The benefits from the first shot only lasted 2 weeks. The second and third set of injections lasted about 90 days. In November, I was ready to have surgery. My EMG and nerve conduction tests proved that the nerves were "sleeping" before I was. After another MRI, the neurosurgeon said I was a candidate for surgery but I was not able to get the endoscopic type surgery that is less invasive. I would have an incision about 6-8" long. Along with removing the herniation, they would have to increase the size of the hole where the nerve roots were going through.
For many people, back pain goes away on its own or with nonsurgical treatments. Epidural steroid injections shouldn't typically be used as a first-line therapy for back pain relief, but that doesn't mean they can't play a role in treating pain. But injections won't cure the underlying cause of back pain, and they provide only temporary relief. Unfortunately, in many cases, chronic back pain can't be cured, but must instead be managed, like other chronic conditionsand patients must have realistic expectations of what epidurals can do.
I have some info. I developed this same ileopsoas tendinitis two weeks after left hip and two weeks after right hip replacement. The surgeon denied it could be the hip causing this. He sent me to a rheumatologist and low back surgeon, wasting my money. He is considered the best surgeon in the state! He got so frustrated with me. The pain became so severe I could barely walk. I was in misery. Finally, he put cortisone in the trochanter bursa and the pain went away in a couple days. When the same pain occurred after the second hip, I got the cortisone. I have also tried cortisone directly into, by ultrasound, the tendon. That did not work any better than just doing the bursa. So every three months for five times each hip, I got cortisone. I went to PT and stretching made the pain severe and debilitating. I also had several dry needling from the PT which did nothing.