Doctor insights on:
Foramen Epidural Injection
Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read moreSee 1 more doctor answer
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
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 moreSee 3 more doctor answers
Great Question: Unfortunately, there is no good literature to give exact amount of time that a patient might expect to receive relief from any type of epidual steroid injection. Caudals are usually done for spinal stenosis or complex fused spines fo relief of pressure on nerve structures. No two spines are alike. They are like snow flakes and fingerprints and so different are patient responses. ...Read moreSee 3 more doctor answers
No difference: Epidural injections can be done to relieve pain and inflammation from a number of spinal conditions; risks are the same. Tenderness at the injection site is common but doesn't last long. More serious problems such as bleeding, infection, or nerve damage are very rare but possible; these injections should only be done by trained physicians. ...Read moreSee 1 more doctor answer
Any part of spine: An epidural can be given anywhere along the full length of the spine. In the neck and upper spine, it is often used for pain management. An epidural can be placed in the mid-back for pain relief after chest or abdominal surgery. Epidurals are often placed in the lower back for labor pain, c-sections, or orthopedic surgery on the legs. So it depends on the need. ...Read moreSee 3 more doctor answers
For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read moreSee 3 more doctor answers
If anterior horn spinal nerves are motor, then epidural steroid inj's can only relieve sensory symptoms being injected posteriorly?
Interesting Thought: The plan is for the epidural steroid injection that is done posteriorly (called interlaminar/translaminar epidural injection) to reach the anterior epidural space where both the motor and sensory nerves exit out. Below the level of L2, roughly the spinal cord ends and all nerves exiting from the spine have both sensory/motor components. ...Read moreSee 2 more doctor answers
Different Areas: Facet injections are used for typical whiplash and arthritic pain that emanates from the facet joint in the spine which is in the back of spine. The epidural steroid injection can help with the same, however typically is used to treat the spinal nerve pain that is due to spinal stenosis or herniated disk that is pinching the exiting spinal nerve(s) which is in the front of spine area. ...Read moreSee 2 more doctor answers
Yes, very accurate: Ct guided procedure gives excellent "accuracy" in guiding the needle to the exact location to be injected. The process involves highly trained docs/technicians to get incredible pin-point accuracy. Best of luck if you are undergoing the procedure. ...Read more
Why?: Although i used to give them, studies by deyo, et al, and others more recently, have shown little benefit over a systemic steroid injection. The injection is delivered to the facet joint, the true synovial joints of the spine. Afcet joints problems are likely if you have pain with backward extension of your spine. ...Read moreSee 1 more doctor answer
Ok, had facet joint injections-thoaracic, after epidurals failed...What is next pain management 4 thoracic spine 6 bulgd disc, help?
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 moreSee 4 more doctor answers
Well: Technically no difference, they are probably the same. However, if the cortisone injection is not done under an x-ray machine (fluoroscopic c-arm) then it could be that the cortisone injection may be just that an injection into the muscle like a trigger point injection. Speak with your doctor to get clarity about what you will be getting. ...Read moreSee 3 more doctor answers
Does a caudal epidural steroid injection provide pain relief for compressed disks at l4/l5? For how long?
Possibly: The caudal space is a way of entering the epidural space at a lower level in the back, near the tailbone. Medications such as steroids injected there should be able to reach the l4-5 level. However, it's hard to predict exactly how much pain relief will be achieved or how long it will last. Consult an anesthesiologist or other physician with special training in pain management. Good luck! ...Read moreSee 5 more doctor answers
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
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