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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Herniated Discs, Swelling, Painful. Had Trigger Point Injections On Shoulder And Neck. Help?

I had a two trigger point injections on Thursday. I have herniated disc, c5,c6. One TPI was by shoulder blade right side. Other was upper part of neck also right side. Thursday evening, had very little sleep. Had to position self upright. Swelling at injection site.( Lidocane, toradol.) Have had brutal pain since injection, back of right side of head to crown. I am getting really worried. I have percocet for pain and have had to increase dosage due to this. Please inform me as to what you think may have gone wrong, and when these symptoms should go away. Also, when to seek additional medical attention. Possible complications?
Mon, 8 Apr 2013
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Orthopaedic Surgeon 's  Response
Hello.
Thanks for writing to us.
After an epidural steroid injection, it takes at least 3-4 days for the symptoms to start subsiding. The acute pain that you are having can be due to a hematoma formation in the area or a nerve injury caused by the needle.
I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal
Regards,
Dr. Praveen Tayal
drtayal72@gmail.com
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Exacerbation of pain at times occurs after local infiltration.... local injury, irritation by the drug, reaction to the solvent - all may contribute. It will resolve in a couple of days.
Instead of treating the trigger points, the origin of pain may have to be addressed. relief of pressure on the nerve roots - by decompression or other forms of spinal surgery will be the ideal approach.
Orthopaedician and/or neurologist are the people to do this...

Take care
Wishing speedy recovery
God bless
Good luck
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2 Doctors agree with this answer


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Have Herniated Discs, Swelling, Painful. Had Trigger Point Injections On Shoulder And Neck. Help?

Hello. Thanks for writing to us. After an epidural steroid injection, it takes at least 3-4 days for the symptoms to start subsiding. The acute pain that you are having can be due to a hematoma formation in the area or a nerve injury caused by the needle. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal Regards, Dr. Praveen Tayal drtayal72@gmail.com