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Doctor insights on: Epidural

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Dr. Ronald Krauser
2 Doctors shared insights

Epidural (Overview)

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 back or neck pain.


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What is an epidural?

What is an epidural?

Anatomic location: The epidural space is a potential space in the spine and head that lies between the dura and arachnoid mater.

The term epidural is used to describe an injection or placement of a catheter (tube) into the epidural space. ...Read more

Dr. Ronald Krauser
2 Doctors shared insights

Epidural (Overview)

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 back or neck pain.


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Does a epidural hurt?

Does a epidural hurt?

Yes absolutely: An epidural is a needle stick and needle sticks hurt. Uusually it hurts about the same as an I.V. But if I hit a bone (1 in 5) it may hurt or rmay not hurt more. U might get a bruise and it may hurt after like any bruise but there is no chacne of disc dammage which is what most mean by back injury. If I hit a nerve (1 in 1000) it hurts like a bang on your funny bone, usually resolves the same. ...Read more

Dr. Victor Bonuel Dr. Bonuel
1 other doctor agreed
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Epidural (Tip)

Is it curable? When do you recommend epidural shots or surgery? Are they effective? Do I have arthritis? ...See more

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Is an epidural harmful?

Is an epidural harmful?

No: There are potential complications as with any procedure, their effects are often temporary, and the steroids do have potential side effects (especially locally, including local bone loss), but they are usually well tolerated if done right. ...Read more

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Can men have an epidural?

Yes: Epidural steroid injections for problems in both cervical and lumbar spines can be employed to quell pain, and control discogenic issues. No sexual restrictions. ...Read more

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Is epidural vs natural better?

Get an epidural: When I was on the obstetrical service in the 1970's and there was a popular movement for "natural childbirth" supposedly without any anesthetics, I did not see one out of about 150 women in labor who refused artificial help with the pain -- no matter how much they had boasted at the onset that they would need nothing. ...Read more

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Can epidural cause a parralise?

Can epidural cause a parralise?

It should not: An epidural injection or catheter should not cause paralysis. ...Read more

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What is safer--general or epidural?

Both safe: Both are safe in general. Your health and the type of surgery are what dictates which is best for you. ...Read more

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How does an epidural affect your back?

How does an epidural affect your back?

Beware!: ? if epidural can affect back. My cohort of 20 women had birthing epidurals & incurred chronic low back pain. Unifying dynamic: all w. post-birth unilateral sacroiliac joint disorder per Occupational Disability Guidelines & family members instructed, by med staff, to hyperextended legs into flexion & abduction during dorsal lithotomy position. Women blamed anesthesiologist's needle! SIJ ligaments? ...Read more

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What can be used instead of an epidural?

Depends: On what the epidural was offered for. See your doctor who examined you and treated you for an answer. ...Read more

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What are the chances of epidural failure?

Hard to say: If done for the right reasons it should help. How much and how long is people dependent. Some people get days to weeks or relief and others get a few months or longer of relief. ...Read more

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What does an epidural actually feel like?

What does an epidural actually feel like?

Like an injection: The epidural injection is often done with some mild sedation so there should not be significant pain or discomfort during the procedure. When the needle is introduced or the medication is injected, you may feel increased pain in your extremity which is usually temporary. The medication may take up to 1 week to take effect and decrease your pain. ...Read more

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Will I feel any pain if I have an epidural?

No: The best epidurals are when the patient is not experiencing pain but is still able to push effectively. The anesthesia provider will work with you to get your pain under control, but the amount of pain relief can vary from person to person. Sometimes patients are not pain free. Sometimes patients are so numb they can not push very well. ...Read more

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How long should I feel pain after an epidural?

1 month: Epidural pain is usually from the needle passing through the muscles of the back. Having had an epidural I could still feel some slight discomfort for a month later. Any acute pain should resolve within three days.
If the acute pain starts lasting longer than three days you should contact your provider so they can discuss the case with you. ...Read more

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Can you advise me if having an epidural questions?

Not sure: Epidural questions should be directed to the one physician providing the epidural to you as there may be information we are unaware about in your medical history or records that are needed. ...Read more

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What is the definition or description of: epidural?

Type of anesthetic: 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 back or neck pain. ...Read more

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Could my epidural wound reopen several years later?

Yes: Delayed infections, which are not as rare as you might think could cause would reopening. Other relevant causes would include leakage of spinal fluid through the dura from inadvertent puncture at the time of original procedure. Whatever the cause this wound needs to be examined by a surgeon. The 2 commonest causes risk serious consequences (sepsis, meningitis, spinal fluid leak, paralysis, pain). ...Read more

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What are the different types of epidural injections?

3 Types: Caudal epidural is done through your tailbone. Interlaminar epidural is done in between the bones and lastly transforaminal epidural is done around the nerve root and the spinal disc to address the specific nerve root or roots. ...Read more

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Which one is more effective: saddle block vs epidural?

Depends on condition: Epidural blocks are commonly used to treat back pain, to provide pain relief during childbirth. The medications are injected outside the sac containing nerves (thecal sac). Saddle block involves injection of medications into the sac, and is used to selectively numb the areas of skin that would touch a saddle if you were on one.

Ask your doctor about the reasons to consider one or the other. ...Read more

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What are the effects of getting an epidural on a child?

See below: I assume you are talking about a baby during delivery. In this case the epidural has no effect. Th local anesthetic and narcotic commonly in the epidural infusions are in too small a concentration to affect the fetus. If you are talking about the use of an epidural to decrease pain after an operation on a child then please write note to me. Hope this helps. ...Read more

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What are the ingredients in an epidural? Are they safe?

Epidural: Combination of Corticosteroid with local Anesthetic. Safe under experienced hands. ...Read more

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What are my chances of having an epidural? How common is it?

Generic answer: Do not know why this is asked, and you do not provide further information. Epidurals are commonly used during labor and delivery to ease discomfort, and epidural steroid injections may help when ruptured discs compress nerve roots. Perhaps you would be better served by using our INBOX or Concierge Service. ...Read more

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What is an epidural and why is everyone telling me to get it?

My responses: Epidural steroids involve injection outside of the spinal canal to control pain. Not infrequently used during labor and delivery, and less commonly employed to defray symptoms due to root level disc compression of nerve in neck or back. Maybe a chorus is singing praises, but I for one, would caution you that there are risks and this should be used only in special indications. ...Read more

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What are advantages and disadvantages in getting an epidural?

Epidural: For pain management has its risks and potential benefits. If you undergo such treatment make sure it is done under fluoroscopic guidance by an experienced specialist. You want the injected agent to end up in the epidural space only. (not subarachnoid) Wikipedia has a lengthy discussion of this and is constantly updated. It can redirect you to topics if you need more clarification. ...Read more

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When are epidural injections good for back disc hernation pain?

When are epidural injections good for back disc hernation pain?

Rarely: There is controversy on this. The neurology literature shows that it is rarely helpful, and then for a very limited time. There are potential complications. Therefore I do not recommend using it to treat disc herniation pain. Orthopedists generally have a different opinion about this topic, and use this treatment more. Bed rest and decompressing the disc help, unless there is motor weakness. ...Read more

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Is it possible that having an epidural lead to lifetime complications?

Very rare: The risk of major complications with epidurals is extremely rare about 1:10, 000. ...Read more

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Had an epidural yesterday for disc pain. Now pain is worse. Is this normal?

Yes, probably: The epidural injection you received, as is the case with most "cortisone" injections, has 2 components: a long-acting local anesthetic and a steroid. The local lasts for 4-5 hours, and the steroid takes about 72 hours to "kick-in." during the interval, you pain may be worse, as there is now fluid around the area increasing the pressure. Take you usual pain meds for this. You've got 2 days to go. ...Read more

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What are the pros and cons to getting an epidural versus going all natural?

My view: The epidural steroid during labor and delivery may mitigate some of the pain, but may not necessarily work well. The absence of the injection, and going natural would not be negative if you can tolerate. ...Read more