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Chronic Back Pain- Lumbar Facet Injections?

Posted on 6/25/19 at 6:44 pm
Posted by Tear It Up
The Deadening
Member since May 2005
13923 posts
Posted on 6/25/19 at 6:44 pm
I've got degenerative disc disease and have been dealing with chronic back pain for the last year. My doctor suggested lumbar facet injections. They are basically injections of local anesthetic into the facet joints and are supposed to block the pain.

Have any of y'all had lumbar facet injections? If so, did it work and for how long?

There are mixed reviews online about their effectiveness, but that seems typical with most medical procedures.
Posted by el Gaucho
He/They
Member since Dec 2010
60087 posts
Posted on 6/25/19 at 6:46 pm to
My cousin has chronic back pain and when he doesn’t get his medicine he can’t function. Extreme pain, nausea, cold sweats, can barely get out of bed. The works. Are you sure you don’t have fibromyalgia like he does?
Posted by Bigfishchoupique
Member since Jul 2017
9665 posts
Posted on 6/25/19 at 6:46 pm to
Worked for me. Going on 8 years or so with no symptoms.
Posted by Barrister
Member since Jul 2012
5349 posts
Posted on 6/25/19 at 6:46 pm to
I've had an lumbar RFA. Basically a nerve burning procedure that cuts off the pain signal. Most people need to repeat them every year or so for around 7 years until the nerve stops regenerating .....I got lucky and have only needed two.

Ask you doctor about this procedure. I've never seen anyone have it who did not get good relief
Posted by Bigfishchoupique
Member since Jul 2017
9665 posts
Posted on 6/25/19 at 6:47 pm to
They also burn the nerves with Phenol sometimes.
Posted by Duffnshank
Member since Jan 2019
929 posts
Posted on 6/25/19 at 6:48 pm to
Hopefully you find something better than myself, painkillers work but obviously cause their own set of problems...
This post was edited on 6/25/19 at 7:24 pm
Posted by Mingo Was His NameO
Brooklyn
Member since Mar 2016
37536 posts
Posted on 6/25/19 at 6:52 pm to
Are you overweight?
Posted by Mr Breeze
The Lunatic Fringe
Member since Dec 2010
6810 posts
Posted on 6/25/19 at 6:55 pm to
Had them three times. First worked like a charm in 12 hours no pain it was amazing. Relief lasted for 8 months. Second less so for 2 months relief and third no difference. I think that’s how it goes for most.

It’s been three years since the last one which I believe allows me to try again.

Procedure was quick and painless. I’d for sure try it.
Posted by The Torch
DFW The Dub
Member since Aug 2014
30415 posts
Posted on 6/25/19 at 7:02 pm to
I've dealt with this for 20+ years, mine started with an accident where I fell 4 feet and landed right on my L-4/L-5 disk.

I've had two surgeries, probably 10 shots and fought it with narcotics several times.

The shots can provide relief but are expensive, Dr usually wants an MRI ($1,500) to see exactly where the shots need to go and they knock you out for the shot ($$$$). I have group insurance but the out of pocket keeps me from using the Dr. unless I'm in a shite storm of pain. I've had a couple of shots that gave me 3-4 years of less pain, and a couple that seemed like a waste of money.

Riding an incumbent bike can help a lot, it will build muscles in your stomach and stretch the area. I put mine in front of the tv and do 45 minutes 4-5 days a week.


Welcome to the club



Posted by Tear It Up
The Deadening
Member since May 2005
13923 posts
Posted on 6/25/19 at 7:04 pm to
quote:

Are you sure you don’t have fibromyalgia like he does?


I've had MRI's done and went to a spinal specialist and he said it was degenerative disc disorder.

quote:

Are you overweight?


No
Posted by tke_swamprat
Houma, LA
Member since Aug 2004
11214 posts
Posted on 6/25/19 at 7:04 pm to
I was doing some of those today at work. It’s definitely worth a try. Everyone reacts different and the doctor doing it may have different techniques. Better than having a fusion if it offers relief!
Posted by Jim Rockford
Member since May 2011
106035 posts
Posted on 6/25/19 at 7:12 pm to
My dad had it. Going on three years now. He still has back pain but it resolved the sciatica.
Posted by ForLSU56
Rapides Parish
Member since Feb 2015
5582 posts
Posted on 6/25/19 at 7:18 pm to
If you decide to have treatment, I HIGHLY recommend you put this guy on the list of who you have perform the treatment. .... Dr Waring considered one of the best in the US.

Pain Intervention Center...Dr Patrick Waring
Posted by Michael Hayes
Member since Mar 2014
1391 posts
Posted on 6/25/19 at 7:19 pm to
I have degenerative disc disease also. I didn't find out until I had a lower back injury with sciatica. Excruciating pain down my right leg. I was first on pain management for it then I did the injections in my back. It took two tries to get some relief and even helped my sciatica a bit. But in the end the fusion (L4, L5) relieved it all, but I'm now starting with pain in my middle back. I'll probably do the injection again if it comes to that.
Posted by RPtoDoubleT
Dallas
Member since Oct 2007
513 posts
Posted on 6/25/19 at 7:20 pm to
Hey Doc!
Posted by Lester Earl
3rd Ward
Member since Nov 2003
291636 posts
Posted on 6/25/19 at 7:30 pm to
What’s your activity level like?

Do you sit at work?? How long per day if so
Posted by AUTimbo
Member since Sep 2011
3372 posts
Posted on 6/25/19 at 7:32 pm to
I get one or two a year to stave off disc surgery. Degenerative discs in L4-L5 and L5-S1.
Usually deal with it on a daily basis but at times when I over do it on yard projects or going up and down trees during hunting season it gets virtually unbearable.At those times I usually go with the steroid injections to take the worse flare-ups off.

I have had them give relief for 6 months and others just 2. Kind of hit and miss.

quote:

I've had an lumbar RFA. Basically a nerve burning procedure that cuts off the pain signal. Most people need to repeat them every year or so for around 7 years until the nerve stops regenerating .....I got lucky and have only needed two.


Barrister I am curious about this. have heard it can work miracles but am a bit leary of it. Is it usually accomplished by a neuro-surgeon?

Asking for a friend
This post was edited on 6/25/19 at 7:36 pm
Posted by bopper50
Sugarland Texas
Member since Mar 2009
10243 posts
Posted on 6/25/19 at 7:34 pm to
Forget the shots, ask about the RFA Therapy (nerve kill)

It lasts 1-2 years for me and allows me to play golf and other things.
Posted by tke_swamprat
Houma, LA
Member since Aug 2004
11214 posts
Posted on 6/25/19 at 7:35 pm to
But they usually have to go through a series of injections before being able to do the RFA
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17919 posts
Posted on 6/25/19 at 7:36 pm to
quote:

landed right on my L-4/L-5 disk.



No, you did not
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