Doctor insights on:
Epidural Injection For Back Pain Side Effects
Please help! What is the difference between a facet block and an epidural injection for back pain relief?
Different: Facet joints are places on the spinal bones where two bones actually meet and articulate, therefore a facet joint injection is into that place where they meet. Many times arthritis or inflammation can arise here and cause pain. Epidural injections are into the spinal canal area or around the spinal nerve roots exiting the spine. ...Read more
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
Better so: For at least 4 hours, and better ask the anesthesiologist or the doctor performing the procedure, wish you wellness ...Read more
Can the few people who have white coat syndrome (hbp) in a medical office be given an epidural injection for back pain at the doctors?
Treating what?: "Back pain" is a location and a symptom - not a diagnosis nor a specific condition. What specifically is your illness? If anxiety is the primary disorder (with spinal muscle tension as the result) then an epidural may be incorrect treatment. If you really have an appropriate condition then a sedative could be reasonable pre-treatment. ...Read more
If I have had hairy cell leukemia, is it safe to have an epidural injection for back pain? I am 63 and have been in remission for 7 yrs.
Depends: It depends on cause of back pain. If you have pain from lumbar facet joints, the epidural will have almost no effect on your back pain. If the pain shoots down a leg or two and is from a disk herniation, you have a good chance the pain will go away for a while (a week to a year). If you also do physical therapy, there may be even more chance of improvement. Talk to your doctor and good luck. ...Read more
It certainly can be: As dr. Hadied said, when done by the right person, it can be very effective. ...Read more
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. The steroid is absorbed and metabolized within few weeks. However, the pain relief might extend beyond this time frame. Prolonged pain relief is presumed to result from a reduction in an inflammatory process. ...Read more
Yes: This would depend what the actual source of the pain is, it's possible that the pain you are describing is not amenable to any type of injection and some other remedy may be more appropriate. "facet" injections, "intrathecal" injections or enen trigger point injections are used for certain types of pain. ...Read more
When I get an epidural injection for chronic low back pain, will I be able to go to work the following day?
Yes: Most people go back to work the next day. ...Read more
What are the risk of having a epidural injection for low back pain? Is a epidural injection better if you have back and leg pain or just back pain
I have chronic lower back pain. I chose physical therapy instead of an epidural injection. Which is more effective or should I do both?
Does having a epidural injection help a L5 s1 annular tear? I am having a lot of back pain that goes to my knee when I sit down please explain
Does a epidural injection for low back pain L5 s1 disk herniated usually help in patients? What is the procedure for having a epidural injection?
Yes: It can work. In my experience 50% of patients do very well and the other half only partially helped. The procedure involves injecting meds in the epidural space which is inside the spinal canal but outside the sac which contains the nerves and spinal fluid, it is done either by feel or using x-ray guidance. ...Read more
Hv herniated disc, severe arm/neck/back pain & ortho has recommended epidural injection b4 phys therapy. Wld like other opinions if inj should be 1st?
Herniated disc: I would agree with your doctor, based on severity of the pain. If in doubt, you can always seek second opinion. ...Read more
How long does a epidural lasts for a herniated disk? Are there any side effects to a epidural injection? Please help l have so much leg pain with back
Variable: The length of relief varies, and some do not get any relief at all. Risks include spinal headache or leak, headache, infection, and nerve injury. The steroid effect is usually a local one, and systemic effects are relatively minimized. However, some can have elevations in blood sugar, as well as some other risks of steroids. You should see a surgeon if you aren't getting better. ...Read more
I am awaiting epidural injection for LS spine pain. The injection is on hold due to elevated CRP of 7.2. This was repeated 2 weeks later and now 10.
CRP: Never us abbreviations. CRP means carp to me. Please elaborate. ...Read more
What is a cervical interlaminar epidural injection? Is this a safe procedure? How long is the side effects last?
CES: A procedure where a needle is placed between the bones of the spine entering carefully the epidural space. Usually it is quite straight forward if done by a seasoned MD - do not have this done under any sedation - you will get ample local. Side effects usually not seen but may include increased pain for a few days, facial flushing - these will improve. Know the risks before you have it. ...Read more
Hi doctors, was just wondering what is a spinal epidural injection, and does it relieve backpain?
What are the side effects of using kenalog (triamcinolone) injections to relieve lower back pain?
Usually minimal if: Usually none/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. Fat necrosis at local site of injection as well is possible or local nerve injury. Via epidural route, possible spinal headache or aseptic or chemical meningitis. ...Read more
I am currently taking Medrol (methylprednisolone) and Ultram for thoracic back pain...Side effects taken together? Thank you! :-)
Epidural: For temporary relief of low back & sciatic pain. ...Read more
No: Narcotics can be used in the short term, but you need to find out what is the cause of your pain. Seek a spinal specialist. ...Read more
Discomfort: It will cause discomfort, and at times when severe may affect quality of life, but you must ensure if it is persisting you must get evaluated to identify the cause and make sure there are no red flags, for example. Deadly vascular problems, cancer/tumor, gastrointestinal pathologies, genitourinary system problems, etc. ...Read more
Seems like a very high risk option for back pain considering the extreme side effects associated with anti-TNFs??
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
Not uncommon: It is not uncommon to have some residual pain at the site of an epidural injection. It typically goes away in a few days to a week. If it does not go away or is accompanied by fever, severe pain, numbness, tingling, weakness, bowel or bladder programs you should see your doctor immediately. ...Read more
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