advertisement
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

The main site has all the formal medical articles and videos for you to research on.
advertisement

First ESI scheduled on Wednesday - any tips or recommendations for sedation?

I've posted a couple times now but in case you haven't read anything I've posted, I have been dealing with a "small" problem for the last 9 months in the form of a small left foraminal protrusion at C6-C7 that is causing big problems for me.

I've done 20 PT sessions, prednisone, muscle relaxers and OTC NSAIDs with little relief so I am now scheduled for an ESI on Wednesday.

I have never had one so I am curious if anyone has any tips or advice?  Is there anything I should ask?  Anything I should look out for?

Also, they leave it up to the patient to have either a local or IV sedation - any recommendations there?  

I'm not sure what to expect but I am praying for some relief.  Thanks so much!
advertisement

Comments

  • Hello jill
    i have had many esi and facet injections.  I have had them both ways.  Local is faster, you are in and out quicker.  Iv sedation is definitely easier on the nerves.  I have had as many as four injections at once.  I would take a driver with you.  I have gotten off the table only to fall over, no fun at all.  Try to get a dr who specializes in these injections, it will be much easier.  
    Dmo
  • jillh10jjillh10 VermontPosts: 21

    dmo said:

    Hello jill
    i have had many esi and facet injections.  I have had them both ways.  Local is faster, you are in and out quicker.  Iv sedation is definitely easier on the nerves.  I have had as many as four injections at once.  I would take a driver with you.  I have gotten off the table only to fall over, no fun at all.  Try to get a dr who specializes in these injections, it will be much easier.  
    Dmo

    Thank you!  I am going to a doctor who is a pain specialist and basically provides only this service to people in the area.  People drive from MA and NY (I am in VT) to receive his injections so I am hoping that is a good sign!
  • advertisement
  • Mine was just a local--is your doctor using a fluoroscope to do the injection? I can't imagine why they would need to sedate someone for this procedure unless they thought you were going to freak out and start flailing around. It takes about 30 seconds.
  • Motor1MMotor1 Pittsburgh, PaPosts: 603
    I, also, have had many of these. While they're not fun & I'm not a big fan of needles, they really weren't a big deal. It was just uncomfortable to lay face down on the table. 
    You will probably have some pain around the area afterwards. I spent the rest of that day using ice. 
  • jillh10jjillh10 VermontPosts: 21


    Mine was just a local--is your doctor using a fluoroscope to do the injection? I can't imagine why they would need to sedate someone for this procedure unless they thought you were going to freak out and start flailing around. It takes about 30 seconds.

    Yes, he will be using a fluoroscope and I'm pretty good with needles and pain so it sounds like I'll be fine without any crazy sedation.  I really don't care how painful it is as long as it works!
  • advertisement
  • I couldn't feel a thing. Had no idea he had even done anything yet and then he told me i could go. This is the juncture where I started cleaning my house like mad. :smiley:" alt=":smiley:" height="20" /> 
    Dying to hear it if works. Please update.
  • jillh10jjillh10 VermontPosts: 21
    Will do!  I'm hopeful I will feel SO good that I will clean my house anyway!  :smiley:" alt=":smiley:" height="20" /> 
  • jillh10jjillh10 VermontPosts: 21


    I couldn't feel a thing. Had no idea he had even done anything yet and then he told me i could go. This is the juncture where I started cleaning my house like mad. :smiley:" alt=":smiley:" height="20" /> 
    Dying to hear it if works. Please update.

    @VirginiaPlain I had my ESI today and it went well.  The nurse and doctor went over my MRI with me, discussed my problem and validated the pain I've been having by telling me, although small, the herniation is in a very unfortunate spot and is aggravating that nerve.  The doctor said if he had come out anywhere else, you'd likely never know.  The procedure itself was uneventful and I had no pain.  I received a intralaminar injection at C7-T1 with 80 mg of Kenalog. So far, I feel pretty good.  The injection site is sore, as expected, but I am hopeful this will help with my pain.  I asked the doctor what he felt the chances this would help are and he said based on my MRI and no other signs of degeneration, he's very optimistic this will help.  I'll keep updating as I things develop.  Weirdly, the opposite side of my neck and shoulders are feeling tight but I think it's from the injection.
  • Good for you, I hope it helps. Your doctors sound great!
advertisement
Sign In or Join Us to comment.