Doctor insights on:
Is Epidural Injection Of Steroids Effective For Back Pain
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
Yes: Improvement is great diagnostic confirmation.Get a more detailed answer ›
Depends: It depends on cause of back pain. If you have pain from lumbar facet joints, the epidural will have almost no effect on your back pain. If the pain shoots down a leg or two and is from a disk herniation, you have a good chance the pain will go away for a while (a week to a year). If you also do physical therapy, there may be even more chance of improvement. Talk to your doctor and good luck. ...Read moreSee 1 more doctor answer
Yes: This would depend what the actual source of the pain is, it's possible that the pain you are describing is not amenable to any type of injection and some other remedy may be more appropriate. "facet" injections, "intrathecal" injections or enen trigger point injections are used for certain types of pain. ...Read moreSee 2 more doctor answers
Depends: There are different types of injections: into or around joints, round the nerves, in the canal containing the sac of nerves. Effectiveness will vary, depending on the severity of the disease, how much of the spine in involved. In the right person, it can help about 70% of the time. It is usually combined with exercise, therapy, pills. ...Read moreSee 2 more doctor answers
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's been shown to be more effective for radicular pain, but can be effective for back pain as well. ...Read moreSee 2 more doctor answers
Does a epidural injection for low back pain L5 s1 disk herniated usually help in patients? What is the procedure for having a epidural injection?
Yes: It can work. In my experience 50% of patients do very well and the other half only partially helped.The procedure involves injecting meds in the epidural space which is inside the spinal canal but outside the sac which contains the nerves and spinal fluid, it is done either by feel or using x-ray guidance. ...Read moreSee 2 more doctor answers
It depends: If an interlaminar approach is used, the c7-t1 interspace is usually selected for needle entry. This is near the base of your neck. For transforaminal epidural steroid injections, the needle entry depends on the location of your neck pain and can be right- or left-sided at any point along your cervical spine. ...Read moreSee 3 more doctor answers
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 moreSee 4 more doctor answers
Steroid: Too much steroid can cause osteoporosis no matter where it is placed. Oral, IV or epidural steroid may increase chance of osteoporosis. The amount of steroid used in epidural injection for a herniated disk is less than the amount of steroid consumed as a Medrol (methylprednisolone) dose pack taken orally to treat the same symptoms. Generally, though, we do not recommend more than 3 steroid injections in 6 months. ...Read moreSee 2 more doctor answers
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
(1) Are Retroscapular Injections safe and effective for Diagnostic purposes and Temporary relief from potential Scapular Bursitis symptoms? (2) Possible side effects with long-term use? (3) What type of medication is injected, i.e. steroid? (4) Is it pain
Yes: in the hands of a skilled provider with experience there should be minimal risk. However there is always the chance of a lung injury--but small. Usually a mixture of steroid and lidocaine is used to numb the area and then the steroid should reduce swelling in the bursa But this is usually only temp pain relieve so you can rehab the scapular muscles. ...Read more
What conditions are Bilateral Lumbar Facet Steroid Injections used for vs. an epidural steroid injection? which would be ordered 1st for DDD pain?
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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