HomeAnswersSpine healthtransforaminal epidural steroid injectionWhy am I getting pain on the right after I had epidural injection for left side back pain?

Had epidural injection for left side back pain and now getting pain in the right side. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At December 10, 2019
Reviewed AtDecember 10, 2019

Patient's Query

Hello doctor,

I had an epidural injection in the left lower back for left leg pain and two months later, I am having pain in the leg and pain in right buttocks. I have been diagnosed with severe loss of disc space in L4-5. Is it unusual for this to happen? Is it logical to say that once you treated the left side that something could develop on the right side? I have done my MRI spine.

Hello,

Welcome to icliniq.com.

From what I understand, you had an epidural injection at the left L4-5 interspace, and two months later you developed a new pain on the right side, and you are wondering if the injection has anything to do with this new pain.

Epidural injections are usually advised based on the side and location of your current radicular symptoms and the MRI (magnetic resonance imaging). Your physician may have suspected left L4-5 radiculopathy based on the above-mentioned findings. The effect of the medications that are injected usually lasts not more than three to four weeks. The idea is to cool down the inflammation till a time when your body can get used to the lesser space for the nerve or shrink the compressive elements with time.

Since you do have a loss of disc space in L4-5, I assume your symptoms are related to spinal stenosis. Often, the symptoms begin on one side and may progress to the other side over an unpredictably long period of time. The onset of your right side pain may have been incidentally two months following your left-sided injection.

I hope this helps. I will be happy to look into your MRI images to see if an epidural on your right-side L4-5 interspace may be right for you.

Investigations to be done

Review MRI.

Probable diagnosis

Worsening spinal stenosis, L4-5 degenerative disc disease.

Treatment plan

Possible need for a right-sided epidural.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Berry Chirag Ashok
Dr. Berry Chirag Ashok

Orthopedician and Traumatology

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