The benefits from the first shot only lasted 2 weeks. The second and third set of injections lasted about 90 days. In November, I was ready to have surgery. My EMG and nerve conduction tests proved that the nerves were "sleeping" before I was. After another MRI, the neurosurgeon said I was a candidate for surgery but I was not able to get the endoscopic type surgery that is less invasive. I would have an incision about 6-8" long. Along with removing the herniation, they would have to increase the size of the hole where the nerve roots were going through.
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The hip joint steroid injected reduces swelling and inflammation of tissues in the joint or bursa, which may reduce pain, other symptoms caused by tissue inflammation, irritation, or swelling. The procedure is performed under live x ray (fluoroscopy) and with the use of x ray dye to ensure accuracy and precision. While you are lying on your back, your skin is cleaned with an antiseptic solution. You are monitored with a blood pressure cuff and a blood oxygen monitoring device which monitors your oxygen levels and heart rate. The injection consists of a mixture of local anesthetic (lidocaine) and steroid (methylprednisolone or Depo-medrol). Immediately after the injection, the skin is cleaned and a band-aid is applied. You may experience some “pressure” at the injection site and this may last up to an hour. Your pain may return and you may have some soreness at the injection site for a day or two. This is due to the mechanical process of needle insertion as well as initial irritation from the steroid itself. You may want to apply ice to affected area. At about day #5 you should start noticing pain relief. It may take up to 2 weeks to notice an improvement from the steroids.
Generally speaking, the procedure is safe; however, with any procedure there are risks, side effects, and possibility of complications. The most common side effect is pain- which is temporary. The other risks involve bleeding and infection. The other risks are related to the side effects of cortisone, which include weight gain, increase in blood sugar (mainly in diabetics), water retention, and suppression of the body’s own natural production of cortisone.