at all.

But the major problem with these traditional treatments is that they can’t fix or heal a herniated disc as they do not address the actual cause of the problem. For example, even if you were to have a surgery and get some pain relief, the fact is the dysfunctions that caused the disc to herniated in the first place are still there and if not addressed, they will continue to place uneven pressure and strain on the discs and sooner or later you will likely have another problem with that disc, or others.

Without identifying and addressing the underlying cause of the problem, which is the physical dysfunctions caused by imbalances in muscles, you will likely continue to suffer with this condition and the continuous flare ups for years.

Unfortunately, most doctors, chiropractors and physical therapists don’t spend time or focus on identifying the physical dysfunctions that are responsible for the condition so most people end up jumping from one useless traditional treatment to the next and suffer for months or years unnecessarily.

If you have been diagnosed with a herniated disc, or are wondering if your back pain may be caused by a herniated disc, either way you must identify and address the physical dysfunctions that are causing your pain as part of your recovery.

About the Author

For more information on herniated discs and how to treat them effectively, read the latest Back Pain Advisory from The Healthy Back Institute. You can get a free copy of it here: http://www.losethebackpain.com/herniateddisc.html.

herniated disc solution – Back Institute

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