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How long do facet joint injections last?

Nov 04, 2015 6:34 PM

Scheduled for my next visit with pain on the 18th. Chiro is not really helping any longer. She wanted me to consider another set of shots on L4-S1. Last set was in July and truly wondering if it is worth it to do it again. Need some help. SI joint injections are working wonderfully, no sciatica since September. My mom has said that's it my choice, but if they didn't work for that long, why do anymore?

Nov 04, 2015 6:52 PM

Hello Everyone, I am new to this site,my name is Tammy,and was diagnosed with Fibromyalgia Disease in 2010 along with Arthritis, just got diagnosis with DDD ( degenerative disc disease),I have had cortisone shots in my neck, hips, back, shoulders, elbow and buttocks also did water therapy, nothing is helping,I take tramadol, gabapentin ,naproxen and Cymbalta for pain and I can't seem to get any relief.I will not take anymore shots,my options the Cleveland clinic gave me was shots in my hips,and if that didn't work,my option then is to get a ablation to deaden the nerve.I am so tired of everything.I can't sleep because if pain,I am lucky if I get a least 4 hours through the night.I'm so sorry I blurted all this out right here,but when he ask should I get more shots,my opinion if it doesn't work don't get it. Again I'm Sorry

Nov 04, 2015 8:21 PM

Don't worry about it. That's why we are here. If u need to vent, vent. We will be here to listen. And welcome. This is a safe place for you.

Nov 04, 2015 9:08 PM

Amanda, my pain specialist did three injx in my SI joint, a month apart. It's brought 2+ years of relief. I had my first sciatic pain last month. 🙏🌼

Nov 04, 2015 9:51 PM

Flappys, that's what my first thought was as well. If we do another set, then fingers crossed, it will hold out longer then the first set. And I refuse to do anymore SI injections. The left side was so tight, she stuck me 3-4 times before the needle was in the right place. Facet joints didn't hurt nearly as bad.

Nov 05, 2015 1:36 PM

Yeah, I think I'd have to agree with you on that. Good luck & better results with the next one! 🙏🌼

Nov 05, 2015 1:50 PM

I've been listening better to my back today, and I think I'm ready to go ahead and do another set. I'm so tight today but I'm thinking it might have been the way I was forced to lay flat on my back at the surgeons office. That usually triggers it most of the time.

Nov 05, 2015 1:52 PM

Welcome Tammy! Don't apologize, they're not necessary. We all hijack threads here and there. I did yesterday. I hope you'll find as much support and information as the rest of us. What amazes me is we are all so different yet so alike, and our treatments and experiences vary too. You'll find no judgement here; rant, cry, laugh, advise, pray... We are here for each other because we all understand chronic pain and the extreme changes from day to day.

You said you were still having pain without help, regardless of all the meds you're on. My experience with cymbalta was great for the first 6 mos, but then I started having more/worse pain, and emotional changes (I didn't recognize). I started having worse depression to the point of not caring if I died. My rheumy doc immediately weaned me, too quick because I went into withdrawals... Baaaad! Someone on here mentioned magnesium helps with pain. I started taking it and I can tell a change in intensity and shooting nerve pain. I also have the DDD, TMJD, IBS and OA. I was dx with Sjogrens & hypothyroidism this year and the Plaquenil has made the biggest difference. I was surprised to find out 1) sjogrens, hypoparathyroidism, & fibromyalgia share many common symptoms, & 2) once you have one autoimmune disease, you have a higher risk of getting another. You could have more going on than fibro. (((Hugs))) & prayers you'll find a method of relief that works for you, and soon. 🙏🌼

Nov 05, 2015 2:42 PM

Amanda, my injections didn't last long either so my pain Doctor did the RFA and it usually lasts up to 4-12 month's. Except this last one. It only worked for one side and then the pain up my back, but thats from the bulging and or herniated disks in my back along with the arthritis pain, that's when he had me try Gabapetin and it truly helped and even took the pain away from my feet and upper & lower back. Prayer's that you can get the relief you need.

Nov 05, 2015 2:49 PM

Mopar, in Delaware I believe the understanding is you have to have two trials of the facet joint shots before they do the RFA. Don't get me wrong, the relief was wonderful while it did last, but it's beginning to wear out it's welcome. Hell, I don't even remember what it feels like to be "normal" any more.

Nov 05, 2015 5:41 PM

I had 4 on my first go and had me bed bound for nearly 2wks then just my usal agonising pain!
Everyone has washed there hands of me I don't have anyone medical that is helping me! My gp gives me meds and try to refresh here and there but they all just refuse or say 'Oh it's just the fibromyalgia playing up' I have ddd, osteoarthritis, osteophytes with loss of disk hight, spodylosis, cfs, ibs migraine ect!
I'm and the end of my tether here too!
Sorry to rant but when nobody wants to help you and I have a family to see to! Grr! Hope u get some relief soon!
Oh and FYI fji o was told last better 6wks and 6 months! X

Nov 06, 2015 8:31 AM

I am not sure if this is the same thing but i had a cortisone/lidocaine shot directly to my spine where my pain is. The doctor realized right away it did nothing and said she wouldn't do it again because it is not worth it.

Nov 06, 2015 11:54 AM

Sham, I don't think that is the same thing. Had to reschedule appointment to next Thursday with pain management. Can't make it another week with it like this. Ready to schedule for shots again.

Nov 06, 2015 9:27 PM

Oh ok I went to 2 different pain management clinics and they both told me there was nothing left they could try so that must not be an option in my case

Nov 10, 2015 9:04 PM

I do rhizotomies 2 times per year, doing 5 levels of my spine. The facet injections were done initially to see if the rhizotomies would work, but the facet injections wear off quickly, but my understanding was that it was a diagnostic for the rhizotomies. As long as I do not let 12 months lapse between rhizotomies, I do not need to repeat the testing (facet injections), based on my insurance coverage. I also do magnesium as an IV weekly for muscle pain/fibromyalgia along with trigger point injections of lidocaine, Marcaine and spascrupeel and use a thermophore heat pad, have a neuromuscular stim unit and massage therapy for muscle spasms.

Nov 10, 2015 9:12 PM

I have seen several different pain doctors over the years and they all have different approaches to treatments. If the doctor gives up, time to find another doctor, at least some are honest enough to tell you they give up, they are only human too and don't know everything, some let their egos get in the way and those usually are the ones who try to get you to believe it is all in your head and put you on anti anxiety meds or anti depressants... Of course I am not always happy because I hurt, but don't want to just be over medicated...

Nov 11, 2015 11:28 AM

I'm thinking I'm finally ready to try another set now. My back is so infernally locked up right now, it's not even funny.

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