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Doctor insights on: Can Epidural Steroid Injections For Back Pain Cause Bone Deterioration

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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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Dr. Lonnie Smith
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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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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

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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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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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Will epidural steroid injections cause harm to my bones or having any adverse long term effects to my body?

No,usually: We had a recent problem with a pharmacy that provided us with a very bad batch of steroids.Drs had no idea and were blind-sided when patients developed infections. If this is a last resort for very severe pain, it is a recommended treatment. ...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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Do epidural steroid injections cause you to gain weight?

Do epidural steroid injections cause you to gain weight?

Possibly: Weight gain is usually from you eating more (steroids can cause you to be hungry), water weight gain (usually self limiting) and possible fat deposition if your own steroid production is halted (again self limited and takes more than one injection). There is no muscle growth that takes place, these are not those type of steroids. ...Read more

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If epidural steroid injections don't fatten people, then why are there so many reports of this side effect on forums(spine health, pain.Etc)?

Your choice: There are multiple sites online, and many different opinions about medical facts, but only a few sites like health tap, where you can count on accurate and timely information. So, it is your choice who to believe. But epidural steroids do not cause weight gain. However, chronic steroid usage does! ...Read more

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What is recommended if lumbar epidural steroid injections don't work?

What is recommended if lumbar epidural steroid injections don't work?

Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...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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If I have herniated cervical Spine and herniated lumbar spine, do I need two epidural steroid injections? In so much pain.

If I have herniated cervical Spine and herniated lumbar spine, do I need two epidural steroid injections? In so much pain.

Probably: An epidural steroid injection is just one of many potential options in treatment for disc Herniations in the cervical and lumbar spine. But epidural steroid injections are pretty specific, delivering the medication ideally right where it needs to go; as such, an epidural steroid injection in the back will not typically help a herniation in the neck and so you would likely need two injections. ...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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I receved an epidural steroid injections for my L4 & l45 herniated bulging discs. Is there any side affects from, and how long will they releive the p?

Not much: The steroids can cause usual steroid advers reactions, such as elevation of your blood glucose temporarily, but otherwise esi are very well tolerated. As to how long it lasts, that depends on the patient. Some will last for weeks, and some months. ...Read more

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Does epidural steroid injections injected in the same place as the epidural analgesia?Have same risks?

Yes: It is the same procedure with the same risks. There are additional risks with the steroids this time though. Discuss them with your physician. ...Read more

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Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


Dr. Heidi Fowler
4,692 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