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L5/S1 Nerve Root Injection

This is a discussion on L5/S1 Nerve Root Injection within the Diagnostic Tests & Spinal Injections forums, part of the General Spine Discussion Forums category; CL, Norco is the same as Vicoden, except with less APAP. A true Vicoden is 5mg Hydrocodone and 500mg APAP. ...

  1. #31
    Senior Member Dave's Avatar
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    CL,

    Norco is the same as Vicoden, except with less APAP.

    A true Vicoden is 5mg Hydrocodone and 500mg APAP. Vicoden ES is 7.5/750 and Vicoden HP is 10/750.

    Norco has 3 strengths, 5/325, 7.5/325 and 10/325. Since APAP levels over 4000mg a day can cause liver damage, Norco allows higher doses of Hydrocodone with less risk.

    Justin, please correct me if this is not correct.
    Dave

    Diagnosed with DDD in Nov, 2007. MRI, EMG
    C3/4 C4/5 C5/6 C6/7
    Surgery 06.04.08--C5/6 and C6/7 w/Prodisc
    C4/5 deterioration progressing quickly
    MRI on lumbar shows disc herniation at L5/S1, stenosis at L3/4, L4/5, spondylosis and DDD at L2 through S1 in July, 2009
    Nerve Root, Facet Injections and Epidural every 3 months. Ongoing treatment for continued degeneration.


  2. #32
    Moderator KBear's Avatar
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    I'm on 10/325 also, for the lower dosage of tylenol. My bottle says norco; but I just say vicodin, since that's universally understood by all.

    Also, Vicodin is sold under many names, depending on the maker. I have heard it called lortab, hydrocodone, and norco. I think there are more names; but none coming to mind right now.

    Here is what drugs.com has for names of it: Brand Names: Anexsia, Dolorex Forte, Hycet, Liquicet, Lorcet, Lortab, Maxidone, Norco, Polygesic, Stagesic, Vicodin, Xodol, Zamicet, Zydone
    31 years old-
    1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!
    Mommy to Emma- 8 years, Ava- 5.5 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

  3. #33
    Founder / Administrator Justin's Avatar
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    Quote Originally Posted by Dave View Post
    CL,

    Norco is the same as Vicoden, except with less APAP.

    A true Vicoden is 5mg Hydrocodone and 500mg APAP. Vicoden ES is 7.5/750 and Vicoden HP is 10/750.

    Norco has 3 strengths, 5/325, 7.5/325 and 10/325. Since APAP levels over 4000mg a day can cause liver damage, Norco allows higher doses of Hydrocodone with less risk.

    Justin, please correct me if this is not correct.
    Dave, you are correct.

    Here's a recent article about lowering the maximum daily dose to 2600 mg from 4000 mg and other proposed FDA restrictions on acetaminophen --> Click Here.

    Personally, I choose oxycodone hcl 5mg pills over anything with acetaminophen (APAP) in it--it's easy to get close to the daily maximum dosage when taking medications for pain, especially if you are sick and on over-the-counter medications that contain acetaminophen.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization

    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997, 17 years old: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003, 23 years old: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009, 29 years old: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  4. #34
    Moderator Cindylou's Avatar
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    Oh, here's the answer. Thank-you.
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

  5. #35
    Senior Member Dave's Avatar
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    OK. So I sit in the waiting room of their new multi-million dollar complex for 45 minutes. You'd think they could spend a extra couple grand on decent Steelcase or Haworth chairs. Not? I finally get called in to see my "hero" , that's what I call Dr. Hamati (he did a awesome job on my cervical problem) . He walks in, shakes my hand and asks how I feel. I tell him about 60% better. "That's about what I figured you'd get out of the injection" he says. At the level of degeneration I have, that's about all I'll get for now. He upped my Norco again, added Naproxen twice a day and scheduled another appointment in six weeks. At that time if I am still feeling the way I do, he is going to order an MRI and go from there. He also told me that the injections and meds are only going to mask a situation that will continue to get worse. In other words I will need surgery. I have to hold out until next spring for financial reasons. He said we could probably get there, but not much longer.

    Ever have one of those days that just depress the out of ya, well today is that day. Besides my company changing management to some snot nosed know it all, to finally face the reality that although I'm not old, my back is ancient. I just gotta remember what I tell everyone else, "someone's got it worse". I know.....

    Tomorrow is a new day and God willing, I will live to see the sunrise again.

    Peace out my friends.
    Dave

    Diagnosed with DDD in Nov, 2007. MRI, EMG
    C3/4 C4/5 C5/6 C6/7
    Surgery 06.04.08--C5/6 and C6/7 w/Prodisc
    C4/5 deterioration progressing quickly
    MRI on lumbar shows disc herniation at L5/S1, stenosis at L3/4, L4/5, spondylosis and DDD at L2 through S1 in July, 2009
    Nerve Root, Facet Injections and Epidural every 3 months. Ongoing treatment for continued degeneration.


  6. #36
    Founder / Administrator Justin's Avatar
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    Quote Originally Posted by Dave View Post


    OK. So I sit in the waiting room of their new multi-million dollar complex for 45 minutes. You'd think they could spend a extra couple grand on decent Steelcase or Haworth chairs. Not?
    So very true with many clinics.

    Quote Originally Posted by Dave View Post
    He also told me that the injections and meds are only going to mask a situation that will continue to get worse. In other words I will need surgery. I have to hold out until next spring for financial reasons. He said we could probably get there, but not much longer.

    Ever have one of those days that just depress the out of ya, well today is that day. Besides my company changing management to some snot nosed know it all, to finally face the reality that although I'm not old, my back is ancient. I just gotta remember what I tell everyone else, "someone's got it worse". I know.....

    Tomorrow is a new day and God willing, I will live to see the sunrise again.

    Peace out my friends.
    Dave, sorry for your crappy day and the fact that you need another surgery next spring. Dr. Hamati is an outstanding surgeon and I'm glad that he will be helping you in the future. Please let the community know what we can do to help you between now and next spring.

    As always, I can be reached by PM and email. Hang in there.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization

    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997, 17 years old: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003, 23 years old: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009, 29 years old: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  7. #37
    Moderator KBear's Avatar
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    Sorry Dave that you need another surgery and are feeling crappy. It's very hard to try and stay positive when life seems to be falling apart all around you (and inside you). I always have my 'sad day' then the next day, decide to do what I can do to get better. Good Luck and I will be praying for you.
    31 years old-
    1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!
    Mommy to Emma- 8 years, Ava- 5.5 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

  8. #38
    Senior Member Dave's Avatar
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    Pain is back with a vengeance. Taking 5-6 10mg Norcos a day just to function. I will be glad when Oct 6th gets here, so I can start to better understand what approach we are going to take to fix this broken down machine.


    I started to read a bunch of older posts and something struck me. We are all always saying that this is a roller coaster ride, well I have come to the conclusion that this is absolutely correct. One day up and the next down.

    One of my co-workers asked how my back was doing and I told him it's "FUBAR". After a good laugh, he said that it must take a very strong person to deal with this everyday. Hummm. Never thought about that but I guess it is true. If nothing else, this pain has taught me that we can handle anything that is thrown at us.
    Dave

    Diagnosed with DDD in Nov, 2007. MRI, EMG
    C3/4 C4/5 C5/6 C6/7
    Surgery 06.04.08--C5/6 and C6/7 w/Prodisc
    C4/5 deterioration progressing quickly
    MRI on lumbar shows disc herniation at L5/S1, stenosis at L3/4, L4/5, spondylosis and DDD at L2 through S1 in July, 2009
    Nerve Root, Facet Injections and Epidural every 3 months. Ongoing treatment for continued degeneration.


  9. #39
    Senior Member daveinaustin's Avatar
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    Funny how we use "FUBAR," foo, and bar all the time in my field as well!

    It's hell taking Norco 10/325 x 6-8 per day and trying to eek out a living, but we do what we have to.

    Have you tried Flector patches? They are a strong anti-inflammatory (NSAID) that you can apply to your lower back. The combination of flector patches and Norco 10/325 has been quite helpful.

    -Dave
    Discectomy/Laminotomy, 1999
    L4-S1 DDD, 10/06
    Stalif Fusion L5-S1, 3/07
    Intrepid Fusion L4-L5, 7/08
    Increasing pain since solid fusing, 1/09
    Bilateral Transforaminal Injections 3/09
    Facet Joint Injections (L3-S1) 4/09
    RF Ablation (Medial Branch) 5/09
    CT Scan, MRI w/ contrast (no new info) 5/09
    Latest:
    - I wake up with no pain
    - Stand/sit for 15 mins., pinching pain begins
    - Pain at center, core L4-L5
    - Lying down, pulsing/throbbing pain for 2-3 hours
    - Taking 6-8 Norcos/day
    SCS Implant 8/31/09

  10. #40
    Founder / Administrator Justin's Avatar
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    Quote Originally Posted by Dave View Post
    One of my co-workers asked how my back was doing and I told him it's "FUBAR". After a good laugh, he said that it must take a very strong person to deal with this everyday. Hummm. Never thought about that but I guess it is true. If nothing else, this pain has taught me that we can handle anything that is thrown at us.
    Dave, the FUBAR comment made me laugh out loud. Seriously though, sorry about your current pain. Your co-worker hit the nail right on the head -- you are a very strong person to deal with your pain daily. Hang in there.

    Quote Originally Posted by daveinaustin View Post
    Funny how we use "FUBAR," foo, and bar all the time in my field as well!

    It's hell taking Norco 10/325 x 6-8 per day and trying to eek out a living, but we do what we have to.

    Have you tried Flector patches? They are a strong anti-inflammatory (NSAID) that you can apply to your lower back. The combination of flector patches and Norco 10/325 has been quite helpful.

    -Dave
    Dave, daveinaustin brings up a great point about Flector patches. One nice thing about the Flector patches is that they work locally. :thumpup:

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization

    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997, 17 years old: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003, 23 years old: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009, 29 years old: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

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