is an Epidural Steroid Injection?
Epidural Steroid Injection is an injection of steroid and local
anesthetic into the epidural space. The epidural space is the area
that surrounds the spinal cord and the nerves that come out of it.
The goal of the injection is to reduce pain by reducing the inflammation
of the nerves in the injected area. This injection can be placed
in the cervical thoracic or lumbar spine.
actual injection only takes a few minutes and it consists of local
anesthetic mixed with steroid. The procedure involves inserting
a needle through the skin into deeper tissues and it is then advanced
into the epidural space. The procedure is performed under fluoroscopy
(X-ray guidance) so we know the exact placement of the needle. Most
of the patients receive intravenous sedation to make the procedure
easy to tolerate.
the injection your pain may be decreased, this is due to the local
anesthetic and it will only last for a few hours. You may also feel
more pain than prior to the injection because we injected liquid
onto an already inflamed area. You will also most likely be sore
for the next few days and this is due to the needle insertion and
you may place ice packs a few times a day to help this. The steroid
usually takes full effect in about one weeks time and you should
start to feel pain relief after three days.
the first Epidural Steroid Injection the patient will be evaluated
in a follow up visit and if the Doctor is pleased with the results
the patient will be scheduled for another injection. A series consists
of three injection and you can only have three injections in a six-month
procedure is safe. However, with any procedure there are risks,
and or side effects. The most common side effect of this procedure
is a temporary increase in pain. Fortunately the serious side effects
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