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Suggest Treatment For Spinal Stenosis

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Posted on Tue, 29 Sep 2015
Question: I have spinal stenosis and disc issues in my lumar spine. It is primarily sciatic (not back itself) pain that effects primarily the right buttocks and right leg radiating pain. It effects the left a little.It is quite severe at times. I can walk ok, sitting is not a problem, but bending or twisting at the waist or getting up from sleeping in the morning is really painful in the sciatic nerve.
I am scheduled to get an epidural steroid injection in 2 weeks in the lumbar spine and I recalled now that about 15 years ago, I had a CT scan on my abdomen and I had what the doctor said was a reaction to the ct scan XXXXXXX (contrast)...I had bumps on my arm and itching (no other symptoms). I of course will tell the doctor but I need to ask you:
Can the doctor still give me the injection AND still have a chance for success if I cant take the contrast dye???
doctor
Answered by Dr. Neeraj Kumar (1 hour later)
Brief Answer:
Epidural Steroid injection can be given without contrast also

Detailed Answer:
Hello dear,
I have gone through your question and understand your concerns.
Lumbar canal stenosis induced back pain can be managed by medications and surgical treatment.
Epidural steroid injections are more successful if given under contrast imaging guidance but can also be given without contrast as proper placement of needle can be achieved blindly also by expert.
You can also discuss the issue of contrast reaction with your treating doctor before procedure.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Neeraj Kumar (1 hour later)
Should i tell the anesthesiologist who will give the injection about this so maybe she can test me ahead of time for any reaction?? Do they do that ahead of time?? Id like to be sure i get the best otcome??u
doctor
Answered by Dr. Neeraj Kumar (3 minutes later)
Brief Answer:
Yes, consult your treating anaesthetic

Detailed Answer:
Yes, you need to consult the treating anaesthetic before hand to get clear advice regarding surgery, procedure and risk.
Regards
Dr Neeraj Kumar
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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Suggest Treatment For Spinal Stenosis

Brief Answer: Epidural Steroid injection can be given without contrast also Detailed Answer: Hello dear, I have gone through your question and understand your concerns. Lumbar canal stenosis induced back pain can be managed by medications and surgical treatment. Epidural steroid injections are more successful if given under contrast imaging guidance but can also be given without contrast as proper placement of needle can be achieved blindly also by expert. You can also discuss the issue of contrast reaction with your treating doctor before procedure. Hope you found the answer helpful. Regards Dr Neeraj Kumar Neurologist