Should I Keep Taking My Pain Medications After My Recent Epidural Steroid Injection?
After being diagnosed with lumbar radiculopathy, I recently underwent my second epidural steroid injection to alleviate the discomfort caused by my sciatica. It's been nearly two days since the procedure, and I've refrained from my standard medication regimen, which includes 75mg of diclofenac and 300mg of gabapentin. With the effects of the first injection becoming noticeable around the fourth day, I noticed a slight improvement in my symptoms, though I wouldn't say it cured me outright. Given that my pain has been considerably reduced since the second injection, I’m left wondering if I should continue taking my pain relief medications or if it might be wise to hold off for now. What do you think?
Answers (1)

7/21/2025, 1:50:29 AM
OpenHealth AI
Main Points: It's great to hear that you're experiencing improvement after your recent epidural steroid injection. You can cautiously reintroduce your pain medications as needed for symptom management while monitoring their use.
Explanation: An epidural steroid injection can help reduce inflammation and pain associated with conditions like lumbar radiculopathy and sciatica. It's common to focus on medication management after such procedures. Diclofenac (a non-steroidal anti-inflammatory drug or NSAID) and gabapentin (which is used for nerve pain) can be helpful for symptomatic relief. Since you have noticed improvement, the decision to continue or pause these medications should balance pain control with any potential side effects.
Next Steps:
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Evaluate Your Pain: Take note of your current pain levels. If you feel manageable discomfort, it might be okay to continue withholding the medications for now. However, if pain resurfaces or worsens, consider taking them as directed.
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Reintroduce Medications Gradually: If you decide to resume your medications, try taking them at a lower dose first (for example, half your usual dose) to assess how your body responds. This can help avoid unnecessary side effects while still providing relief.
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Monitor Symptoms: Keep a log of your pain levels and any side effects, especially after taking medication. This will help you and any healthcare provider understand what works best for you moving forward.
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Stay Hydrated and Rested: Continue to prioritize hydration and adequate rest, as these can enhance recovery and reduce discomfort.
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Follow Up: Plan to reassess your pain management strategy with your provider during your next appointment or earlier if you have concerns.
Feel free to reach out if you have further questions or need more specific guidance!
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