The following patients should not have this injection: if you are allergic to any of the medications to be injected, if you are on a blood-thinning medication (. Coumadin, injectable Heparin), or if you have an active infection going on. With blood thinners like Coumadin, your doctor may advise you to stop this for 4-7 days beforehand or take “bridge therapy” with Lovenox prior to the procedures. Anti-platelet drugs like Plavix may have to be stopped for 5-10 days prior to the procedure. Aspirin should be stopped for cervical procedures for 10 days prior, but not for Lumbar.
Eventually I saw someone that treated men with low T. I told him the history of when my issues occured after the epidural shots. He raised an eyebrow to it and said " we are starting to see more of that" . Some medications (epidural, statins, opiates, some blood pressure meds etc)depending on your age, dose and length of use can change your pituitary gland (I think the hypothalmus is related too.) Those glands produce and monitor your endocrince system and keeps things in balance. Sort of like a closed loop feedback system. If you are on a med too long, have a genetic issue or have an injury or illness to the pituitary then it stops or can't produce the appropriate chemicals like luteinizing hormone. some doctors deny this.
Board-certified, fellowship trained physicians Dr. Savino completed an Anesthesiology residency and a fellowship in Pain Management at Loma Linda University Medical Center (Loma Linda, CA), and received board certification in Anesthesiology through the American Board of Anesthesiologists with subspecialty Certification in Pain Management. Dr. Johnston , a graduate of the University of New England Medical School, completed a residency in Physical Medicine and Rehabilitation and a fellowship in Pain Medicine at the Mayo Clinic (Rochester, MN).