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Doctor insights on: Epidural Steroid Injections And Hair Loss

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Can steroid epidural shots cause hair loss or is this a myth?

Can steroid epidural shots cause hair loss or is this a myth?

Basically myth: I wish people would stop making this stuff up. Telogen effluvium can follow any major illness and rarely steroi Rx but it's usually transient. ...Read more

Dr. Alan Bauman
1,427 doctors shared insights

Hair Loss (Definition)

Hair loss, otherwise known as alopecia, can be caused by different reasons, including damage to the hair shaft or follicles or fungal infections. There are two main types of alopecia. Alopecia areata occurs when the body's immune system attacks hair follicles and causes hair to fall out. Androgenetic (or androgenic) alopecia, on the other hand, is an inherited form of hair loss. With alopecia areata, hair can fall out in patches all over the body. With androgenetic alopecia, hair on the head first thins and then falls out. In men, this is called male pattern hair loss; in women, it is called ...Read more


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I have heard of epidural steroid injections for back and neck pain, what is that?

I have heard of epidural steroid injections for back and neck pain, what is that?

Pain shots: An epidural steroid injection in the neck or back allows for administration of steroids (anti inflammatory) into an area near irritated nerve roots and/or bulging disks. ...Read more

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When do you need epidural steroid injections?

When do you need epidural steroid injections?

Only when you: are still in pain from sciatica due to a herniated disc, spinal stenosis or even facet arthropathy after completing a round of conservative care. This typically means you have tried medications, exercise, therapy and no help to your pain has been attained during that time. ...Read more

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Do epidural steroid injections cause you to gain weight?

Do epidural steroid injections cause you to gain weight?

Possibly: Weight gain is usually from you eating more (steroids can cause you to be hungry), water weight gain (usually self limiting) and possible fat deposition if your own steroid production is halted (again self limited and takes more than one injection). There is no muscle growth that takes place, these are not those type of steroids. ...Read more

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When do people generally get epidural steroid injections?

When do people generally get epidural steroid injections?

4-6 weeks: Initially the symptoms last 4-6 weeks and if your body heals like it supposed to then pain relief starts. However disc herniations which are the cause of majority of sciatica symptoms last for 6-9 months and therefore people can have pain during that time as well. If not better after 6 weeks see a spine specialist to evaluate this further. Try core exercise s first, check youtube or see PT. ...Read more

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How much pain is involved with getting epidural steroid injections?

How much pain is involved with getting epidural steroid injections?

Minimal: Everybody has a different tolerance for pain. Epidurals should not be horribly painful. If done with sedation patients often don't recall the epidural at all. Without sedation patients will feel a little stick and a burn usually followed by some pressure. Certain types of epidurals known as transforaminal epidurals may cause pain to temporarily radiate down the leg during the epidural. ...Read more

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What medical issues could arise after repeated epidural steroid injections?

What medical issues could arise after repeated epidural steroid injections?

See below: Epidurals are often used to help relieve pain from an inflammed disc or pinched nerve. It's probably ideal to limit steroid injections to 3 per year as too much sterid can lead to osteoporosis or hormonal imbalances. Steroids can also increase blood sugar levels if your a diabetic. ...Read more

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Long term effects from epidural steroid injections?

Pain relief: On the positive side the effect would be less pain and greater quality of life. Long term adverse effects are minimal. ...Read more

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What is recommended if lumbar epidural steroid injections don't work?

What is recommended if lumbar epidural steroid injections don't work?

Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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How should you prepare for epidural steroid injections for back and leg pain?

How should you prepare for epidural steroid injections for back and leg pain?

Like Any Other Inj: The worse part of an epidural injection is typically the local anesthetic administered to numb the skin. After that the needle typically feels like pressure. However as the needle enters the spinal canal or around the nerve root there can be some pain that is transient. Complications can be bleeding, infection, nerve damage and paralysis, but these are extremely rare. ...Read more

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How often do epidural steroid injections produce prolonged muscle wasting/weakness >10 months?

How often do epidural steroid injections produce prolonged muscle wasting/weakness >10 months?

They shouldn't : It is more likely that the cause of the weakness and muscle wasting is the reason you got the injection on the first place. You should follow up with your neurologist. ...Read more

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Will epidural steroid injections cause harm to my bones or having any adverse long term effects to my body?

Will epidural steroid injections cause harm to my bones or having any adverse long term effects to my body?

No,usually: We had a recent problem with a pharmacy that provided us with a very bad batch of steroids.Drs had no idea and were blind-sided when patients developed infections.
If this is a last resort for very severe pain, it is a recommended treatment. ...Read more

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Why recommend epidural steroid injections for severe lower back pain when patient is scared of them after recent deaths from contamination?

Scientific studies: Epidural injections have a proven track record of successfully treating many pain conditions when performed by experienced physicians on appropriately selected patients. The recent outbreaks of fungal meningitis were traced to a small number of compounding pharmacies and represent a very small percentage of the total number of epidurals performed each year in the United States. ...Read more

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Are epidural steroid injections, si joint, and radiofrequency ablation dangerous if given for years?

Are epidural steroid injections, si joint, and radiofrequency ablation dangerous if given for years?

Yes and No: Osteoporosis after any sort of steroid exposure can occur. Usually this requires repeated chronic long term exposure after several years. Based on your age, unless you have previous exposure to oral steroids or have had significant exposure to epidural steroid injections i would not be too concerned yet. ...Read more

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What are epidural steroid injections used to treat?

What are epidural steroid injections used to treat?

Epidural Pain Relief: Results in decreased Inflammation around the spinal nerve roots and Increased return to activity level as your body is healing from a herniated disk, spinal stenosis or even facet arthropathy. ...Read more

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What are the common risks of epidural steroid injections?

What are the common risks of epidural steroid injections?

Like Any Other Inj: The worse part of an epidural injection is typically the local anesthetic administered to numb the skin. After that the needle typically feels like pressure. However as the needle enters the spinal canal or around the nerve root there can be some pain that is transient. Complications can be bleeding, infection, nerve damage and paralysis, but these are extremely rare. ...Read more

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What are some long term effects of epidural steroid injections?

What are some long term effects of epidural steroid injections?

Several: Multiple epidural steroid injections over the long term can result in:
1. Scar tissue surrounding the nerve sac (the dura) which can sometimes lead to spinal fluid leak with headaches
2. Higher risk of infection, bleeding
3. Avascular necrosis of the hips (the hip bone loses blood supply which can lead to premature arthritis)
4. Increased blood sugar (especially in diabetics). ...Read more

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Could epidural steroid injections for back pain cause bone deterioration?

Yes and No: Osteoporosis after any sort of steroid exposure can occur. Usually this requires repeated chronic long term exposure after several years. Based on your age, unless you have previous exposure to oral steroids or have had significant exposure to epidural steroid injections i would not be too concerned yet. ...Read more

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Can malignant hyperthermia occur secondary to epidural steroid injections?

Can malignant hyperthermia occur secondary to epidural steroid injections?

No: Not unless you received general anesthesia for placement of the epidural steroid injections. ...Read more

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Does epidural steroid injections injected in the same place as the epidural analgesia?Have same risks?

Yes: It is the same procedure with the same risks. There are additional risks with the steroids this time though. Discuss them with your physician. ...Read more

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My mom is about to have epidural steroid injections in her back for bulging discs. What are the side effects?

My mom is about to have epidural steroid injections in her back for bulging discs. What are the side effects?

Usually minimal if: If given in the proper setting, 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. A possible spinal headache or aseptic or chemical meningitis. Local soreness at the injection site is transient. Rarely, nerve or cord injury. ...Read more

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Is a rare side effect of epidural steroid injections the feeling that all your muscles were shot with novocaine?

Local: Often times a local anesthetic is added to the steroid injection which can cause some motor (muscle) weakness and sense of numbness usually bellow the site of the injection. A way that all your muscles would feel weak or numb is if some of that local anesthetic went into the subdural space. ...Read more

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What are epidural steroid injections used for?

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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For what length of time do side effects of epidural steroid injections last?

Vary...: Epidural steroid injection is usually given with mixing some local anesthetics as a part of pain management for spinal disorders. How long the post-injection soreness may last may highly vary depending on the pace of local tissue healing process. Personal experience may help such understanding, but the course of post-injection sore still varies from time to time.

Ask your doctor for detailing... ...Read more

Dr. Gregory Moneta
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
2,292 doctors shared insights

Steroids (Definition)

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