Doctor insights on:
I Recently Had Epidural Steroid Injection And I Have A Burning Pain In Groin Is This Normal
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 ...Read more
Is it normal to have numbness in groin/ buttock area 6 days after epidural steroid injection of l3/l4 nerve?
No: This is not the usual outcome check back with doctor a few hours of numbness is normal, buttocks dosent make sense for site of injectionl3-4 is front of thigh L3 can be groin. ...Read more
I had an epidural steroid injection a week ago. Facial swelling and flushing that still comes and goes. Also burning inside my mouth at times. Bad?
Some Normal/Some Not: Swelling and Flushing can be normal and will resolve over time. Burning in mouth is not. See your doctor to determine what that's from. ...Read more
Common: Pain between the shoulder blade is common with neck problems and their treatment. ...Read more
No: It's not if the injection was in your low back. However, if the injection was in your neck then it could irritate the nerves exiting out of cervical spine going to the shoulder. It should pass as the steroid takes hold in a few days. If you are bothered, speak with your doctor regarding why your shoulder hurts. ...Read more
I've recently received an epidural steroid injection. In light of recent news should I be e worried about spinal meningitis?
Depends on location: The contaminated steroid was distributed to outpatient facilities in 23 states and the list of the states and where they went in those states can be found at the cdc website, cdc. Gov. If you can't find the info, let me know. ...Read more
If sedation is needed for an epidural steroid injection, is it normal to do a consult before and if sedation is needed, to reschedule the injection?
No: You do not need sedation. Just relax and let the medicine work for you ...Read more
Epidural steroid injection for C4C5 bulging disk and nerve pain. March 29 the procedure and been having headaches since, is this normal.
This is not normal: Ruby, it is very unusual for you to have headaches after cervical epidural steroid injection. People with cervical disc problems can often have headaches and I wonder if you had headaches even before injection. If the headaches are worse when you are up but better when you lie down, then you may have spinal fluid leak headache from injection. ...Read more
Is facial swelling and red feverish cheeks and now forehead normal after epidural steroid injection?
Yes: However this suggests you may be intolerant to the amount of steroid injected. Generally it is self limited, but if you are still swollen after a few weeks you may need a cortisol level checked. Sometimes when exogenous steroids are introduced to the body we can shut off our own supply of cortisone causing some temporary problems like the swelling and fluid retention. ...Read more
Are muscle cramps (particularly in the legs) normal after epidural steroid injection? If so, how long will they last?
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 in a few days. ...Read more
How should it take to see results from a cervical epidural steroid injection if it's going to work?
Usually: Within 72 hours if you will have any significant response. ...Read more
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 more
I have 2 herniated discs. Between L-4/L-5 and L-5/S-1. I am scheduled for an Epidural Steroid Injection. Will I be getting 2 injections or just 1?
One: This is usually handled by a single injection. If the injection does not work see a rheumatologist. ...Read more
Yes: Some radiologists use a dye to confirm placement of the steroid injection but this is not mandatory. Just tell them about your allergy and they can perform the injection without any contrast. ...Read more
Two approaches: There are two approaches to an epidural injection. The midline approach spreads steroids in a space that often spreads to the nerve roots at one or more levels. The lateral approach (transforaminal) bathes the medication over a specific nerve root. There may be some spread to other nerve roots as well. This approach requires x-ray guidance for optimal effectiveness. ...Read more
Yes, but very rare: Of course. Any physician can make a mistake. Usually, this question is asked when a patient does not improve as quickly as they like. This does not mean a mistake was made. I find that rarely does the first injection help much; it is commonly the second one that begins the healing process. Discuss this with your pain management physician. ...Read more
Hard to say: Everyone is different, but we do know that some amount of steroid (usually a small amount) can be absorbed systemically. ...Read more
For how long does a caudal epidural steroid injection provide pain relief for compressed disks at l4/l5?
Depends: Epidural injections have a variable relief pattern and it really depends on the steroid used and location of pathology. Typically epidural injections work best if placed next to or on top of the level of pathology. Caudal epidural injections are several levels below l4/l5 and sometimes may not provide adequate relief. Epidural injections if they work can provide from weeks to months of relief. ...Read more
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
A burning sensation can be descriptive of nerve pain, some variations of migraine, and even central brain problems after a stroke. Have heard this said associated with phantom limb syndrome, reflex sympatheric dystrophy, and trigeminal neuralgia. Other patients might say ...Read more
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