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re: Any experiences with Cortisone shot success for Herniated Disc/Sciatica

Posted on 3/1/26 at 3:35 pm to
Posted by LemmyLives
Texas
Member since Mar 2019
16089 posts
Posted on 3/1/26 at 3:35 pm to
Your angle while sitting matters a lot. Train the wife to poke you every 5 minutes at church and have her tell you to drop your shoulders and relax, lol.

quote:

Slight anterior pelvic tilt (natural lumbar curve)
Relaxed thoracic lift
Not rigid

Military stiff = excessive extension and bracing.
That can increase cervical compression too.

Neutral with tone, not rigid with bracing.
<-ChatGPT

The excessive pain in church most likely started hours before (sleeping, etc.) and the pews and your posture and uncomfortableness sprayed lighter fluid on it.

The worst part is, when you feel it coming on, you start adjusting, and overadjusting (if you're like me) which increases tension, because you know what's coming. It happened to me last night driving to Austin and sitting through a concert where I couldn't let my shoulder hang, and made it worse. Got home at 0200, I was up until 0330 trying to get it to calm down before bed.
Posted by Jauquismos
Member since Jul 2023
655 posts
Posted on 3/2/26 at 2:59 pm to
Go to a orthopedic to get a cortisone shot in ur bottom (non invasive) to reduce the inflammation and budging of the disc and see if he'll write you depo medrol dose pack for the same..
Posted by Jim Rockford
Member since May 2011
105295 posts
Posted on 3/2/26 at 6:20 pm to
My dad got some relief from radiofrequency ablation. His back still hurts but it eliminated the sciatica.
Posted by Big Scrub TX
Member since Dec 2013
39854 posts
Posted on 3/2/26 at 8:23 pm to
quote:

The shot will help until it doesn't. I ended up having to get a discectomy for mine and it was the best thing I could have done. Don't be fearful of "back surgery" as this is minor and can be done complication free nowadays.
This, except, if anything, the shot made it much worse. I had a full herniation and the discectomy saved my life.

Also, the shot is a full medical procedure with actually scary downsides that you waive away.
Posted by LemmyLives
Texas
Member since Mar 2019
16089 posts
Posted on 3/2/26 at 10:01 pm to
I'm now almost three weeks out from the shot. Last night was normal pain (after total shite pain driving to/from Austin), but then today was almost like I forgot about it. I hope tomorrow continues this trend.

I know this has turned into a Bama/Lemmy thread, but we're so close in having the same problem. Capsaicin patches on my trap (you'll know where to put it) are cheap (under $1 a piece at H-E-B) and seem to accelerate feeling good. If you want to go balls to the wall, put a heating pad on top of it. It goes from warm to, "I can take it" heat. IDGAF if it works, and it seems to.
Posted by bamaguy17
Member since Jul 2022
1282 posts
Posted on 3/6/26 at 8:57 am to
An update: i like the pillow, but if anything my symptoms are worse. It feels like intense pressure around my spine. Nothing helps it, ice/heat/motrin/tylenol/walking, nothing. I just messaged the dr this morning about the next steps, because this is BS. I can handle anything if I can get sleep, and now there is no comfortable position, and if I move in my sleep, I wake up.
Posted by LemmyLives
Texas
Member since Mar 2019
16089 posts
Posted on 3/7/26 at 2:58 pm to
Did the doc give you an RX for gabapentin? I have a 30 day scrip, and it started reducing numbness in my hand and making the pain less severe overall.
Posted by bamaguy17
Member since Jul 2022
1282 posts
Posted on 3/7/26 at 4:41 pm to
No, he gave me cyclobenzaprine before the procedure. 2 weeks worth.
Posted by bamaguy17
Member since Jul 2022
1282 posts
Posted on 3/10/26 at 6:49 pm to
Visited Dr today. He ordered another MRI. With my pec and Tricep weakness, he thinks it’s more c6/c7. An example as to how weak I am, I can’t do 1 dip, I struggle with 135lbs on bench.
Posted by LemmyLives
Texas
Member since Mar 2019
16089 posts
Posted on 3/11/26 at 8:32 am to
The Cyclo didn't do anything, at all for me.

I nearly reduced myself to tears trying to use a roller on my shoulder blade on the floor at the gym before I figured out that was a neck nerve issue.

For your weakness, the doc did strength tests on you, right?
Posted by bamaguy17
Member since Jul 2022
1282 posts
Posted on 3/11/26 at 8:26 pm to
quote:

For your weakness, the doc did strength tests on you, right?

Yes he did. I was at his will on my left arm. It was a weird feeling
Posted by LemmyLives
Texas
Member since Mar 2019
16089 posts
Posted on 3/12/26 at 12:40 pm to
Mine didn't exhibit as much weakness, as much as I lost spatial recognition of exactly where my hand and elbow were when benching. I mis-racked and hit the safety stops on the way up more times in a month than I have in 20 years.

Makes sense because bench is where we press our c-spine into the bench. No issues with left arm position doing anything else.
Posted by Combaro01
Member since Mar 2024
183 posts
Posted on 3/15/26 at 10:07 am to
I had a similar L4 L5 issue a while back and tried almost the same routine before considering the shot. The cortisone helped calm the nerve pain for a few months but it didn’t really fix the root problem, so I still had to stay strict with core work and posture after. From what my doctor told me the main downside is you can only do a limited number of injections and sometimes the relief is temporary, so it’s more like buying time while you keep working on rehab.
Posted by SundayFunday
Member since Sep 2011
10381 posts
Posted on 3/16/26 at 5:56 pm to
intramuscular steroids are only occasionally helpful for pain in the Acute period (ie, you pull your back on Monday and see doc on Tuesday)

US guided injections or epidural injections can be much more beneficial as they get near to the suspected nerve fiber - although this is not guaranteed.

Strongest evidence for improvement and prevention of future back pain is core muscle strengthening

Look up the “AAO low back pain rehab pdf” - Google that and you’ll find the American academy of orthopedics rehab program
Posted by Everyday Is Saturday
Member since Dec 2025
1542 posts
Posted on 3/16/26 at 7:22 pm to
Just wish to say that, after sciatica episode years ago, much appreciation for you. That chit hurt. Hang in there! Hope solution is near for you.
Posted by LemmyLives
Texas
Member since Mar 2019
16089 posts
Posted on 3/16/26 at 10:51 pm to
quote:

Strongest evidence for improvement and prevention of future back pain is core muscle strengthening

True for most. But Bama and I both are hitting the weights pretty heavy, which requires a decent core. Our problems are at cervical spine, not lumbar.

I've given up on both of my doctors after 2 months out of the gym. ChatGPT created a transition program (at least for this week) which stringently keeps me away from barbells. Sniff, cry. But it seems to be working after weeks of gabapentin and motrin.
Posted by bamaguy17
Member since Jul 2022
1282 posts
Posted on 3/20/26 at 6:28 am to
I go for my 2nd injection today. My second mri showed narrowing at the c5-c7. With EXTREME arthritis. All caps because that’s the emphasis the nurse put on it. So, it appears my training will look drastically different. Not sure where I go with this. Legs will be fine, I can get a belt squat, and with leg ex, leg curls, and reverse hypers, I can build. As for chest, I’m lost. Benching was my thing.
Posted by LemmyLives
Texas
Member since Mar 2019
16089 posts
Posted on 3/20/26 at 12:20 pm to
In the second week of gym re-intro, I have lat raises and machine work (incline, cable crossovers, etc) so there is upper body inbound. I'm near the end of my gabapentin regime, and my C5/C6 pain is 95% gone. I can even do heavy sled work (head down, not up) now.

The only exercise I went after this week that flared the neck pain was heavy pull throughs, so I'd avoid those. This is an example of one of the upper body days next week:
quote:

Seated machine chest press
5×8

Chest supported row
5×10

Seated DB shoulder press (light)
4×12

Lat pulldown
4×12

Cable triceps + curls
4 supersets
Posted by bamaguy17
Member since Jul 2022
1282 posts
Posted on 3/20/26 at 7:20 pm to
I’m guessing there’s no way I can avoid a commercial gym. I need more chest supported things than I could possibly fit in my gym.

What was the prompt you used for AI? The one it spit back at me was ok but it wasn’t an ease in type workout
This post was edited on 3/21/26 at 4:20 am
Posted by LemmyLives
Texas
Member since Mar 2019
16089 posts
Posted on 3/21/26 at 7:30 am to
This is the fork prompt I just generated (the chat is waaaay too long now)
quote:

I am an experienced strength trainee currently managing:

• Cervical disc issue at C5/C6 (improving)
• Acute right calf strain (recent sled injury)

This thread is ONLY for:

• Workout programming
• Exercise substitutions
• Conditioning structure
• Progression planning
• Load tolerance decisions
• Return-to-barbell ramp strategy

This thread is NOT for:

• Injury diagnosis
• Emotional processing
• Medical decision-making
• Psychological analysis

Primary training objectives right now:

• Maintain high training intensity safely
• Preserve strength identity
• Maintain conditioning
• Avoid reinjury
• Build work capacity
• Create structured return to deadlift / squat

Constraints:

• No calf explosive loading
• No sled for now
• No heavy hinge yet
• Cervical loading must be controlled
• Psychological need for brutal but safe output

Response style requested:

• Direct
• Structured
• Tactical
• No generic rehab talk
• No motivational fluff
• Programmatic thinking

Default format when I ask for a workout:

Day structure
Exercise list
Sets / reps / density
Conditioning protocol
Progression logic
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