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383138 tn?1314167773

Are Lumbar Epidural Steroid Injections Safe with CM?

I have an urgent question, I have chiari malformation and I have recently had a lumbar MRI due to worsening, constant leg pain, hip pain and increased low back pain.

My pain mgmt. office called with results and said I have nerve compression in L4 & L5 and they are scheduling transforaminal epidural steroid injections in the lumbar spine asap.

I am very concerned about this because others (including my pain specialist) have told me I can not have any type of epidural injection due to the chiari and the risk of it causing a csf leak suddenly pulling the chiari herniation down which would be very dangerous.

Does anyone know if this type of epidural injection is safe with a chiari malformation? My chiari has already worsened within the last year or so.

I am very concerned about this but in so much pain with the L4/5 compression I don't know what to do, but I absolutely do not want to risk an emergency with the chiari by getting this injection, the chiari causes me enough severe symptoms already.

I would appreciate any info. or suggestions on this.
Thank you.
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Avatar universal
Not saying I'm recommending or not recommending as each person will have to decide for themselves.

But I've been periodically having the injections [caudal ] for the last three years. For me, they offer temporary help at best. It does help just not as long as the Dr's seem to think they will for me anyways.

CW
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620923 tn?1452915648
COMMUNITY LEADER

  Hi...as long as u and the Dr doing the injection know u have Chiari and how to help avoid a leak or issues after the injection u should be ok....I had an epidural long b4 I knew I had Chiari....I did have a leak, but it was a student nurse that pulled me up b4 I was to get up...so, know u need to remain flat for at least an hour after the procedure and do not lift, bend or nething once u get home...keep hydrated and rest.
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