I am a CCRN ICU RN as well. A year ago, a patient grabbed my neck wrong and herinated three discs and caused a severe stenosis. The pain going down my left arm and tingling was absoltuly unbearable. I have now had ( as of today) my FOURTH injection in 5 months which I found out is NOT a good deal due to bone and ligament damage. To top that off, I have gained as of today, 27 pounds since my first shot. I am SO frustrated I can just cry. To top it off, the injections are only lasting a week or two so now I am looking for a reputable nero. We had three of the top three neurosurgeons here in NM, and found out two weeks ago, that two are moving and one is retiring so I have to hang on till June. I am not sure I can do that, and working where I do, I do not want to just grab any neurosurgeon to be messing with such a huge mess. I just cant wait to see how many more pounds I will gain from this last shot. I weigh almost 40 pounds more than I did when I was 9 minths pregnant.
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I just came from the National Spine and Pain Center in Columbia, Md where I scheduled three epidural cortisone injections over the next 3 weeks. When I asked about the safety of cortisone shots, Dr. Patel told me that I would not be on them long enough to cause bone density problems but that the drug causes the part of the brain that tells a body that it is 'full' not to work correctly and therefore many people experience weight gain. He said that he tells all patients to 'plate' their food and only eat what is on the plate rather than wait to feel full. He also said that there would be increased urination. Though weight gain is the LAST thing thing that I want to happen especially given so much reduced activity related to chronic back pain, I'd rather try the injections than worry about gaining weight
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The epidural cortisone injections should not scare you.The steroids,in your case, cortisone,are in general used for a wide range of conditions including more severe of arthritis and other inflammatory conditions.What matters most,is how much of the steroid gets into the body.Cortisone to some extent makes your metabolism a bit more sluggish.It may therefore be helpful to restrict your overall calorie intake slightly as your previous intake may be a bit more than you need.If you are also able to do some exercises,it will certainly help. Your doctor is likely to be keeping an eye on your blood sugar (glucose) level. If it has been a while since it was checked then ask to have this looked at, just in case you are beginning to drift up into the diabetic range, which may require specific treatment.But the best way to decrease the side effects of steroids is for their dose to be kept as low as possible, but then there is a limit to how far this can be done and still get the necessary benefits. Unfortunately one cannot completely uncouple the good from the bad sides of steroid treatment.
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Dia
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