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A MyLupusTeam Member asked a question 💭
Casper, WY

I have Lupus SLE and mctd along with a ton of other issues that can cause my back problems. It looks like I'm going to have to have injections and/or surgeries on my back and neck. Has anyone else had any issues like this and what types of procedures worked for you?

December 30, 2025
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A MyLupusTeam Member

Yes, same thing, I get Kenalog once a year. After 5 years Rheumy said it’s Ankylosing Spondilitis.

December 30, 2025
MyLupusTeam

What treatments have worked for lupus-related back and neck pain, including injections and surgery?

For back and neck pain related to lupus, several treatment approaches have shown success:

Injection Treatments
- Corticosteroid injections can reduce inflammation in affected areas
- Epidural injections in the spine have Show Full Answer

What treatments have worked for lupus-related back and neck pain, including injections and surgery?

For back and neck pain related to lupus, several treatment approaches have shown success:

Injection Treatments:
- Corticosteroid injections can reduce inflammation in affected areas
- Epidural injections in the spine have helped some people, with one MyLupusTeam member reporting relief for a year after a tailbone epidural
- Trigger point injections using local anesthetics can decrease sensitivity in painful muscle areas
- Botox injections may help relieve pain in some cases

Surgical Options:
If imaging shows a herniated disc or bone spur, surgical removal may provide relief. One MyLupusTeam member who had lumbar fusion surgery reported no pain anymore after about 4 years. However, surgery is typically considered a last resort because spinal procedures can be painful and have difficult recovery periods.

Other Effective Treatments:
- Physical therapy to strengthen muscles and improve range of motion
- NSAIDs and corticosteroids like prednisone to manage pain and inflammation
- Immunosuppressive drugs to reduce symptoms
- TENS units for nerve pain relief

It's important to talk with your doctor about persistent back or neck pain. They may recommend tests like X-rays or MRI to identify the source and determine the best treatment approach for your specific situation.

December 30, 2025

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