epidural steroid injections

The procedure is performed under local anesthesia, and for some patients, with intravenous sedation. Fluoroscopy, a type of x-ray, will be used to guide the needle between the bony vertebrae into the epidural space. When the needle is correctly positioned the anesthetic and corticosteroid medications are injected into the epidural space around the nerve roots. 

It generally takes 3-5 days before the steroid that was injected causes a reduction in your pain. You may return to your everyday activities and work the day after your injection. Many patients experience significant pain relief. For those experiencing only mild pain relief, one or two more injections may be performed to achieve full effect. The duration of pain relief varies from patient to patient, usually lasting for 3 months or more.  

As with any procedure involving a needle, there is a rare chance of infection, bleeding, allergic reaction and nerve damage. Complications are extremely rare. Talk with your provider if you have specific questions about the risk of your procedure.  

Dress in loose, comfortable clothing, and leave jewelry and other valuables at home.

You must have a driver to take you home after the procedure. 

If you are scheduled to be sedated, you must fast for 8 hours before the procedure. 

If you take medications for high blood pressure or any kind of heart condition, please take your medications as normal with a small sip of water.  

If you take aspirin or any blood thinning medication you will need to stop taking it for 2-7 days before your procedure. Discuss the risks involved with the physician who prescribes your blood thinner. Restart the blood thinner the day after your procedure.