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Doctor insights on: Epidural Injection For Back Pain Side Effects

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Please help! What is the difference between a facet block and an epidural injection for back pain relief?

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

Dr. Jan Lei Iwata
4 Doctors shared insights

Epidural Injection (Definition)

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


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If having an epidural injection for back pain - is it nil per mouth before the procedure?

If having an epidural injection for back pain - is it nil per mouth before the procedure?

Better so: For at least 4 hours, and better ask the anesthesiologist or the doctor performing the procedure, wish you wellness ...Read more

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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?

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

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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.

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.

Yes: I am unaware of any contraindications to performing an epidural steroid injection in patients with cancer (unless of course the tumor is in the direct route of the needle). ...Read more

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Is an epidural injection helpful for chronic back pain?

Is an epidural injection helpful for chronic back pain?

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

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Is epidural injection of steroids effective for back pain?

Is epidural injection of steroids effective for back pain?

It certainly can be: As dr. Hadied said, when done by the right person, it can be very effective. ...Read more

Dr. Brian Le Dr. Le
2 doctors agreed:
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How long does epidural injection work for back pain?

Dr. Brian Le Dr. Le
2 doctors agreed:
How long does epidural injection work for back pain?

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

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Is there more injections then an epidural injection for mid-back pain?

Is there more injections then an epidural injection for mid-back pain?

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

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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

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

Back and leg pain: Bleeding, infection, wet tap (postural headache) are some of the rare complications of esi. Back with leg pain responds better to epidural. ...Read more

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I have chronic lower back pain. I chose physical therapy instead of an epidural injection. Which is more effective or should I do both?

I have chronic lower back pain. I chose physical therapy instead of an epidural injection. Which is more effective or should I do both?

Depends on the cause: There r many causes of back pain. B evaluated by a spine specialist, once u know the cause, he/her will decide what 2 do based on experience ; training. ...Read more

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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

Maybe: Epidurals are indicated for leg pain and not for back pain. They do however have anti-inflammatory properties and may calm down inflammation from an annular tear. They are safe and effective if done by the right person and may be worth a try if other measures are not working. ...Read more

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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?

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

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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?

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

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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

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

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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

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Hi doctors, was just wondering what is a spinal epidural injection, and does it relieve backpain?

Hi doctors, was just wondering what is a spinal epidural injection, and does it relieve backpain?

Yes: It is an injection of steroid medication into your back or neck to help reduce inflammation around nerves to reduce pain. Yes it is used to relieve back pain. ...Read more

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What are the side effects of using kenalog (triamcinolone) injections to relieve lower back pain?

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

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I am currently taking Medrol (methylprednisolone) and Ultram for thoracic back pain...Side effects taken together? Thank you! :-)

None so far: Medrol (methylprednisolone) (methylprednisolon) is a steroid classified as a glucocorticoid. Ultram (tramdol) is a non-opioid analgesic for moderate to severe pain. There are no significant interactions with these two drugs. ...Read more

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When does someone need a lumbar epidural injection?

When does someone need a lumbar epidural injection?

Epidural: For temporary relief of low back & sciatic pain. ...Read more

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Narcotics for treating chronic back pain and side effects?

Narcotics for treating chronic back pain and side effects?

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

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Can you please tell me effects/side-effects of lower back pain?

Can you please tell me effects/side-effects of lower back pain?

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

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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

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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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Back pain at the injection site of my epidural?

Back pain at the injection site of my epidural?

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

Dr. Warren Foster
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. Heidi Fowler
4,749 Doctors shared insights

Back Pain (Definition)

Pain in the back is a symptom that can be due to a number of causes including musculoskeletal or neurological problems or due to problems ...Read more