I have had a series of both facet block injections and steroid epidurals with my most recent one in August, 2012. I have degenerative disc/spondylolisthesis at L4/5 diagnosed years ago. I am very fit and worked hard most of my life to eat healthy, exercise at an intense level, and keep my weight in normal range. Facet blocks and steroid epidurals will make you gain weight and even though I've continued to exercise and watch my diet throughout my treatments, I have still gained 10-15 lbs.
Some prescriptions like Lyrica will also make you gain wieght very quickly.
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If you can’t find any pinched nerve treatment that helps relieve your symptoms, you might consider surgery, if it’s an option. Several of my physicians have cautioned me that surgery should be used only as a last resort, however. My best friend had surgery for a pinched nerve in the neck, and it just made things worse. When my symptoms of nerve damage are screaming at me, I use just enough treatment to make the pain bearable. I know that I’ll never be completely pain free. It’s just something I’ve had to learn to live with. Of course, I could always take more pain pills and stay “zonked out” all the time, but I’d miss out on too much of life like that. Start off with the simplest and safest options, and if those don’t work, move to the next level of pinched nerve treatment.