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I had a series of 3 injections and my bill was $23,000
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I think the needle will be inserted in lumbar 3 and 4 for epidural.
yes
There is mild narrowing of the central canal and teh lumbar spine. This in combination with prominent epidural fat, results in Effecement of Ceberal Spinal Fluid (CSF) around the nerve roots in the thecal sac.
A needle is inserted, usually between L4 and L5 (the fourth and fifth lumbar vertebrae), into the epidural space (below the level of the spinal cord), withdrawing spinal fluid for diagnostic purposes.
Essentially, when a spinal tap is given, a needle is inserted into the spinal canal in the lumbar area, medicine (or an anesthetic) is inserted directly into the cerebrospinal fluid (CSF). Numbness is usually immediate. However, in an epidural, a hollow needle and a catheder are inserted into space between the spinal column and the outer membrane of the spinal cord (EPIDURAL space). Hence the name "epidural".
The dura (sack containing the spinal cord and also the spinal fluid) is surrounded by the epidural space. So, when placing a lumbar puncture needle ("spinal" needle) successively through: the skin of the lower back, the underlying fat, the ligaments that run vertically between the spinous processes of the spine, it will have to go across the epidural space, then puncture the dura and enter the spinal fluid, a few milliliters of which is then sent for laboratory testing.
The standard procedure for lumbar epidurals is 3 injections over a 3 week period. However, if the patient hasn't shown any improvement or relief after the second week, surgical options are considered. As long as the patient is improving, a doctor can make the decision to push the option a bit further.If your doctor is proceeding with another injection, you must be responding. In any case, painful though they may be, epidurals are nothing compared to spinal surgery, and you should avoid any surgical option as long as other therapies are working.
It means they didn't find anything unusual during the CT scan (Computed Tomography) after the Myelogram dye injection.
lumbar subluxation
A sprain of the lumbar vertebrata.