The benefits from the first shot only lasted 2 weeks. The second and third set of injections lasted about 90 days. In November, I was ready to have surgery. My EMG and nerve conduction tests proved that the nerves were "sleeping" before I was. After another MRI, the neurosurgeon said I was a candidate for surgery but I was not able to get the endoscopic type surgery that is less invasive. I would have an incision about 6-8" long. Along with removing the herniation, they would have to increase the size of the hole where the nerve roots were going through.
Your exercises are completely based on your diagnoses and the procedures you undergo to combat the pain. One prominently used, non-surgical method is epidural steroid injections . The steroid is injected into the epidural space and decreases inflammation around the spinal nerves. If you are undergoing epidural steroid injections, you will want to take the rest day off for a little downtime to not cause unnecessary inflammation. After your brief resting period, you will want to resume normal, but not overly vigorous activity. It is best to start with walking slowly. For every 30 minute sitting period, you should take 5 to 10 minutes to get up and walk around. It may be uncomfortable at first, but if you stick with regular slow activity for the first day, you can build up to more activity.
An Interlaminar ESI , often referred to simply as an ‘epidural injection’, involves placing the needle into the back of the epidural space and delivering the steroid over a wider area. Similarly, the Caudal approach uses the Sacral hiatus (a small boney opening just above the tailbone) to allow for needle placement into the very bottom of the epidural space, and usually this approach is used with patient who had multiple surgery in the back before.
With both approaches, the steroid will often spread over several spinal segments and cover both sides of the spinal canal.
With a Transforaminal ESI , often referred to as a ‘nerve block’, the needle is placed alongside the nerve as it exits the spine and medication is placed into the ‘nerve sleeve’. The medication then travels up the sleeve and into the epidural space from the side. This allows for a more concentrated delivery of steroid into one affected area (usually one segment and one side).
Transforaminal ESIs can also be modified slightly to allow for more specific coverage of a single nerve and can provide diagnostic benefit, in addition to improved pain and function.