Epidural steroid injections (ESIs) are a commonly used option for managing chronic pain, particularly in the back or neck. This outpatient procedure targets inflammation in the spinal area to help reduce pain and improve function. While not a permanent solution, an epidural steroid injection may offer temporary relief and can sometimes assist in a broader treatment plan.
How Does an Epidural Steroid Injection Work to Relieve Pain?
During an epidural steroid injection, corticosteroid medication is delivered directly into the epidural space of the spine. This is located just outside the spinal cord’s protective sac. The goal is to reduce inflammation and swelling in the surrounding nerves, which often contribute to pain. This localized delivery method allows the medication to focus on a specific problem area, potentially providing more effective and immediate relief than oral medication.
The anti-inflammatory properties of the steroid can ease nerve irritation caused by conditions like herniated discs or spinal stenosis. While outcomes may vary, some patients experience significant temporary relief. This allows for increased mobility or the ability to engage in physical therapy for long-term improvements.
Will an Epidural Steroid Injection Help Me Manage My Chronic Back or Neck Pain?
This procedure is commonly recommended for conditions that involve nerve-related pain. These include sciatica, herniated discs, spinal stenosis, or degenerative disc disease. Other qualifying issues might involve radiculopathy or pain that radiates down the arms or legs. ESIs do not address the underlying causes of pain. Instead, they aim to reduce the inflammation contributing to the discomfort. This provides an opportunity for other treatments such as physical therapy to work more effectively. Not every individual will experience significant pain relief, and the duration of relief can vary. For some, a single injection proves helpful, while others may need a series of injections for ongoing management. Consulting with a healthcare provider is a beginning step in determining if this procedure aligns with your treatment goals.
What Should I Expect During and After Getting an Epidural Steroid Injection?
Before undergoing this procedure, you will likely attend a consultation where your medical history is thoroughly reviewed. This process helps determine whether you are a good candidate for the procedure. Healthcare providers may advise against taking certain medications, such as blood thinners, leading up to the appointment. Fasting might be required for a few hours beforehand. Wear loose, comfortable clothing to the appointment, and bring along a responsible individual to drive you home afterward, as some sedation may be used during the procedure.
Once you arrive, a member of the medical team may provide a brief rundown of the steps involved. You will likely be asked to lie on an examination table, typically on your stomach or side, depending on the injection site. The procedure itself starts with cleaning the skin near the target area and administering a local anesthetic to numb the spot where the injection occurs. For better accuracy, imaging guidance, such as fluoroscopy, is often used to make sure the medication is delivered to the correct location. The injection usually combines a corticosteroid and a small amount of local anesthetic. You may experience mild pressure or discomfort during the procedure. After the injection, you may rest briefly under observation before heading home. Avoid strenuous activities and follow any post-care directions provided by your healthcare team.
What Are the Side Effects From This Procedure?
Like any medical procedure, this can carry some potential risks. Common side effects may include temporary soreness at the injection site, mild swelling. Less common complications include infection, nerve irritation, or allergic reactions to the components of the injection. Serious complications, though rare, might include bleeding or injury to surrounding tissues. If you experience severe pain, fever, or unusual symptoms after your injection, contact your healthcare provider promptly.
Take the Next Step in Managing Pain
Epidural steroid injection can be a valuable addition to a pain management plan. Particularly for those dealing with inflammation-related conditions like herniated discs. They offer the potential for temporary relief, enabling you to regain mobility or pursue complementary therapies. If chronic pain is impacting your quality of life, consider discussing whether this procedure is right for you with your healthcare provider. Understanding the procedure and your options is a key step toward finding relief and improving your well-being.