I have suffered several back and neck injuries between 20001 and last December, and am now in pain pretty much 24/7. I used to read about people becoming extremely depressed and even wanting to commit suicide due to constant pain. I never understood someone's willingness to take their life due to pain until recently. I have not reached that point, but I have my days where I get very sad and angry, and don't necessarily want to kill myself, but wouldn't mind if I died. My first injury was whiplash from a dirtbike accident. I have an old (from 2003) compression fracture in my L-spine; I completely broke the transverse process off of my T1, I have four ruptured discs in my neck, one collapsed disc in my back, the top of my spine is twisted sideways, and I have arthritis throughout my entire spine. I didn't find out about my injuries in 2003, until 2009, when I broke my T1. My last injury resulted in two of the four ruptured discs in my neck, the collapsed disc in my back, and a severe concussion which has caused short-term memory loss, and more frequent headaches than before. I have also become extremely irritable, and I get frustrated and depressed, because I have an extremely difficult time remembering many things. For the last eleven years, I have been prescribed various pain meds and muscle relaxers, from skelaxin and darvocet, to hydrocodone and flexeril. I had allergic reactions to some of them, and others don't help unless taken in large doses. I don't like to take pain medication, so the only time I do is when I can no longer hold my head up, or if it interferes with work. I have been going to physical therapy for approximately 2 1/5 months. Before I began physical therapy, I experienced pain in my lower back, between my shoulders extending up the middle of my neck into the back of my head, and horizontally across the middle of my back. I also had numbness and tingling in my left arm extending into my middle finger, pointer finger, and thumb. Since I have been going to physical therapy I still experience pain in the same areas, but the numbness is now in both arms, both legs, and one time in my neck and half of my face and mouth. The next step that my doctor has suggested is ESI's. He has said that I will need a series of three in my neck, and three in my back, and they will need to be repeated when they wear off. This is where my questions begin. First question is for any of you out there that have undergone an ESI, what side effects did you experience, did it help, and would you recommend it? My doctor had put me on methylprednisolone, and I had a bad allergic reaction. What kind of steroids are most commonly used, and if I had a reaction to this one, what is the likelihood that I will have a reaction to another. I have read that you can only get 3-4 injections per year. How accurate is this, and is there a maximum number of injections I can receive overall? My physical therapist has told me that my vertebrae are shearing. From what I understand, the injections will not stop this from happening, so even though the pain might be reduced, the damage will continue to worsen. What are the chances that several years from now I will need surgery due to that? I have read that the long-term effects of receiving ESI's can include weakening of the bones, and muscles surrounding the spine. Is this accurate, and if so is it permanent? If I do get the surgery, I will need both back and neck to be operated on. How long is recovery for those surgeries, and what is the likelihood of having to get a halo from the neck surgery? I have a few other questions, but I guess what I really want is some feedback, and what you would do. I am thinking of getting the first injection to see what happens, but still opting for surgery, because I would rather get it now while I am young and will heal quickly as opposed to years down the road, when recovery won't be so easy.