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Doctor insights on: What Happens If You Eat Or Drink Before An Epidural Steroid Injection

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

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

Dr. Qamar Khan
206 Doctors shared insights

Epidural Steroid Injection (Definition)

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


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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

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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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Increased pain after epidural steroid injection. What to do?

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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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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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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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?

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

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Is RACZ catheter an option when numerous times of epidural steroid injection fails to relieve the pain? Then how many injections before considering RACZ?

Is RACZ catheter an option when numerous times of epidural steroid injection fails to relieve the pain? Then how many injections before considering RACZ?

For Scarring: Racz catheter is used on a procedure called epidural lysis of adhesions which is codespeak for scar tissue, assuming you've had back surgery. Generally it is used to deliver an anesthetic/enzyme mixture to break up that scar tissue but is also used for mechanical compression to breakup the tissue as well. Generally your pain/spine doctor should discuss when this is a good option for you. ...Read more

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How bad is an epidural steroid injection in my neck going to hurt?

How bad is an epidural steroid injection in my neck going to hurt?

Not much: 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 the risks and dangers of epidural steroid injection in the back?

Generally safe: These are generally extremely safe. All of the risks are very rare and are as follows: infection, bleeding, allergic reaction (less than 1 in 80, 000), spinal cord injury or permanent severe nerve damage (less than 1 in 2 million). The most common risk is failure to improve pain and spinal headache (less than 1 in 200). ...Read more

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Is an epidural steroid injection effective for back pain?

It can be: Depends on the reason for why you have back pain, a herniated disc, spinal stenosis or even facet arthropathy? Then yes an epidural injection can be helpful. Speak with a pain/spine specialist to determine what is right for you. ...Read more

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Is an epidural steroid injection helpful for spinal stenosis pain?

Is an epidural steroid injection helpful for spinal stenosis pain?

Yes: Very helpful. Speak with your doctor regarding your options for treatment. ...Read more

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What to expect for epidural steroid injection for a herniated disc?

What to expect for epidural steroid injection for a herniated disc?

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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Where is the location of a epidural steroid injection for c-spine pain?

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 more

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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. 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?

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

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?

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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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

Dr. James Dukelow
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