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Cortisone Shot For Sciatic Pain



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Im scheduled for vsg on July 21st, I am currently on my 10 liquid liver shrinking diet. My sciatic nerve pain is horribly painful & costing me sleep. Would I be allowed to get a cortisone shot this close to my surgery date? My situation is a little different, I am a veteran & my wls will be performed by a VA surgeon about 350 miles away. Separate from the VA, I also have private insurance & would be using a local provider that has given me a cortisone shot about 9 months ago. I just want to make sure it's safe & wouldn't hinder my wls date.

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Can you call your wls team and ask them? I also have sciatica and see a chiropractor. Would that be an option for you? Or possibly acupuncture? Just trying to think of other options besides the shot

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that would be a question for the surgeon.

I had a cortisone shot before my surgery - but I did ask my clinic before I had it. It was about two or three weeks before the surgery, I think.

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I would definitelt ask the surgeon - I also have sciatica, and know that epidurals or courses of methylprednisone definitely affect the immune system, which could be a concern for a major surgery. good luck, I know that is very painful!

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Also, my experience with steroids for sciatica were pretty significant weight gain. Did any of you experience that?

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Thanks so much for all of the tips. I am going to try to tuff it out until after surgery. Surgery is definitely my primary focus. In the meantime I may try a massage therapist , I have one in the family, so maybe that will offer some temporary help. Steroid shots alone didn't affect my appetite, but holy crap the prednisone pack sure did!

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41 minutes ago, Hcat said:

Thanks so much for all of the tips. I am going to try to tuff it out until after surgery. Surgery is definitely my primary focus. In the meantime I may try a massage therapist , I have one in the family, so maybe that will offer some temporary help. Steroid shots alone didn't affect my appetite, but holy crap the prednisone pack sure did!

steroid shots never affected my appetite, either.

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Just wanted to update my situation incase it will help others. Of course no sciatica pain while in hosp under morphine. 6 days after I was home it was so painful I couldn't sleep, my pcp said getting a cortisone shot this early could hinder the incisions from healing & if all healed well I could possibly get the shot 4 wks out. In the meantime he prescribed a muscle relaxer & pain pill more potent that tramadol. But I can't take the pain meds, makes me nauseous, I never did do well with pain meds. It still acts up but is tolerable to get a short nites sleep.

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I had sciatica frequently before VSG. Visit to chiropractor always relieved it in one or two visits. I never required any steriod injection. Now after 50 pounds weight loss, I have had no recurrence of sciatica or low back pain. I couldn't walk before without recrrence but now walk 2 miles everyday.

Stats: 5'1", age 67, female. Highest weight: 245. BMI 41. Surgery Date: May 28, 2020. Weight at surgery: 211. VSG.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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