Epidural Injection L4 L5

Yesterday I received another epidural injection in the L4 L5 discs of my spine. I had one done about 1 month ago in the L5 S1 disk of my spine. My doctor says I can receive up to 3 epidural shots in a 6 month period. They definitely do help ease the pain in the back, but it will never be 100%. By the combination of epidural shots, physical therapy, and my pain medication; it has been possible to manage my back pain.

As I stated in my previous post, I have started exercising regularly again. I have been wearing one of the those back belts. They actually do make a bit of difference and it kind of forces good posture. Besides from muscle aches due to so much time off, my back has been doing okay. I have tried squatting with very light weight down to parallel position and it hasn’t really bothered me. However, I tried deadlifting with the same weight and I did start to feel a little bit of non-muscular pain in my back. In result of that, I decided to give up deadlifting and continue with the light weight squats. There is an apparatus at my gym where I can exercise my lower back with my own body weight; I’m going to try in a few days.

With respect to cardio, I have been using the elliptical machine. I like it very much. You can get a real good workout from that with minimal impact on the knees and back, maybe even more than jogging. You can set different strides, incline, and resistance that will allow you to exercise with more intensity. It allows for a nice smooth motion and really eliminates any high-impact that would come from normal jogging.

10 thoughts on “Epidural Injection L4 L5

  1. ken volz

    Chronic pain in the lower back from auto accident. 2 Md.’s wrote letters of total disability at age 40!!~!.
    doctor refused to inject disc’s?
    After 18 more years the want to inject. I am 81 years old and am concerned about the risk of bones getting even softer!
    Exercises help a little. Cannot SLEEP!. Pain is continuous.
    What do U do?

  2. Nigel Aylen

    Hi all back suffers. It sounds you are only beginning with back pain, I have been living with it for 37 years and I am so fed up with the whole thing I go into hospital on the 23rd to have injection on L1 to L5 and if they work the nerves will be cut a month later.
    I have been told by my pain consultant I should be pain free.
    I am a retired engineer and it was an industrial accident.
    I wish you all good luck and don’t forget kick up a fuss

  3. Mary

    Its crazy to see how common it is to have back problems. I had to get back surgery when i was 18 because i had a herniated disk l5-s1. I fought the pain for a year trying everything: chiropractors, physical therapy, epidural injection, acupuncture, and nothing seemed to help so they decided their only option was to perform surgery and remove the tissue that was bothering my nerve. Good luck to everyone going through this.

  4. Griffin T

    Good afternoon. On may 24, 2016. I was involved in an auto accident where I was a pedestrian and struck by a negligent driver. Resulting in many herniated and compressions of thecal sacs. L3-L4, L4-L5, L5-S1, C2-C3, C3-C4, C4-C5, C5-C6, & C6-C7. Ive done the injections and minimal relief lasting a few days. Ive gone to many specialists at BioSpine, Coastal Spine Specialists, and Orthopaedic Specialists and have been given the same rhetoric. You can continue to do the injections; however they are basically a temporary pain relief (Band-aid) For the past several months I have been doing very intensive chiropractic/Phys therapy/deep tissue massage and between those 3 practices 3x weekly I’ve seen 25-30% improvement in range of motion as well as pain reduction. Granted I’ll always have those days where the pain is intolerable and you just have to find a way to deal with it. But given my constant consultation for finding a remedy and my strict opposition to surgery, I’d recommend a very healthy and strict diet focusing on solely protein and high nutrient based foods as well as body-weight only exercises/stretching. I’ve been doing a lot of hot yoga and despite the obvious that twisting and bending may not be the best thing to do, its been helping exponentially with the pain relief and stress. This type of injury is a unique 1 because there’s no exact remedy, only a bunch of 50% improvement sources. Hope this helps.

  5. Jerry

    I had in July 2015 L5 S1 fusion(interior) after years of chronic back pain, the surgeon said, I nearly severed my spinal cord, I go to the store and have a tens unit and hot/cold unit when symptoms start up, usually after a 20 minute walk or light exercise, a back brace, and keep it simple, its frustrating, I meditate and try to stay calm, anger is not going to help the healing process, more issue higher in the spinal column that have not been addressed, be good to yourself and don’t get depressed, cause it doesn’t help, and if you can minimize pain med do so. (as the lady stated above no bending and twisting also…I work construction so I wonder about my job future,


    So I have had back pain for the last 3 some years .. Last year I finally got an MRI done and tada i was told I had 3 bulging discs in my L3 L4 L5 S1 … I have so far recieved 2 epidural shots one in my L4 L5 and one in my si joint … I have also recieved a shot in my hip for inflammtion which did help somewhat … the first shot lasted about a day the second about a week .. i have since been doing physical therapy ive cut running out of my regimen and weights — ive only been walking and body weight exercises with light stretching .. and ive also been going to a chiropractor for the past 3 months now… well the reason why i have bulging discs is because of my feet – yes i walk inwards because my tibia are twisted since i was little and the dr said because i run so much the impact has been causing too much stress on my body (which is horrible hence why i shouldnt run anymore) :/ well my chiro decided that i should wear inserts … well ever since i have been wearing these inserts my feet have been hurting — common i guess — its been 3 weeks now though and my feet are still hurting :/ to the point where i dont want to walk and when i do walk i have to rest and now my back hurts even more … i am waiting to go my dr again to find out what is going on … anybody want to help me out here ?

  7. Duke

    I notice I am not alone in dealing with these issues. I have a bulging L4 and herniated L5 – S1. I have been doing spinal decompression therapy (SDT) with my chiroprator for about 2 weeks now (2x/week). I have noticed some improvement and the pain is easily tolerable. I would suugest finding a clinic that offers SDT and give it a try.

  8. Jessica

    Wow, weird how some people have the same symptoms I do, it’s nice to know I”m not alone. I was in a car accident in 2007, I had an MRI in Sept 2008, and 35% of L5-S1 taken out in Feb 2009. I am having a lot of pain again in my back and down the back of my left leg. Parts of my calf and my foot are numb. I don’t have medical insurance right now, so I am kind of out of luck on what options I have. I don’t know what I’m going to do. The pain can get really bad, but sometimes I can tolerate it.

  9. Carter

    I finally have found someone with my same symptoms. I have the pain down front of my left leg with numbness all down front of left leg and the left calf. The ham and back of the leg seems fine. They called with mri and said i have herniated L4-L5 and L5-S1. Havent gotten report yet.

    I dont see this getting better. Its been 4 weeks already. Seeing surgeon next week.

  10. Nancy HM

    If you have herniation of L4-L5-& S1 I recommend ILIF spinal fusion. I had my L4-L5 done in Dec. and it was worth it, however I also recommend getting the S1 taken care of at the same time. I am 2 1/2 months post-op and now need L5-S1 fusion surgery due to severe sciatica. You’ve already gone the route of epidurals and after 4 maybe its time to have the ILIF. I was up walking on my own the very next day and even though I have to have more surgery I really recommend it for long term relief. Any type of exercise will just aggravate the disc. I tried swimming as it was no impact and had to even stop it due to the twisting. Good luck to you.

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