History of failed epidural injections
I suffered a fracture of L1 during military training in 1987; however, it was not diagnosed properly until 4-5 years later when I sciatica down the left extremity started and a private MD figured out the cause. Between 1999 and 2005, I endured 4 lumbar epidural series of 3 injections each getting almost no relief from them. My blood sugars and night sweats were miserable, though.
Now, in addition to extensive spondylosis and degenerative facet joint disease as well as multi-level degenrative disc disease from T5 to S2, I have multi-level central canal stenosis from extruded discs at levels L3/4, L4/5 and L5/S1, L5/S1 being the worst on film. Several months ago, my left hip started having spasms caused by fatigue (30 seconds or more on my feet, with or without my cane). A Hip ortho specialist concluded that the hip joint itself was clean and no bone reason for the spasms. He strongly suggested the stenosis and the extruded material was placing pressure on a different part of the nerve roots which was causing the increased pain, weakness, and spasms--some of which have caused me to fall.
My pain manager has suggested we try caudal epidurals injections, but I'm hesitant because of the diabetes and the poor track record of epidural injections. Does anyone have any information on the caudal epidurals or personal narratives regarding their own experiences? I need more info before I make a move.