Local pain and stiffness after epidural three years ago

Patient

Q: I have had epidurals with the birth of both of my children. There were no side effects after the first one but ever since the second in 2009 I have had pain, stiffness and general sense that something was wrong in the exact spot of the injection. The pain comes and goes but the stiffness is always there. I stretch a lot and try to alleviate it but it's not getting better.

Doctor

A:    After almost three years from the last epidural, maybe some other causes of your symptoms may be rule out. I advise you to get an evaluation by an orthopedic surgeon or spine specialist to exclude a possible local lipoma on the site of the injection, or even a nerve compression. Some of the major causes of acute and chronic back pain  are associated with radiculopathy (nerve compression). Lumbosacral radiculopathy, like other forms of radiculopathy, results from nerve root impingement and/or inflammation that has progressed enough to cause neurologic symptoms in the areas that are supplied by the affected nerve root, the legs  for example. During the acute phase of the pain, the physical therapy is very important and involves the use of ultrasound, TENS, heat to control pain, teaching you back-protection techniques (e.g., proper lifting, posture awareness). A lumbar stabilization program is also useful in instructing you in various techniques to control back pain, and you also can work on strengthening the stabilizing muscles of the lumbar spine.
 

Related Q&A

Q: Chronic lower back pain a right shoulder stuffiness

Q: I had an MRI for some back problems but it came back with this: "Small 1.3 cm lesion in the prepontine cistern, ...

Q: Recent MRI was given to me without results. I have to wait until later in the week to get them.

Q: 23 y.o. female had lower right back pain for about 1 year following a burning pain from bending over (I thought it wa...

Q: Hello, I'm Adriana, I just received MRI results of my brain, I'm 40 yrs old, suffer from migraines, tension headaches...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews