An epidural steroid injection procedure may take about 30 minutes to administer. A tingling or mild burning sensation, or the feeling of pressure may be experienced as the medication enters the epidural space. When the injection is completed, the irritation and discomfort usually disappear within a few minutes. Patients typically return home after a few hours.
Specific post-injection precautions are followed over the next few days. Sciatica Treatment Video. Epidural Steroid Injections. Sacroiliac Joint Block Video. Cervical Epidural Steroid Injection Video. Injections for Neck and Back Pain Relief. You are here Treatment Injections. By Richard Staehler, MD. Peer Reviewed. Patel K, Upadhyayula S.
In: StatPearls [Internet]. Treatment of chronic low back pain - new approaches on the horizon. J Pain Res. Published May S 3. Chang, Douglas, Zlomislic, Vinko. Chapter Lumbar Spinal Injections. In: Chapman, Michael W. Chapman's Orthopaedic Surgery. Hassan KZ, Sherman Al. Epidural Steroids. Epidural injections in prevention of surgery for spinal pain: systematic review and meta-analysis of randomized controlled trials.
The Spine Journal. Diagnostic and therapeutic spinal interventions: Epidural injections. Neurol Clin Pract. Safety of Epidural Corticosteroid Injections. Drugs R D. Pandey RA. J Clin Diagn Res. Many people get several months of improvement of pain and function from the injections.
If the injection is effective, it can be repeated. If you have any side effects, be sure to contact your healthcare provider. If you don't have pain relief, talk with your healthcare provider. This may be a sign that the pain is coming from some place other than the spinal nerves. Health Home Conditions and Diseases. Sometimes pain relief is short term. Other times the benefits continue for some time. Why might I need an epidural steroid injection?
A number of conditions may add to this narrowing, including: Herniated disks "Slipped" vertebrae Joint cysts Bone spurs Thickening ligaments in the spine because of spinal arthritis Injected steroids reduce inflammation and opens up these passages to provides pain relief. What are the risks of an epidural steroid injection?
If you do have side effects, they may include: "Steroid flush," or flushing of the face and chest, with warmth and an increase in temperature for several days Sleeping problems Anxiety Menstrual changes Water retention In rare instances, pain that actually increases for several days after the procedure Serious complications are rare but can include: Allergic reaction Bleeding Nerve damage Infection Paralysis How do I get ready for an epidural steroid injection?
Tips for preparation include the following: An epidural steroid injection is generally an outpatient procedure. You may be asked to change into a surgical gown to make the injection process easier. You may want to ask for a mild sedative, but most people receive just local anesthetic. If you have diabetes, an allergy to contrast dye, or certain other medical conditions, you'll want to discuss any concerns with your healthcare provider before getting the procedure.
Based on your medical condition, your healthcare provider may request other specific steps.