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steroid jab compromises healing? Options
Sheila-R
#1 Posted : Friday, April 19, 2013 9:43:40 PM Quote
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Just come out of hospital after having a successfull discectomy and decompression of the spine, however they tore the dura which meant I had a spinal leak which was patched and just required me to lie flat or 4 days in hosptial. Eventually released after a week but I went in with a flare of the knees and shoulder and the knee is still hugely swollen and unable to bear weight. In the past I've had the fluid removed and a steroid jab and a couple of days off it and magic. I asked if someone could do this whilst I was in and told no by the spinal surgeon as the steroid jab would compromise and slow the healing process of the dura .
Whilst I hate to question a spinal surgeon, I did feel he knew nothing about RA even when I told him that my back complete with drains coming out of it after the op hurt less than the RA of the shoulders from being laid face down on the operating table for 4 hours and my knee he just said I'd have to put up with it. I have a spinal appointment in two weeks but am now worried that he's going to say again wait to have the knee done.
Has anyone else had a similar experience and is it true that steroid jabs prevent healing. I also take 5mg of oral steroids daily and the actual back and where they went in has healed beautifully.
I know that if I rang the rheumy team the'd get me in within a few days to have the knee drained and sorted, but would they understand about the spinal leak?
I suppose the saving grace is that physio gave me a pair of elbow crutches to keep my back straight, but can't walk far with them as they hurt my elbows and shoulders, sorry I'm just being a moaning minnie. Does anyone else have problems with crutches?

Best wishes
Sheila
lizzieuk1
#2 Posted : Saturday, April 20, 2013 8:33:56 AM Quote
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Hi sheila, gosh bit of an ordeal for you and so unlucky the dura was damaged. I think the surgeon was right though dural damage can potentially be pretty nasty with the risk of infection to the brain so really he was balancing that with the ra pain- I really feel for u though there's no easy answer in that situation. I'm sure u can get the knee drained and a local steroid to calm it down. Don't worry too much regards the rheumy and not understanding ur surgery they can and should call the spinal doc to discuss any potential risks.best to call them so u can get things a bit better. I think the crutches are tricky but worth u calling the physio as there may be a more comfortable alternative. Fingers crossed things improve for u soon.xx
zena_mary
#3 Posted : Saturday, April 20, 2013 8:32:10 PM Quote
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Hello Sheila, So sorry to hear you've had this trouble and can't get the flare sorted.
I am just posting to say that I have heard that steroids can prevent healing.
A friend needs her hip replacing but is on quite a high dose of steroids for another condition and has been told that the steroids may do this. As she can not manage without the steroids she has had to put off the op.
I hope you will heal soon and get back on track.
Zena x
Paula-C
#4 Posted : Sunday, April 21, 2013 3:02:29 PM Quote
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Location: Nottinghamshire
Hello Sheila

Sorry to read that you are in pain, hope that you are feeling better today.

I rang my RA nurse up once and asked for a steroid injection. She asked how I was feeling apart from the RA flare. I told her that I'd had a sore throat on and off for a week or so (I've since realised that this happens when I'm flaring), anyway, she told me to see my GP because if I had a throat infection the steroid injection would make it worse. Probably the doctor is just being safe rather than sorry in not letting you have a jab.

I see from the where are you thread that you live in Nottingham. I live about 12 miles away in Sutton in Ashfield.

Paula x
sylviax
#5 Posted : Monday, April 22, 2013 9:44:01 AM Quote
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Hi Sheila - that's a complicated set of procedures - I'm not surprised the spinal surgeon is treating his bit very cautiously. It's definitely worth having a chat to the rheumy - as you're presumably not very mobile atm, it maybe useful if you email his/her secretary and explain your situation, then the 2 consts can confer and decide a way forward.

And by the way - moan all you like!!! it's the best bit about the forum - let off steam, you'll feel so much better after a good ole rant!

Hope your elbows are bearing up - cheers - Sylvia xxx
Be kinder than is necessary because everyone you meet is fighting some kind of battle
Sheila-R
#6 Posted : Monday, April 22, 2013 9:17:22 PM Quote
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Thanks everyone for your replies, and yes I understand now that one bit of me needs to be healed before the next bit can be fixed. I'm also feeling a bit brighter, I think there are just a few times when everything gets you down and you wonder whether it will ever get sorted.
Also I bit the bullet today and rang the rheumy team leaving the details, I expect they will get back tomorrow and hopefully can give me some advice. I haven't had a bad flare for ages maybe I need a review of medication as the imatinib I'm on for something else worked wonders for the RA for around 15 months but doesn't seem to want to play ball at the moment.
It didn't help that the physio in hospital for my back had a look at my knees and said the joints were very unstable and I'd be having new knees next , I don't want new knees I want these to be okay, but I guess we are all in the same boat when it comes to what we wish for and what is reality.
Best wishes
Sheila
ps Paula, I go to QMC for rheumatology, are you the same or at Kings Mill?
Paula-C
#7 Posted : Sunday, April 28, 2013 11:48:19 AM Quote
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Location: Nottinghamshire
Hello Sheila

I go to Kingsmill. I'm lucky it is only a few minutes drive away. In fact when I had my dog Lucy (Pre RA Days), I use to walk around the reservoir in front of the hospital every day!!!

Would hate to think that I had to go to QMC, driving around that busy ring road and then having to find somewhere to park. If it's a nice sunny day I could walk to my appointment.

Paula
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