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Doctor insights on: Can You Tell Me The Success Rate Of An Epidural Steroid Injection

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Can you tell me the success rate of an epidural steroid injection?

Can you tell me the success rate of an epidural steroid injection?

Unsure: The efficacy of epidural glucocorticoids remains unclear because of conflicting results from randomized controlled trials.The best evidence for benefit comes from trials for patients with radiculopathy due to a herniated disc and demonstrates short-term, but not long-term, benefit. Epidural injections for non-specific low back pain and spinal stenosis are of unproven benefit. ...Read more

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Dr. Qamar Khan
195 doctors shared insights

Epidural Steroid Injection (Definition)

Steroid type medication done under a local anesthesia with or without IV sedation in a sterile setting either with or without fliuroscopic or x-ray guidance into space below the lamina but above the dura or lining of the nerve tissue of the spine with the needle passing through natural openings between the lamina given for pain relief due to inflammation from a disc ...Read more


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What is an epidural steroid injection like?

What is an epidural steroid injection like?

Small But Real Risk: Epidural injections are typically very routine, injections done under x-ray guidance without anesthetic. However, they are not without risk (i.e. Recent meningitis outbreak). Research shows that esis are effective only for a pinched nerve from herniated disk and correlating symptoms. Absent of both these conditions, there is not proven benefit>inherent risks. Esis have become highly overutilized. ...Read more

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Dr. Brian Le Dr. Le
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Who should get an epidural steroid injection?

Dr. Brian Le Dr. Le
4 doctors agreed:
Who should get an epidural steroid injection?

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. It is indicated for patient with radicular pain, but can be effective for other conditions as well. ...Read more

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How dangerous is an epidural steroid injection?

How dangerous is an epidural steroid injection?

Varies: When done in the right hands, by certified doctors, and epidural injection should not pose undue danger. Working with the neck is somewhat more complex than the low back. Of course anytime you "stick" a needle in anyone anywhere there are risks. The main one always being infection. ...Read more

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What are some benefits of an epidural steroid injection?

Improvement: Epidural steroids are typically used to treat pain in the neck or back. The reason behind the treatment is to help reduce inflammation or swelling that is contributing to the symptoms of pain or numbness. Although not everyone feels better after an epidural steroid injection, many patients experience significant lessening of their pain. The injection may need to be repeated more than once. ...Read more

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How is an epidural steroid injection typically performed?

It varies!: An epidural injection may be performed anywhere along the full length of the spine. It will usually be placed near the source of the pain or numbness: in the upper spine for neck pain, or the lower spine for back pain. In a pain clinic, sedation will sometimes be given to help with any discomfort. X-ray may be used for very precise positioning of the needle. ...Read more

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How much steroid is used in an epidural steroid injection?

Variations: There are variations amount practices, but 40 mg of Methylprednisolone for a single injection is fairly standard. ...Read more

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I'm getting an epidural steroid injection. What should I expect?

Injection: Epidural glucocorticoid injections (also referred to as "corticosteroid injections" or "steroid injections") involve the administration of steroids in the space between the dura and the spine. Epidural injections have been used in patients with radiculopathy, spinal stenosis, and nonspecific low back pain. A recent report showed no long-term efficacy in chronic lumbar radiculopathy. ...Read more

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How much does the steroid spread in an epidural steroid injection?

Not far: Typically, if a patient is positioned correctly, there is spread only over a few vertebral levels as this is typically a precise localized injection. ...Read more

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

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

Epidural steroid inj: It is not very unusual to have a different pain sensation after having an epidural steroid injection. The injections provide pain relief for at least half of the people who receive them. Your pain may become worse for 7- 10 days after the injection before it begins to improve. Are you currently seeing a fellowship-trained spinal pain management specialist? ...Read more

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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


Dr. Gregg Albers
2,230 doctors shared insights

Steroids (Definition)

Many children with croup need prescription medications. Often steroids can ...Read more