Experiencing Aftereffects of a TFESI Injection: Is It Normal?
Earlier this week, I underwent a TFESI injection in my lower back on Wednesday morning. Since then, I’ve been feeling quite unusual, and it has caused me some concern. I’m not exhibiting any of the typical symptoms they advised me to look out for—I don’t have a fever, I’m not suffering from intense headaches, nor do I experience any neurological issues. However, I wasn’t informed of anything beyond those symptoms, leaving me unsure about what I’m going through. Here’s a summary of my current sensations: I’m experiencing tingling in both my arms and legs that feels like a continual internal fluctuation of warmth and coldness. It resembles that moment when you’ve slept in an awkward position, cutting off circulation, and then begin to move again. This sensation is relentless. While I wouldn’t classify myself as dizzy, there’s a subtle wave-like sensation of imbalance in my head, distinct from my legs. My tinnitus, which I've dealt with for several years, has intensified dramatically—it’s now a loud, continuous roaring sound. Generally, tinnitus can be bothersome, but this is on another level entirely. Moreover, I’m feeling pressure and throbbing in my sinuses and eyes. My face feels overly warm, yet it doesn’t appear red. Fatigue has set in deeply; it’s not just regular tiredness, but every simple task feels excessively taxing. Walking to the kitchen feels like a daunting journey. I’m also experiencing intermittent waves of nausea. Though I can eat, there are times when I feel as if I might become sick again. I notice a steady but mild headache, with no neck discomfort accompanying it. The only information I’ve found online regarding potential post-injection reactions leads back to severe scenarios that would require immediate medical attention. So, I’m left wondering—is what I’m experiencing typical? Could it be unrelated? Should I simply wait it out? For context, I am 54 years old and currently take 10mg of lisinopril and 300mg of gabapentin.
Answers (1)
9/6/2025, 10:10:38 PM
OpenHealth AI
It's understandable to feel concerned about the sensations you're experiencing following a TFESI (transforaminal epidural steroid injection). While you are not presenting with severe symptoms that warrant immediate medical attention, it's still important to interpret what you're feeling and find relief.
Main Points:
- Post-injection sensations can vary: Tingling, fatigue, intensified tinnitus, and sinus pressure aren’t uncommon after a TFESI, but it's essential to monitor these symptoms.
- Connected symptoms: The combination of your experiences may relate to factors like medication effects, anxiety, or changes in your body after the injection.
- Consider supportive measures: There are steps you can take to alleviate some discomfort and monitor your condition effectively.
Explanation:
The sensations you describe following your TFESI can be attributed to a variety of reasons. While some individuals experience no side effects, others may feel different sensations due to the injection's impact on nerve pathways or medication interactions. Tingling in your arms and legs, changes in tinnitus, and feelings of imbalance can occur and may be temporary as your body adjusts. The sinus pressure and fatigue may also stem from reactions to the injection or stress.
Your current medications (lisinopril and gabapentin) can have side effects that might magnify these feelings but are unlikely to be the sole cause. Gabapentin, for instance, is often prescribed for nerve pain or tingling sensations; it can sometimes also contribute to dizziness or fatigue.
Next Steps:
- Monitor Symptoms: Keep a journal of your sensations, noting when they occur and their intensity. Pay attention to any changes or new symptoms.
- Hydration: Ensure you’re well-hydrated, as this can help overall bodily function and may alleviate some feelings of fatigue and nausea.
- Rest: Prioritize rest and allow your body time to recover. Engage in light activities if you can, but listen to your body.
- Manage Stress: Techniques such as deep breathing, mindfulness, or gentle stretching can help reduce anxiety and potentially alleviate some of the sensations you’re experiencing.
- Contact a Healthcare Provider: While waiting can be an option, it’s wise to reach out to your provider, especially if your symptoms do not improve or worsen in any way. They can offer insights specific to your condition and treatment plan.
If your symptoms escalate or new concerning symptoms arise (like severe headaches, visual changes, or worsening balance), it is critical to seek care promptly. Your well-being is paramount, so don’t hesitate to ask for support if you need it.
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