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Miami, FL
A 25-year-old female asked:

what percentage of people get worse pain that does not subside into better pain after epidural steroid injection?

3 doctor answers7 doctors weighed in
Dr. Thomas Dowling
Orthopedic Spine Surgery 40 years experience
This is dependent on: The diagnosis for which the injection is being given and on the technique used, i.e., image guided. In general, 50% experience good relief and the rest do not with a 1-2% rate of a spinal headache and equivalent percent or less feeling temporarily worse for a day or two.
Dr. Edwin Perez
Anesthesiology 19 years experience
Pain: A lot. There is an assumption that back pain always comes from the spine. This is too simplistic. If ur pain did not get better...Look for other causes.
Dr. Thomas Dowling
Orthopedic Spine Surgery 40 years experience
Given for the appropriate indications, by a specialist using proper trchnique, there is minimal risk of pain worsening
Dec 3, 2012
Dr. Edwin Perez
Dr. Edwin Perez commented
Anesthesiology 19 years experience
Provided original answer
Actually it can worsen. Example if a transforaminal injection is done in area w tight stenosis the pain can get much worse before better
Dec 3, 2012
Dr. Qamar Khan
Pain Management 17 years experience
Rare: Usually less than 5% have that happen.

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Chandler, AZ
A 33-year-old female asked:

What are some reasons an epidural steroid injection would worsen pain?

2 doctor answers6 doctors weighed in
Dr. Qamar Khan
Pain Management 17 years experience
Like Any Other Inj: The worse part of an epidural injection is typically the local anesthetic administered to numb the skin. After that the needle typically feels like pressure. However as the needle enters the spinal canal or around the nerve root there can be some pain that is transient. Sometimes is the nerve is really pinched by the disc herniation, placing medication in can cause pain as it push on the nerve.

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Last updated Nov 1, 2018

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