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Doctor insights on: Arthritis And Epidural Injection

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What comes first the MRI or the epidural injection?

What comes first the MRI or the epidural injection?

Depends: Mri of the spine may be used to diagnose cause of pain or radiculopathy (neurologic symptoms). Epidural injection may be for pain relief, medication injection or certain diagnostic procedures. ...Read more

Dr. Thomas Namey
2,426 Doctors shared insights

Arthritis (Definition)

A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more


Dr. Brian Le Dr. Le
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How long does epidural injection work for back pain?

Dr. Brian Le Dr. Le
2 doctors agreed:
How long does epidural injection work for back pain?

ESI: An epidural steroid injection is a minimally invasive procedure that delivers steroids via a needle directly into the epidural space to help reduce inflammation. The steroid is absorbed and metabolized within few weeks. However, the pain relief might extend beyond this time frame. Prolonged pain relief is presumed to result from a reduction in an inflammatory process. ...Read more

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What do I need to know about a caudal epidural injection?

What do I need to know about a caudal epidural injection?

Treats back pain: Injection of steroids in the epidural space have been used for decades to treat low back and/or leg pain. The caudal approach means that the medications are introduced into the spinal canal near the tailbone and fluid is used to push the medication up to where it is needed. It is most often used to treat pain from disc herniation or spinal stenosis. ...Read more

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What should I expect after getting a caudal epidural injection?

What should I expect after getting a caudal epidural injection?

Pain relief: Can be variable but starts improving after 3-4 days and can take up to 10-14 days to provide the most relief. Sometimes you need a second injection to get improved long lasting relief from the pain you suffer. ...Read more

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Any tips? What should I expect after a caudal epidural injection?

Any tips? What should I expect after a caudal epidural injection?

Pain relief: Can be variable but starts improving after 3-4 days and can take up to 10-14 days to provide the most relief. Sometimes you need a second injection to get improved long lasting relief from the pain you suffer. ...Read more

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I think I had a bad steroid epidural injection. What would be signs to look for?

I think I had a bad steroid epidural injection. What would be signs to look for?

Why do you say that?: Complications can be bleeding, infection, nerve damage and paralysis, but these are extremely rare. You will notice fever, increased pain, weakness, headaches so if you have any of these symptoms you might need to be evaluated. ...Read more

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Is there a difference between a cortisone shot and a epidural injection for pain?

Well: Technically no difference, they are probably the same. However, if the cortisone injection is not done under an x-ray machine (fluoroscopic c-arm) then it could be that the cortisone injection may be just that an injection into the muscle like a trigger point injection. Speak with your doctor to get clarity about what you will be getting. ...Read more

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When getting a epidural injection for pain will it have any effect on an MRI if done after epidural?

When getting a epidural injection for pain will it have any effect on an MRI if done after epidural?

Yes: In epidural procedure medications are injected in your spine. It will take some time (few days) for these medication to be absorbed by your body. During this time it will show up in the MRI scan. Once the medication is absorbed completely it will not affect MRI scan though. ...Read more

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What is a cervical interlaminar epidural injection? Is this a safe procedure? How long is the side effects last?

What is a cervical interlaminar epidural injection? Is this a safe procedure? How long is the side effects last?

CES: A procedure where a needle is placed between the bones of the spine entering carefully the epidural space. Usually it is quite straight forward if done by a seasoned MD - do not have this done under any sedation - you will get ample local. Side effects usually not seen but may include increased pain for a few days, facial flushing - these will improve. Know the risks before you have it. ...Read more

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I had a neck epidural injection but now I have a stiff neck not able to look down. Why is that? I had it done 4 days ago.

Neck inflammation: Epidural injection in the neck, like any other invasive procedure, has side effects which include some inflammation in the region due to mechanical procedure. Depending in the underlying condition requiring the procedure, u can use OTC anti inflammatory agents and consult your doctor if you don't improve by or develop additional symptoms like fever headache and blurred vision. ...Read more

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Can fluoroscopy of epidural injection be put on a CD that was done over a year ago? Or do those images not exist because it is a live x-ray?

Can fluoroscopy of epidural injection be put on a CD that was done over a year ago? Or do those images not exist because it is a live x-ray?

Yes-: If images were saved. You will have to sign a release form. Some places will charge a fee for the disc. Call the hospital or office where procedure was performed. ...Read more

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What is the definition or description of: epidural injection?

Pain treatment: Epidural injections treat either acute or chronic pain. The most common epidural injections are to treat labor pain and usually include an indwelling catheter that provides continuous treatment until the baby is delivered. The medicine is a local anesthetic +/- opiod.

Epidural injections also include single shot injections to treat chronic back pain. These usually include the use of steroids. ...Read more

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Can an epidural injection help syatica?

Can an epidural injection help syatica?

Maybe: You've indicated you're 80 years old with history of liver transplant. You have to weigh risks against benefits of a procedure. The risk of infection or epidural abscess is greater in someone who's immune suppressed. If the cause of your pain is mechanical compression due to extensive spine degeneration epidural may help but for a very short while. I would look into medications such as gabapentin. ...Read more

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Will alcohol affect an epidural injection?

Will alcohol affect an epidural injection?

Alcohol: I would suggest that you do not take alcohol within 48 hours of getting an epidural. Anything closer may affect the proceedings ...Read more

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What if I cough during an epidural injection?

Usually nothing: Allthough it is not truly necessary most epidurals today are done with the patient sedated. Accordingly coughing is not an issue. If however you did cough the danger would be based on what type of epidural you were receiving and where the needle tip was. In most cases it would not matter. In some cases you could end up with a bad headache and in some cases you might damage the spinal cord. ...Read more

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Is it absolutely necessary to have an epidural injection for inflammation or can time un-pinch a nerve?

Not absolutely: There are a few treatments that "absolutely necessary" such as life-saving or organ-saving ones. If epidural streriod injection was rightfully indicated it may expedite recovery. ...Read more

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When does someone need a lumbar epidural injection?

Epidural: For temporary relief of low back & sciatic pain. ...Read more

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Is an epidural injection helpful for chronic back pain?

Is an epidural injection helpful for chronic back pain?

Depends: It depends on cause of back pain. If you have pain from lumbar facet joints, the epidural will have almost no effect on your back pain. If the pain shoots down a leg or two and is from a disk herniation, you have a good chance the pain will go away for a while (a week to a year). If you also do physical therapy, there may be even more chance of improvement. Talk to your doctor and good luck. ...Read more

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Could a cervical epidural injection have caused my syringomyelia?

Could a cervical epidural injection have caused my syringomyelia?

Very rare: Syringomyelia from an epidural injection has been reported but typically you would have signs of spinal cord injury directly after the injection (eg., numbness, weakness, or bowel/bladder problems). In my experience I have never seen such a case but it has been reported in the medical literature on a very rare basis. ...Read more

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How long does it take to recover from an epidural injection for l3, l4, and l5?

5 min: Not sure what you mean. The injection is to calm down pain/inflammation at the various levels using a steroid as the anti-inflammatory. You should start feeling better in a day or so if the injection was done properly and you have a condition that is conducive to this type of therapy. ...Read more

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What can be done for a pinched nerve in the neck? Is a epidural injection helpful? If so how does it help? Please help

What can be done for a pinched nerve in the neck? Is a epidural injection helpful? If so how does it help? Please help

Yes: It is an injection of steroid medication into your back or neck to help reduce inflammation around nerves to reduce pain. Yes it is used to relieve neck pain. Many times people will get significant relief when 2 injections are scheduled about 3-4 weeks apart. ...Read more

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I had a epidural injection in the neck. Is it normal not to be able to bend the neck down and to look to the left injection atc7 t1? Please help

I had a epidural injection in the neck. Is it normal not to be able to bend the neck down and to look to the left injection atc7 t1? Please help

Maybe: It is normal to have some neck tightness/soarness for about 1-3 days after the injection. Much after that I would not expect those symptoms. ...Read more

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Epidural injection. The meds came from the hosp pharm to doctor that administered it, who's duty to report if med recalled after? Hosp or doctor?

If concerned, ask MD: If you are concerned, call the doctor; he can find out. The epidural compounded drugs that were recalled were more than a year ago. Nothing more recent has been reported. ...Read more

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I had a neck epidural injection 2 weeks ago. Why does it still hurt where the injection was given? It was given at C6 c7. Is that usually where given?

I had a neck epidural injection 2 weeks ago. Why does it still hurt where the injection was given? It was given at C6 c7. Is that usually where given?

Yes: That is where the injection usually is given. It's not that unusual to still have some soreness at the injection site. It should be easing up though. If not, contact the physician that administered the injection. ...Read more

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How long will it take for an epidural injection to work?

How long will it take for an epidural injection to work?

Usually 3-4 days: However it can take up to 10-14 days in some people to get relief from an epidural steroid injection. I would consider at least a second injection if you are getting some relief. If no significant relief after 2 injections, you need to have the doctor look at other options (radio frequency) or even possibly surgery as well. ...Read more

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Would it be healthy to hurt from an epidural injection the next day?

Sometimes you can: Have a burning sensation from the steroid before it takes effect and if the epidural was difficult might be temporary soreness. ...Read more

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Is it normal to hurt from an epidural injection the next couple of days?

Possibly: It is possible to have some soreness but excessive pain could be due to infection. Please contact your physician. ...Read more

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Is it safe to have a steroid epidural injection without the use of X-ray for guidance?

Generally No: It is not standard of care at all. Used to be when we didn't have x-ray, but not anymore. In fact the CPT codes used to bill these types of injections now have fluoroscopic guidance built into them, including the older technique done bedside which will change for 2015. So never get an epidural without x-ray unless your are having a baby or for surgery. ...Read more

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After a steroid epidural injection for pain, how long will I be at risk for weight gain?

Should be zero: It is very unlikely that a single epidural injection will cause wieght gain. ...Read more

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I just had an epidural injection and now have a razor like pain in my left shoulder blade what could it be?

Pain after epidural: This depends on location of epidural. If in lower back it is not a likely source. If it was a cervical (neck) epidural it may be the problem. The medications used in an epidural for back pain can temporarily irritate the affected nerves. This usually resolves. The other source of pain can be trauma to a nerve during the injection. This will also usually resolve but ask the doctor that did it. ...Read more

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I'm going to get a steroid epidural injection but I was worried if in the past I've had epidural issues resulting in three blood patches is it safe?

Hard to say: Would speak with your doctor if your are concerned so they are aware of your past experiences. Also sometimes transforming epidural injection approach can reduce the likelihood of this issue much better, see if that is right for you. ...Read more

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Had transforaminal epidural injection for 2 pinched nerves 2 level injection on 4/9/13-herniation, still have lots of pain in spine, tkrdone 10/12?

Stenosis: It sounds like you've had significant spine and leg pain since a tkr in oct 12? And I'm guessing you've had a lumbar mri. If the MRI showed significant stenosis (pinched nerves) which corresponds to your pain symptoms, then your options are to try medications (i.e. Lyrica), or another epidural or two, or decompressive lumbar surgery. ...Read more

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2 months back my doc recommended to take EPIDURAL Injection due to my severe sciatic pain I accepted but its still paining after injection what to do?

Options 4 Treatment: The mainstay of treatment for sciatica is anti-inflammatories and physical therapy exercises. These methods provide relief for the vast majority of patients. If this does not work, steroid shots may help with inflammation in the short term, but do not solve the real problem, a pinched nerve. If your pain/functionality is severe enough, surgery may be indicated but not always curative longterm. ...Read more

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I had an epidural injection 4 days ago for herniated discs L3-S1. Since the day after the injection, I have had more pain than before I had the inject?

Should be ok: I would let your doctor know. Injection of steroid onto nerves in the spinal canal is meant to " soothe" irritated nerves; but sometimes just the act of placing a needle in the canal and injecting can have the reverse affect and make the pain worse. It usually resolves after 3-5 days and then the person might still experience the benefit of the epidural. ...Read more

Dr. Julie Abbott
4 Doctors shared insights

Epidural Injection (Definition)

Epidural injections treat either acute or chronic pain. The most common epidural injections are to treat labor pain and usually include an indwelling catheter that provides continuous treatment until the baby is delivered. The medicine is a local anesthetic +/- opiod. Epidural injections also include single shot injections to treat chronic back pain. These usually include ...Read more


Dr. James Krick
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