Doctor insights on:
Cervical Transforaminal Epidural Injection
Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read moreSee 1 more doctor answer
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
For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read moreSee 3 more doctor answers
Can a person get cervical and thoracic spine pain after a lumbar transforaminal epidural steroid injection?
No difference: Epidural injections can be done to relieve pain and inflammation from a number of spinal conditions; risks are the same. Tenderness at the injection site is common but doesn't last long. More serious problems such as bleeding, infection, or nerve damage are very rare but possible; these injections should only be done by trained physicians. ...Read moreSee 1 more doctor answer
Under Xray Guidance: A facet injection is a minimally invasive procedure that can temporarily relieve back pain caused by inflamed facet joints. A facet injection includes both a long-lasting corticosteroid and an anesthetic numbing agent. The drugs are delivered to the painful facet joint, either inside the joint capsule or in the tissue surrounding the joint capsule. ...Read moreSee 1 more doctor answer
Great Question: Unfortunately, there is no good literature to give exact amount of time that a patient might expect to receive relief from any type of epidual steroid injection. Caudals are usually done for spinal stenosis or complex fused spines fo relief of pressure on nerve structures. No two spines are alike. They are like snow flakes and fingerprints and so different are patient responses. ...Read moreSee 3 more doctor answers
Yes, very accurate: Ct guided procedure gives excellent "accuracy" in guiding the needle to the exact location to be injected. The process involves highly trained docs/technicians to get incredible pin-point accuracy. Best of luck if you are undergoing the procedure. ...Read more
ESI complication: The potential risks associated with epidural steroid injection include spinal headache from a dural puncture, bleeding, infection, allergic reaction, and nerve damage / paralysis. Corticosteroid side effects may cause weight gain, water retention, hot flashes, mood swings or insomnia, and elevated blood sugar levels in people with diabetes. ...Read moreSee 3 more doctor answers
Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?
Ok, had facet joint injections-thoaracic, after epidurals failed...What is next pain management 4 thoracic spine 6 bulgd disc, help?
Different Areas: Facet injections are used for typical whiplash and arthritic pain that emanates from the facet joint in the spine which is in the back of spine. The epidural steroid injection can help with the same, however typically is used to treat the spinal nerve pain that is due to spinal stenosis or herniated disk that is pinching the exiting spinal nerve(s) which is in the front of spine area. ...Read moreSee 2 more doctor answers
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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