Patients will change into a hospital gown to allow easy access for the physician to clean, numb and inject the area. The procedure takes about 15 to 30 minutes. The patient will lie flat on an X-ray table with a pillow under their stomach to create a small curve in the back. Using an X-ray for guidance, the physician will insert a needle in the skin toward the epidural space. The correct placement is confirmed and then the steroid solution is injected slowly. Patients will sense some pressure, and are monitored for about 20 minutes before being discharged. Sedatives are available to relieve anxiety.
My injections into L5-L4-S1 were done incorrectly my last time and I was literally having the same symptoms as someone who overdosed on a street drug. Mainly being short, deep breathing, dizziness, racing heart rate and high blood pressure. In short, what had happen to me is the pain management doctor gave me too much ‘juice’. I certainly resent this as it was an unbearable experience. My first time to get injections it was a complete and total breeze and piece of cake by the same don’t know why I reacted on that way.
Some side effects associated with spinal puncture include bruising, bleeding, infections, headaches, and blood clots. Cortisone side effects may cause weight gain, water retention, hot flashes, mood swings or insomnia, and elevated blood sugar levels in people with diabetes. Epidural steroid injections can provide diagnostic and therapeutic benefits. ESIs have been endorsed by the North American Spine Society and the Agency for Healthcare Research and Quality of the Department of Health and Human Services. Discuss this procedure with your friendly and caring doctor at the Florida Spine Institute to determine whether it is the right treatment for you.