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Thanks for the reply. So after 2 Transforiminal ESI injections, Intense pain (standing/walking) has been some what manageable by taking 1 100mg Nycynta , 2 Zanaflex and 1 Percocet 5/325 at night. My biggest problem is walking and standing for more than 10 minute and the pain is better in the morning and gets intense by evening. The left butt pain would start and eventually spread to leg and tingling/little numbness in the left toe.This is my effecting quality of life.
I had 1 facet injection on January 3rd and I can’t really feel any difference .Will medial branch block injection help? Or should i just ride it out with medication and when it gets really intense got for Transforiminal ESI ?
I am trying to figure out what are my options beside a spine cord simulator which my pain doctor seems to be more interested .Again, My biggest problem is walking and standing for more than 10 minute.Your pain that is related to standing and walking could be associated with foraminal stenosis pain but chronic radiculopathy can also do that. If facet injections did not give you temporary relief, medial branch blocks will not be worthwhile. Transforaminal ESIs are generally the best bet for either foraminal stenosis or chronic radiculopathy.
Dr. Corenman
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.Thanks again for quick reply. What is permanent solution for foraminal stenosis ?
The permanent solution for foraminal stenosis could be a simple decompression or a decompression and fusion. It really depends upon the stability and angulation of the vertebra above and below.
Dr. Corenman
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books. -
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