I have had a series of 2 cortisone shots which lasted only 4 days before the pain returned. Now this doctor is talking about doing a series of shots in the same area but with electrical current as I understand. Then he is recommending physical therapy which I am still in pain and do not think I can take the pt again for the 6th time. Does anyone have any information about this. Please advise. Thank you
Cortisone shots?
- Posted:
- 10 Nov 2010 by The Mad Man
- Topics:
- pain, cortisone
Added 10 Nov 2010:
I am currently taking morphine for the pain which only cuts the pain down to a 7.
Answers (5)
10 Nov 2010
Do you mind me asking what the reason for the cortisone shots are? Also, is this the same dr. that prescribes the morphine? I don't see much sense in putting you through painful, short term relief procedures that don't even help. Then expecting you to last through grueling physical therapy sessions.
Personally I believe you need to get your pain level under control, then you will be able to tolerate and possibly benefit from the pt. A 7 on the pain scale is high. You really need to get your pain medicine at a level that allows you to function, then consider pt. Good Luck and God Bless. Sable. I added you as a friend keep me posted and if you want to chat privately add me as a friend.
10 Nov 2010
Does your pain doctor know you are getting Morphine from your family doctor? If not, this could be a huge conflict especially if you signed a "pain contract" with this pm doctor.
I don't know what you've been diagnosed with but I agree that you need to not have further experimental things done that aren't working along with trying to do PT.
I will say that with RSD that I was dx with 11 1/2yrs ago now, my pm doctor did put me on a strong long acting opiate but my pain was still at a 7 or higher as I went through my own PT 3 times a week (18mos) but he wasn't putting me through shots, epidurals, etc during this time.
Thank you for your info Rhonda. My pm doctor does not know about the morphine yet. We are playing tele tag and I have not spoken to him YET!. Basically, I have DJD (Osteoarthritis) and have had two operations on my neck and back with metal and cadaver bones as replacement parts. My hip pain has been on going for years since about 2006 or so. I did reasonably well with palates for pt but that had its limits. My family doctor knows my medical history and has done everything he could to help but his hospital does not specialize in my pain issues. I had my operations done at USC from an Orthopedic doctor two years ago and have not had any problems since. I am very happy at USC and this is my first exception but I will see what the neurosurgeon says. Thank you for your concern, I plan on getting over this and moving on with my life. I was a former dancer and hope one day to go back to that field if only I spend my time dreaming about it.
If this helps any, even though I'm far from being a pro dancer, I never thought I would dance again after RSD.
4yrs ago I went on a cruise with my Mom. I won't say I didn't have pain or "pay for it afterward" but I found out I could dance again.
I still feel like I'm walking on a broken foot with pins and needles shooting up it as it's spread up my right leg and into my right hip/back area but I did dance again.
Unfortunately I can't wear the great shoes that women love for dancing but I had the best time of my life on that cruise and went to the club 4 nights out of the 7 day cruise. I may walk with a limp on a cane but I threw it down on the dance floor which allowed me to feel like a real person again for the 1st time. I have danced a few other times since.
11 Nov 2010
The botox shots were to kill/numb the nerves that lead to the painful area. Once those nerves are deadened, you feel no pain. The cortisone shots are a temporary stop gap but usually don't last too long. I happen to agree that (regardless how painful) PT is the only way to strengthen the muscles and "protect" the affected areas. At this point, the only thing I would worry about is the meds you get from your regular md. Morphine is a potent pain killer and may compromise your contract with your pain doctor. Please read the contract you signed and see if there's a clause in there about getting opiates from other doctors. It's always best to be upfront about meds you receive. What do you think the reaction will be when they find out? It's a scenario that could follow you around in your medical record for years to come, a seeker. It's always best to be honest and upfront about all meds you receive and from whom. Good luck to you and hope you feel better very soon!
chris
Finally got something from my doctor. We are going to try Radio Frequency to the SI joint. After we see results we may go for Botox to the peraformance muscle. Finally some answers!!!
Radio Frequency is the most accurate procedure. Just make sure they use the best, longest lasting meds available. Good luck.
Thank you for your information and venting is fine with me. Maybe I should do more. My main frustration is finding a doctor who will take me seriously. I don't mind the doctor after doctor but I have now written down my medical history, and all the shots, medications, dosages, and pt schedules I have done and NOW the doctors are shocked to see what I have gone through and are taking me seriously. That seemed to get their attention so I suggest the same for everyone. A serious doctor will believe what they see. If not, move on to a new one, it was worth it to me even thought I am tired of doctors but I am tired of the medications, the shots and the pain. Vent all you want, I have ears and I listen well. It is also a very good eduction for me and I am thankful for this site.
11 Nov 2010
I am guessing that you are on the same path that I have been on for a year and now have to switch to a whole new set of physicians for prescriptions etc. They have probably told you that you have Fibromyalgia when what you really have is Chronic Myofascial Pain. Look it up, there is some great information out there for a cure, yet pain free. I was pain free for two years and then it all came back when I stressed myself out again by trying to work, go to school and raise two teenage girls by myself. My family dr. gave me Morphine, thank God he did. I am off of the Morphine now, but still need to take vicadin for the pain and the only thing that helps relax my muscles and my mind enough to sleep are Soma's. The correct physical therapy is what they call tension or friction massage. It is hard to find a PT that has that experience and understands that you do not further constrict a "trigger point" by exercising it. You have to work out the nots "hands-On".
I have heard the information about Fibromyalgia but the doctors have not mentioned this in my case. I have been off and on morphine but all the drugs do not work on the nerve pain. I have tried them all. The physical therapy I liked and worked well for me was Pilates which I did at home. I am done with the shots! It is time to move on to more drastic measures and when I threatened to cut the nerve myself, the doctors started taking me seriously. That is when the radio frequency came up and the Botox is next. I will keep you informed. Thank you.
Mad Man,
I am so sorry that you are suffering so much, I feel for you. Let me ask you though. Have you ever been diagnosed with Ankylosing Spondylitis. AS is pain and stiffness that starts in the neck and goes down the spine into the lower back, buttocks, and hips. It is Arthritis of the spine. It can be severe and very painful. I have it and I have pain exactly in those areas. It actually started in my Sacroiliac Joints. I have had so many cortisone shots I have lost count and now they do nothing for the pain. To top it off, my discs are herniated. I talk vicodin for pain as well as use a fentanyl patch. I have also had a spinal cord stimulator implanted. Have they talked to you about having a spinal cord stimulator put in. It would benefit you immensely for pain relief.
Talk to your Dr. about it.
I hope you get some relief soon.
Fibro5077
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I received the cortisone shots in my hip, back and buttock area. This doctor also mentioned something about Botox shots but was not clear. I got the morphine from my family physician who knows my medical history but he does not specialize in my pain areas. (I have known him for 15 years). I am scheduled to see a Neurosurgeon next week for a second opinion. I plan on reporting this pain management doctor to the hospital director for follow up. Stay away from Dr. Zaghi at USC. I will be glad to provide any further information if needed. Thank you for your thoughts. (P.S. I have been on morphine before and know the risks so I watch it carefully).