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epidural injections
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epidural injections

  Greetings and thanks in advance for any advice.
  Over the past 7 months I have had  back and leg pain.  To try to make a
  long story short my diagnosis was muscular in nature.  None of the standard
  tests found anything wrong,  including blood work.
  My questions stem from my diagnosis.  My initial pain 7 months ago
  was purely back pain in my lower right side.  The only thing I could
  relate it to was lifting some heavy objects and golfing.  It was not
  but 2 months later that the leg pain (right calf) occured and has
  persisted since,  aggrivated when lifting.
  I have only been seen by a Physiatrist and not yet a neurologist.
  My questions are these?
  1)  Is it possible that a strain or sprain could heal in such a way
  to produce an impingement on a nerve.  WHat I am getting at is that
  since MRI's show no discogenic pain and calf pain started 2 months
  after back pain,  could it have healed in a way that scar tissue
  is causing nerve compression?  and if so what can you do about this??
  2)  I have had two injections since my problems.  One was a caudal
  which was not beneficial at all and a more recent one was
  epidural which helped quite a bit with the back pain but not the
  leg pain.  Does this tell me anything about what may or may not
  be the underlying problem.  In other words does this mean it
  definitely is discogenic or muscular.
  3)  And I guess my worst fears would be since I have had these problems
  for over 6 months,  what if any neuromuscular problems should I
  start thinking about that would only effect my lower right side??
  Sorry for such a long post and so many questions but I am just looking
  for some direction on where to go next.
  Thanks,
  Ron  
====================
Dear Ron,
thank you for the question.
1. It is possible but not likely in your case.
Sometimes scarr tissue can cause nerve impingement requiring surgery.
2.Unfortunately these procedures involves giving steroid and anesthetic, so, pain is gone, but may not help in terms of what caused it. Any pain will respond to a local anesthetic...:-)
It is a good sign that it is local and that it is manageable.
Although a response to an epidural injection may point to a discogenic problem, due to the reasons I stated above, this is not foolproof.
3. A good neurological exam and history can rule out many of the treatable and life threatening conditions. If you live near CLeveland please visit us,
1-800-CCF CARE.
Good luck Ron.




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