Doctor insights on:
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
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
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
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
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
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
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
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
How much steroid (mg) should be given in a transforaminal diagnostic epidural steroid injection for a small adult?
I am having a second epidural steroid injection at 1pm monday and I have a 5 hour flight the next day is that safe?
Safety: I think it's OK but please be careful! ...Read more
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
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
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
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
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
Yes: Very helpful. Speak with your doctor regarding your options for treatment. ...Read more
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
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
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
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
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
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
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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