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Doctor insights on: Epidural Cortisone Injection

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Will epidural steroid injection help a sciata nurve?

Will epidural steroid injection help a sciata nurve?

Yes: 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 effective for sciatic pain. ...Read more

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Dr. Abraham Jaskiel
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


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Is a cortisone injections the same as epidural steroid injection?

Is a cortisone injections the  same as epidural steroid injection?

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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Explain kenalog (triamcinolone) facet joint injections?

Explain kenalog (triamcinolone) facet joint injections?

Why?: Although i used to give them, studies by deyo, et al, and others more recently, have shown little benefit over a systemic steroid injection. The injection is delivered to the facet joint, the true synovial joints of the spine. Afcet joints problems are likely if you have pain with backward extension of your spine. ...Read more

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Dr. Brian Le Dr. Le
3 doctors agreed:
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What are epidural steroid injection complications?

Dr. Brian Le Dr. Le
3 doctors agreed:
What are epidural steroid injection complications?

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 more

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What does epidural cortisone shot involve?

What does epidural cortisone shot involve?

Epidural steroids: This entails injecting a potent anti-inflammatory medication into the outermost part of the spinal canal - the area outside the dura. Your provider can give you all the risks, benefits, and alternatives, but a needle is placed into the back so that the pain relieving medication can be delivered in the immediate area of the pain. ...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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Does an epidural steroid injection treat excessive inflammation?

Does an epidural steroid injection treat excessive inflammation?

Improves Pain: and decreases Inflammation around the nerve roots with hopes of Increased return to activity level as your body is healing from the herniated disk. ...Read more

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How is an epidural steroid injection typically performed?

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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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 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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Is an epidural steroid injection effective for back pain?

It can be: Depends on the reason for why you have back pain, a herniated disc, spinal stenosis or even facet arthropathy? Then yes an epidural injection can be helpful. Speak with a pain/spine specialist to determine what is right for you. ...Read more

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How long does one epidural steroid injection provide sciatica pain relief?

Steroid injection: Every patient is different. Some respond to one and some need more than one injection. Main thing is that you are evaluated after the injection. ...Read more

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How long does a caudal epidural steroid injection provide pain relief for compressed disks?

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 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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What are epidural steroid injections used for?

Spinal Conditions: Many spinal conditions will respond to epidural steroid injection such as sciatica, degenerative disc disease, bulging, protruding, extruded discs which are disturbing spinal neural structures. The body has the inherent ability to cure itself given time. Steroids simply reduce inflammation around the neural structures, reduce pain, in order for time for you body to heal. ...Read more

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After epidurals, will facet joint injections still work?

After epidurals, will facet joint injections still work?

Facet Joint Pain: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. This is used to determine pain from facet joints. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...Read more

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