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Doctor insights on: Epidural Steroid Injection

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Dr. Qamar Khan
206 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

Dr. Qamar Khan
206 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

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

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Epidural steroid injection complications in my back. What to do?

Epidural steroid injection complications in my back. What to do?

Not sure What to say: Without further info I can't advise you any way. Maybe you need to see the doctor to discuss your options or even a surgeon. ...Read more

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I'm getting an epidural steroid injection. What should I expect?

Injection: Epidural glucocorticoid injections (also referred to as "corticosteroid injections" or "steroid injections") involve the administration of steroids in the space between the dura and the spine.

Epidural injections have been used in patients with radiculopathy, spinal stenosis, and nonspecific low back pain. A recent report showed no long-term efficacy in chronic lumbar radiculopathy. ...Read more

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Can you tell me the success rate of an epidural steroid injection?

Can you tell me the success rate of an epidural steroid injection?

Unsure: The efficacy of epidural glucocorticoids remains unclear because of conflicting results from randomized controlled trials. The best evidence for benefit comes from trials for patients with radiculopathy due to a herniated disc and demonstrates short-term, but not long-term, benefit. Epidural injections for non-specific low back pain and spinal stenosis are of unproven benefit. ...Read more

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How much does the steroid spread in an epidural steroid injection?

Not far: Typically, if a patient is positioned correctly, there is spread only over a few vertebral levels as this is typically a precise localized injection. ...Read more

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What is the definition or description of: epidural steroid injection?

What is the definition or description of: epidural steroid injection?

An injection of a: 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. ...Read more

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What are some reasons an epidural steroid injection would worsen pain?

What are some reasons an epidural steroid injection would worsen pain?

Epidural steroid inj: It is not very unusual to have a different pain sensation after having an epidural steroid injection. The injections provide pain relief for at least half of the people who receive them. Your pain may become worse for 7- 10 days after the injection before it begins to improve. Are you currently seeing a fellowship-trained spinal pain management specialist? ...Read more

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Can I get an easy to understand explanation of epidural steroid injection.?

Can I get an easy to understand explanation of epidural steroid injection.?

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

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Could you provide some information on dealing with epidural steroid injection.?

Could you provide some information on dealing with epidural steroid injection.?

Ask to be: Sedated if you think it will help, you won't even remember what happened, safe with experienced doctor ...Read more

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I'm having an epidural steroid injection in the morning, what should I do to prepare?

Contact office: Contact your doctor's office: almost every clinic has specific guidelines for this procedure that you will need to follow. In general, these are very safe and low risk. Try to get a good nights rest and relax the night before. ...Read more

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How long does the epidural steroid injection take to start working when given for epditimitis?

7-10 days: For the effects of the steroid medication to take effect and it may be up to 7-10 days before the maximum benefits are achieved. Very often more than 1 injection is necessary to achieve a good level of pain relief and healing. ...Read more

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I am going to have an epidural steroid injection done for the first time. When can I travel after?

3-4 days: Usually after 3-4 days any complication that could arise should have happened then. So travel should be OK after that. ...Read more

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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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How much X-ray exposure is there in epidural steroid injection?

Great Question: Depends on type of c-arm used and whether or not physician/x-ray tech continuously steps of pedal or presses button or is more cautious. I use a setting called low-dose pulse and often the exposure is less than 1/100 of a chest x-ray. ...Read more

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What happens if you eat or drink before an epidural steroid injection?

Possible Cancel: If you were scheduled to be done with sedation it may be canceled or offered without sedation. The purpose of not eating/drinking for a specified period before the injection known as npo is to reduce the risk of vomiting and aspirating contents into the lungs while sedation. Aspiration can be deadly. ...Read more

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Does the steroid drip down the epidural space when I stand after receiving an epidural steroid injection?

Possible: Most of the steroid stayed local where its injected, however like anything subject to gravity's pull the liquid can travel down as you stand up. ...Read more

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How much steroid (mg) should be given in a transforaminal diagnostic epidural steroid injection for a small adult?

How much steroid (mg) should be given in a transforaminal diagnostic epidural steroid injection for a small adult?

Depends: Every doctor uses a specific dose of steroid. Generally its hard to say what dose until you meet and speak with the doc. Also they may use different steroids and they are all very different in dosages. ...Read more

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If you give an epidural steroid injection to an athlete, then don't you just increase the chance of more damage by taking away the pain feedback?

Um no: This is a fallacy that I am not sure how it was created but is there. If you injure yourself again likely you feel it even if you get an epidural injection. The steroid is just relieving inflammation, not shutting off all your pain senses. We ask athletes to decrease activity for 1 week to allow the steroid to kick in otherwise your activity will overwhelm its help causing more inflammation. ...Read more

Dr. Jeffrey Stevens
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. Foead Geula
2,289 Doctors shared insights

Steroids (Definition)

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