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Exercise after epidural steroid injection--too much--too little

I am in the middle of undergoing epidural steroid injections for leg pain related to spinal stenosis.   Just had injection #2 nine days ago and am noticing a pain pattern similar to after injection #1 2 months ago.  That is, significant pain relief in the first week after injection , followed by gradual return of the pain in week 2, but only late in the day.  My exercise routine, whether during this recovery or on a normal routine, is to do about 15 minutes of stretching followed by 20-30 minutes on the treadmill first thing in the morning at 3.5 mph.  Then I do a 20-30 minute walk with the dog at noon and 5 PM.   Typically each day now, I am pain free until late in the afternoon.  It's almost as if I have a 'ticking timer' now in my back that says "that's enough for today".  If I attend social events in the evening, I'm in trouble if standing (pain level=6).   I'm thinking about abandoning the morning treadmill in hopes of lowering my "steps per day" on the theory that maybe I'm overdoing it.  If I do all of the above, I would typically clock about 4 miles 10,000 steps in a day on my Fit-bit.  I know that walking is supposed to be good exercise, but I'm wondering if I should be limiting myself purely based on the onset of late day pain.  When I last had epidurals 3 years ago, I was able to avoid injection #3 based on a successful return to normal after 2.



  • Welcome gliebisch we’re glad you’re here!

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    You’ll also find a number of helpful articles and videos about injections in the Pain Injections Health Center on Spine-health. It’s a valuable resource for anyone who’s looking for more information about epidural steroid injectionsmedial branch nerve blocksradial frequency ablation, and SI joint injections. It covers a wide range of topics, too; from injection success rates and what to expect during an injection procedure, to common side effects. I hope you find these resources helpful. 

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