Post-epidural.

I wrote yesterday about waiting to receive a CT guided epidural spinal injection to treat the constant lower lumbar and sciatic pain I have been suffering due to further degeneration of the disks on my spine.

Actually, I do try really hard not to walk like that …

I am sincerely touched and thankful for every message of support and encouragement that I have received since publishing that post.

In the light of the fact that there are some good medical sites available but relatively few “this is what it was like for me” posts to be found, this post is intended to address that imbalance.

When I got to the treatment room, I was provided a hospital gown and asked to change. I was able to leave my underwear on, so I wasn’t completely exposed.

I was then invited to lie face down/on my stomach on the Ct scanner table. The nurse and radiologist helped me to get as comfortable as I could, reminding me that I wouldn’t be able to move during the scans and injections.

Once I was settled, they did some test scans to give the doctor initial images to work with.

When the doctor came in and introductions were done, he proceeded to wash my lower back with iodine and prepare the injection site.

That was all completely fine until we got to the initial local anaesthetics. Knowing I couldn’t move, I gritted my teeth and made some indiscriminate grungy noises that communicated more than “ouch”.

Then came the insertion, at a precise location in my lower back, of the needle and cannula for the delivery of the rest of the injections.

“Just a scratch now,” said the doctor.

In response, I laid very still but made more ugly noises.

“How is that?” he asked me.

Showing significant restraint, I responded with “I’m not sure what scratches you, but it’s very different than anything that usually scratches me.”

He didn’t say anything, but the nurse and radiologist laughed at that, which I found rather satisfying: I may be lying prone and vulnerable while a very clever person with a tendency toward understatement sticks sharp, pointy things into my spine, but I’m still hilarious.

The radiologist scanned my back again to make sure the needle and cannula were in the right place, and the doctor proceeded to administer the prescribed anaesthetic and steroids.

In the course of the procedure, counting anaesthetics and steroids, the doctor made multiple injections .
It wasn’t unbearable but it definitely wasn’t painless. I wouldn’t have wanted it to happen without the local anaesthetics, but I could still feel the injections.

After the procedure, I had to lie down with my upper body elevated for about 90 minutes before being declared able to go home.

The advice given to me before being allowed to leave was as follows:

  • Do not lie flat for 12 hours as nobody wants the anaesthetic heading north instead of south, which could cause significant complications.
  • When the local anaesthetics wear off, I would probably not feel both my original pain and some pain around the injection site. .
  • The injection usually takes 2-3 days to start taking effect. Full effect is generally reached after 10 days to 2weeks.
  • Rest for a couple of days to give things the best chance of healing.
  • The injection deals with the symptoms, not the actual degeneration in my back. I will still have the same limitations as before, but hopefully with a lot less pain.

I came home feeling quite tender and a bit jelly-legs, which I am told is normal.

I spent the afternoon and evening in my recliner with my feet up, changing the angle of the chair every now and then. I made sure I drank plenty of water, and that I got up regularly for necessary short walks.

I have experienced an increase in my fibromyalgia pain — which is a different kind of pain altogether from my back and sciatic pain, so it is easily distinguishable. Such pain flares are totally standard whenever my body experience stress or trauma. It’s fair to say that’s not helpful in the sleep department m, either.

Twelve hours later, the injection site is fairly painful , so lying on my back and trying to sleep isn’t much of an option right now. Some bruising is coming out, but I haven’t had any bleeding from the injection site. There is no significant swelling, redness or heat in the area, so I am assuming this is just par for the course and not anything I need to follow up.

It was a great relief to get into bed and lie down, albeit with an extra pillow, but even with my usual pain medication, sleep seems unlikely at this point. Not only am I a rubbish sleeper at the best of times, I have to lie on my back to sleep — I can’t ever sleep on my side or stomach because it’s just too uncomfortable for my back. So, 2.43am seemed like an opportune time to write an update post.

I am really hoping that I do see some improvement over the next couple of days, and that some consistent relief from pain is imminent,

Stay tuned.

And On The Third Night, She Slept

Never underestimate the blessing of sleep!

Two nights of almost zero sleep had left me way beyond forswunk and very near completely useless by Thursday afternoon. 

A frequent flier on Air Insomnia, I have been through this before. I’ve always been a lousy sleeper, and ever since chronic back pain and fibromyalgia became part of my life, they have always been quick to join the party and keep me awake long after I wish to be unconscious.

So, as I have done so many times before, I just kept going. I taught my classes with the same degree of professionalism and confidence that I demonstrate every other day, with the help of only marginally more caffeine than usual. 

Once classes were done and my work for the day was finished, my recliner was my refuge. I put on a podcast and closed my eyes… and still didn’t sleep. Discouraged but comfortable, I just stayed there and rested… like I had a choice. 

A very early night was definitely in order, and I made sure I got one. Still awake at 11pm, I tried not to think about the state I would be in after another sleepless night. That kind of thinking doesn’t help anyone fall asleep, ever. So, I closed my eyes, listened to my regular radio program, and tried to slow my breathing and my thoughts. 

I drifted off at some point after midnight. Seven glorious hours later, I woke up when my alarm went off. 

Such relief! I feel so much more able to do what the day demands and meet any challenges that might come along. 

There is a reason they use sleep deprivation as torture, after all. It can be physically painful and psychologically overwhelming. I’m so thankful for the sleep I got last night, and I certainly hope that particular cycle of insomnia is finished. 

And now, I go once more unto the breach, dear friends. Online classes, lesson planning and my email inbox await me, and I must imitate the action of the tiger. 

Vetiver Oil: A Grass Roots Therapy For Better Sleep

If you suffer with insomnia, or if you have trouble relaxing at night, you might find this post helpful.

An Aussie Maple Leaf, adrift on the wind...

One of my most consistent problems with sleeplessness is that I can be totally exhausted, but still unable to actually drop off to sleep. 

That’s mostly because of my fibromyalgia, but it is complicated by back pain on those nights when my pain relief medication fails to cut the mustard, as it sometimes does.

Because I know from past experience that prescription sleeping medication causes my whole system to lag, and because of the strong pain killers I need to take for my back as well as my fibro, I feel very strongly about not having those other drugs in my regime.

So,I recently visited my friendly local alternative health practitioner and asked, “What can you suggest to help me sleep?”

She suggested Vetiver Oil, diluted in fractionated coconut oil. The instructions say to apply it under both big toes and to the wrists, to inhale deeply on going to…

View original post 284 more words

How can insomnia be a good thing?

This post struck a chord with me. I hate my insomnia, but because of it, I have written some incredible poetry at 3am.

I do try to manage it, and to practise good sleep hygiene, but sometimes my pain levels and my brain conspire against me.

On those night when I am not able to write, I find listening to talkback radio, a podcast or an audiobook helps me to relax and and least rest while I am awake.

I’d love to know what works for you.

Painsomnia and sleep deprivation

The term ‘painsomnia’ is perfect for describing the impact of chronic pain on the sleep patterns of those who live with conditions like Fibromyalgia.

This post touches on so many aspects of my life with both Fibromyalgia and back pain.

I’m thankful to The Brainless Blogger for writing so clearly and honestly what many people struggle to explain.

If someone you know has a chronic pain condition, you need to read this and share it with everyone you know.

Brainless Blogger

So I’m going to start with this tidbit: The brain literally starts eating itself when it doesn’t get enough sleep.

AHHHhhhhhh!!!!!!! My brain is EATING itself. WTAF!

Not cool.

Painsomnia and sleep deprivation

Other issues with sleep deprivation can include:

  1. Impacts short-term and long-term memory
  2. Concentration becomes impaired along with problem-solving abilities and even creativity
  3. Mood instability- obviously lack of sleep can make a person cranky as all hell. But long term it can be comorbid with anxiety and depression and make depression more intense
  4. Less than 5 hours a night can cause your blood pressure to increase
  5. It increases your risk for Type 2 Diabetes
  6. It increases the risk of heart disease
  7. It can lead to poor balance and increase the likelihood of falls
  8. Affects immune system and it may take you longer to recover from illness
  9. Increases the chances of obesity (source: Healthline)

And if that were not enough there is…

View original post 1,366 more words