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Doctor insights on: Alternatives To Epidural Steroid Injections Back Pain Relief

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Could epidural steroid injections for back pain cause bone deterioration?

Could epidural steroid injections for back pain cause bone deterioration?

Yes and No: Osteoporosis after any sort of steroid exposure can occur. Usually this requires repeated chronic long term exposure after several years. Based on your age, unless you have previous exposure to oral steroids or have had significant exposure to epidural steroid injections i would not be too concerned yet. ...Read more

Dr. Chad Levitt
2 doctors shared insights

Epidural (Definition)

The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more


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I have been a long time back pain sufferer. Epidural steroid injections worked for over 8 years. Would you recommend another series of injections ?

I have been a long time back pain sufferer.  Epidural steroid injections worked for over 8 years. Would you recommend another series of injections ?

See your doctor: Based on your history, it sounds like you may benefit from another series of epidurals. Before embarking down this treatment path, however, you would benefit from re-evaluation from a physician to determine the exact cause of your current pain and its suitability to epidural steroid injections. ...Read more

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Can epidural steroid injections for back pain cause bone deterioration?

Can epidural steroid injections for back pain cause bone deterioration?

Steroid: Too much steroid can cause osteoporosis no matter where it is placed. Oral, IV or epidural steroid may increase chance of osteoporosis. The amount of steroid used in epidural injection for a herniated disk is less than the amount of steroid consumed as a Medrol (methylprednisolone) dose pack taken orally to treat the same symptoms. Generally, though, we do not recommend more than 3 steroid injections in 6 months. ...Read more

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Why recommend epidural steroid injections for severe lower back pain when patient is scared of them after recent deaths from contamination?

Why recommend epidural steroid injections for severe lower back pain when patient is scared of them after recent deaths from contamination?

Scientific studies: Epidural injections have a proven track record of successfully treating many pain conditions when performed by experienced physicians on appropriately selected patients. The recent outbreaks of fungal meningitis were traced to a small number of compounding pharmacies and represent a very small percentage of the total number of epidurals performed each year in the United States. ...Read more

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How should you prepare for epidural steroid injections for back and leg pain?

How should you prepare for epidural steroid injections for back and leg pain?

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. Complications can be bleeding, infection, nerve damage and paralysis, but these are extremely rare. ...Read more

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I have heard of epidural steroid injections for back and neck pain, what is that?

Pain shots: An epidural steroid injection in the neck or back allows for administration of steroids (anti inflammatory) into an area near irritated nerve roots and/or bulging disks. ...Read more

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My mom is about to have epidural steroid injections in her back for bulging discs. What are the side effects?

My mom is about to have epidural steroid injections in her back for bulging discs. What are the side effects?

Usually minimal if: If given in the proper setting, minimal unless diabetic (elevate blood sugars) or have been on steroids chronically affecting horomonal balance. Local soreness or flush sensation/redness of skin can occur. Rarely, aseptic necrosis of bone can occur. A possible spinal headache or aseptic or chemical meningitis. Local soreness at the injection site is transient. Rarely, nerve or cord injury. ...Read more

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What are some long term effects of epidural steroid injections?

What are some long term effects of epidural steroid injections?

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). ...Read more

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If epidural steroid injections do not work to relieve neck pain, what would be the next step?

If epidural steroid injections do not work to relieve neck pain, what would be the next step?

Consult Pain Doctor: Many options are available for both surgical and non- surgical management of neck pain. Talk to your pain doctor and see if together you can work out a treatment plan for you. The surgical option is another option that can be explored with a neurosurgeon. ...Read more

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Dr. Neigatha Graney
1 doctor shared a insight

Pain Relief (Definition)

A recent study showed that in a hospitalized group of patients it was not the actual degree of pain relief that determined patient satisfaction. It was the perceived concern on the part of the heath care providers and their attempts to alleviate the degree of pain that mattered. Even ...Read more


Dr. Heidi Fowler
3,099 doctors shared insights

Back Pain (Definition)

Pain in the back is a symptom that can be due to a number of causes including musculoskeletal or neurological problems or due to problems ...Read more