The benefits from the first shot only lasted 2 weeks. The second and third set of injections lasted about 90 days. In November, I was ready to have surgery. My EMG and nerve conduction tests proved that the nerves were "sleeping" before I was. After another MRI, the neurosurgeon said I was a candidate for surgery but I was not able to get the endoscopic type surgery that is less invasive. I would have an incision about 6-8" long. Along with removing the herniation, they would have to increase the size of the hole where the nerve roots were going through.
Lateral release is often a quick procedure, performed arthroscopically. Nevertheless some complications can occur, such as excessive bleeding and subcutaneous lesions [ 15 ]. The extension and direction of the lateral release can predispose to complications. Several authors underline that the incision of the retinaculum must include the insertion of the lateral vastus, determining the necessity to extend proximally for 6–8 cm on the medial edge of the musculotendinous junction. This aggressive approach can produce the weakness of tendon and predispose it to late failure.
The rates of surgical site infection were significantly higher in patients with an injection prior to TKR than those without ( percent versus percent), as were the rates of infection requiring a return to the operating room ( percent versus 1 percent). The rate of infection requiring a return to the operating room remained significantly higher for the patients receiving injections in the months prior to surgery, with an odds ratio (OR) of for an injection within one month of surgery, and an OR of for an injection seven months prior to TKR.