Epidurals

Yes, it is possible to receive two epidurals during labor if needed. An epidural can be topped up or replaced if the initial dosage wears off or if additional pain relief is required. However, the decision to administer a second epidural will depend on the patient's condition, the healthcare provider's judgment, and the specific circumstances of the labor. Always consult with your healthcare team for personalized advice.

Ciprofloxacin (Cipro) is not specifically contraindicated with epidural injections; however, caution is advised when using systemic antibiotics in patients undergoing procedures like epidural injections. The primary concern is the potential for increased risk of infection or complications. Always consult a healthcare professional for personalized medical advice.

A steroid epidural in the spine involves the injection of corticosteroids into the epidural space, which is the area surrounding the spinal cord and nerve roots. This procedure is primarily used to reduce inflammation and alleviate pain caused by conditions such as herniated discs, spinal stenosis, or sciatica. By decreasing the swelling around the nerves, it can provide significant relief from pain and improve mobility. However, the effects can vary, and it is often used in conjunction with physical therapy or other treatments.

Yes, you can have an epidural if you have shingles, but it depends on the severity and location of the shingles outbreak. If the shingles rash is near the site where the epidural would be administered or if there are complications like postherpetic neuralgia, it may not be advisable. It's crucial to discuss your specific situation with your healthcare provider to determine the best course of action. They will assess the risks and benefits before proceeding.

No, epidural injections do not make your butt sink in. Epidural injections are a common medical procedure used to relieve pain and inflammation in the spine by injecting medication into the epidural space surrounding the spinal cord. The injection does not affect the muscles or structure of the buttocks in a way that would cause them to "sink in." It is important to follow proper post-injection care and consult with a healthcare provider if you have any concerns.

During labor.

Epidural analgesia, sometimes called an epidural block, causes some loss of feeling in the lower areas of your body, yet you remain awake and alert. An epidural block may be given soon after your contractions start, or later as your labor progresses. An epidural block with more or stronger medications (anesthetics, not analgesics) can be used for a cesarean delivery or if vaginal birth requires the help of forceps or vacuum extraction. Your doctors will work with you to determine the proper time to give the epidural.

Depends. If you have a very straightforward, low risk pregnancy and are not group b strep positive, your baby's heart rate is normal and he/she is active, and there are no other concerns the general rule is:

If you are a first time mom (primipara) you should be 3-4 cm with regular, strong contractions. If you have delivered vaginally before you are usually admitted if you are 4-5 cm with regular strong contractions.

There are many reasons you may receive an epidural injection including back injuries. If you need to fly after receiving one you should contact your doctor for specific instructions. In general, you can fly a few days after receiving the injection.

Is 4 cm considered active labor ?

they use a small needle and make the area numb,then they insert a larger hollow needle into the back,they then thread a catherder into your back,gently remove the larger needle,the cathader stays in place and gives you numbing medicine as you need it-then after the baby is born they gently remove the cath..

Yes

John Bonica was a pioneer and stalwart figure in pain medicine but he did not discover the epidural. Epidural anesthesia and analgesia had been around for many years. It is difficult to pinpoint who 1st described the technique. The 1st use came at the turn of the 20th century when numerous people attempted epidurals for surgical procedures but were met by failure. Over many years articles were published describing "caudal" anesthesia and analgesia which is a cousin to epidurals. Continuous "caudals" were 1st used in the 1940's where the needle would be left in patients for a period of time and a drip of local anesthetic infused into them.

Dr. Bonica has many achievements and is credited with the 1st obstetric epidural in the Pacific NW. His wife nearly died in childbirth from open drop ether anesthesia and for the birth of his 2nd child Dr. Bonica placed an epidural into his own wife.

very rare but possible yes

No. The medication is assimilated (absorbed) by the body. The amount of time it takes to absorb depends on the type of medication being administered. The amount of relief provided depends not only on the type of medication, but the amount, and the condition being treated. Do not forget about individual physiology. No two people react identically to the same treatement.

By definition an epidural is a shot that goes into the epi-outmost, dura- part of the spinal cord. In simple terms it is a long needle place between your back bones into the edge of the spinal column. An IV is place intravenously; meaning in the veins. There is medication for pain that can be given IV if one does not want and epidural. However, medication given in the blood stream may affect unborn children whereas medication in the spinal column does not.

Epidural analgesia, sometimes called an epidural block, causes some loss of feeling in the lower areas of your body, yet you remain awake and alert. An epidural block may be given soon after your contractions start, or later as your labor progresses. An epidural block with more or stronger medications (anesthetics, not analgesics) can be used for a cesarean delivery or if vaginal birth requires the help of forceps or vacuum extraction. Your doctors will work with you to determine the proper time to give the epidural.

An epidural block is given in the lower back into a small area (the epidural space) below the spinal cord. You will be asked to sit or lie on your side with your back curved outward and to stay this way until the procedure is completed. You can move when it's done, but you may not be allowed to walk around.

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Please recheck your spelling to ensure word is spelled correctly. I will add to my watchlist. very respectfully

Head swelling, asperation,as well as sudden urge to quit playing (for children),

They typically won't do any more than 9 total epidurals (that includes multiple injections for the same problem) per year due to the effects steroids have on the body and bones. Usually if you're that bad, they'll start looking at other alternatives anyway.

Assuming the problem can be handled with them, Facet injections use less amounts of steroids and are more effective since the procedure is targeted using a Fluoroscope (real-time X-ray machine) and catheter needle to target the problem disk. The pain is about the same, but it doesn't last as long as an epidural, since the needles aren't as big as steel shanks. If you've never seen the size of the needle they use in an epidural, don't ever ask to see one.

1930's by Dr. Bonica