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A 37-year-old member asked:

When do you need epidural steroid injections?

4 doctor answers14 doctors weighed in
Dr. Craig Morton
Physical Medicine and Rehabilitation 18 years experience
Failed other options: Epidurals are often used to help relieve pain from an inflammed disc or pinched nerve. These may be used to relieve back pain after a conservative trial of medication, physical therapy, and rest.
Dr. Steven Arbit
Physical Medicine and Rehabilitation 33 years experience
Epdural: An epidural injection is useful when you have a radiculopathy or a pinched nerve in your neck or back.
Dr. Jeffrey Glaser
Pain Management 25 years experience
Never: Nobody ever "needs" an epidural. It is an elective procedure that is part of the treatment continuum for disc disease of the spine and often a less invasive prelude to possibly surgery as an option. Epidurals typically work best on patients with newer onset symptoms of sciatica or radiculopathy. It is an option, but never a "must do". I say this as an interventional pain specialist.
Dr. Qamar Khan
Pain Management 17 years experience
Only when you: are still in pain from sciatica due to a herniated disc, spinal stenosis or even facet arthropathy after completing a round of conservative care. This typically means you have tried medications, exercise, therapy and no help to your pain has been attained during that time.

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A 46-year-old member asked:

What are epidural steroid injections used for?

6 doctor answers15 doctors weighed in
Dr. Tarek Shahbandar
Anesthesiology 22 years experience
Inflamed nerves: Epidural steroid injections reduce inflammation of nerve roots often caused by disk herniations in the spine. For the lumbar spine, they are more likely to work when pain radiates down one or both legs. They can give a week to a year of relief. Talk to your doctor about it as there is a lot more to discuss. Good luck.
CA
A 46-year-old member asked:

Which physician performs epidural steroid injections?

4 doctor answers16 doctors weighed in
Dr. Chintan Sampat
Orthopedic Spine Surgery 18 years experience
Many docs do it: Epidural steroid injections are performed by physicians of multiple specialties. These can include anesthesiologists specializing in pain management, spinal surgeons, physical medicine and rehabilitation doctors.
A 34-year-old member asked:

What are the common risks of epidural steroid injections?

4 doctor answers6 doctors weighed in
Dr. Greg Khounganian
Orthopedic Spine Surgery 18 years experience
Rare: In the hands of someone experienced epidural injections are very safe. They are done often under light sedation and utilize x-ray for proper placement. Most common risks are dural puncture leading to a leak of cerebrospinal fluid. This can lead to headaches. Once recognized there are ways to treat this. Other risks are injection site pain, infection and bleeding.
Columbus, OH
A 22-year-old female asked:

What are epidural steroid injections used to treat?

3 doctor answers7 doctors weighed in
Dr. Scott Naftulin
Pain Management 34 years experience
Spine-related pain: There are many indicated uses for these injections. Generally, they are used for radicular pain (that is, arm or leg pain) from a cervical or lumbar disc herniation, arthritis or stenosis. A physician specializing in Pain Medicine or Physiatrist usually administers these injections under X-ray guidance.
CA
A 40-year-old member asked:

What are some long term effects of epidural steroid injections?

7 doctor answers13 doctors weighed in
Dr. Chintan Sampat
Orthopedic Spine Surgery 18 years experience
Several: Multiple epidural steroid injections over the long term can result in: 1. Scar tissue surrounding the nerve sac (the dura) which can sometimes lead to spinal fluid leak with headaches 2. Higher risk of infection, bleeding 3. Avascular necrosis of the hips (the hip bone loses blood supply which can lead to premature arthritis) 4. Increased blood sugar (especially in diabetics).

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Last updated Sep 28, 2016

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