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Doctor insights on: Epidural Steroid Injection

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Dr. Qamar Khan
200 doctors shared insights

Epidural Steroid Injection (Overview)

Steroid type medication done under a local anesthesia with or without IV sedation in a sterile setting either with or without fliuroscopic or x-ray guidance into space below the lamina but above the dura or lining of the nerve tissue of the spine with the needle passing through natural openings between the lamina given for pain relief due to inflammation from a disc herniation or spinal stenosis.


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What is an epidural steroid injection like?

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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Dr. Qamar Khan
200 doctors shared insights

Epidural Steroid Injection (Overview)

Steroid type medication done under a local anesthesia with or without IV sedation in a sterile setting either with or without fliuroscopic or x-ray guidance into space below the lamina but above the dura or lining of the nerve tissue of the spine with the needle passing through natural openings between the lamina given for pain relief due to inflammation from a disc herniation or spinal stenosis.


Dr. Brian Le Dr. Le
4 doctors agreed:
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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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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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Can i get a reverse epidural steroid injection?

Reverse??: I'm not sure what a reverse epidural is. Epidural steroids are injected in the spine to lessen inflamation and thereby provide pain relief. I have never heard one referred to as "reverse". ...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 are some benefits of an epidural steroid injection?

Improvement: Epidural steroids are typically used to treat pain in the neck or back. The reason behind the treatment is to help reduce inflammation or swelling that is contributing to the symptoms of pain or numbness. Although not everyone feels better after an epidural steroid injection, many patients experience significant lessening of their pain. The injection may need to be repeated more than once. ...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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Will my medications affect my epidural steroid injection?

Generally no: Most medications are Ok. However, some NSAIDs and blood thinners need to be stopped before the injection to decrease risk of bleeding. ...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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Increased pain after epidural steroid injection. What to do?

Normal: If it does not resolve in a week, call your doctor to see what options you may have regarding this increased pain. Although uncommon, it can happen and usually will go away on its own. ...Read more

Dr. Shari Jackson
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. Gregg Albers
2,262 doctors shared insights

Steroids (Definition)

Many children with croup need prescription medications. Often steroids can ...Read more