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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

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Dr. Thomas Namey
2,420 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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Dr. Milroy Samuel
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. Michael Gabor
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