Epidural steroid injections after care

The steroid medication begins to take effect in one to two days at which point you should start to see some benefit. The steroid effect continues to get stronger and stronger such that the peak effect occurs at about two weeks. Thereafter, the effect will stabilize and should last several weeks to months. Typically, the pain relief experienced from this procedure lasts 3-6 months, but there is significant variability from patient to patient and from one procedure to another. If and when the pain starts to return, this procedure can be repeated to try and attain some pain relief once again. Keep in mind that this injection may work very well for pain certain areas but may not help with others. This is normal. Areas of pain that do not respond may need other treatments, which you can discuss with your doctor.

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.

Epidural steroid injections are generally very safe, but there are some rare potential complications. One of the most common risks is for the needle to go too deep and cause a hole in the dura, the tissue that surrounds the spinal cord and nerve roots. When this occurs spinal fluid can leak out through the hole and cause a headache . This headache can be treated with bedrest, or with a blood patch. A blood patch involves drawing some blood from the vein and the injecting it over the hole in the dura. The blood forms a seal over the hole and prevents any further fluid from leaking out.

Many people begin to notice meaningful pain relief within two to five days after an injection. If the treatment proves to be beneficial, its effects may last for one week up to one year. If necessary (and at the discretion of a physician), a patient can typically receive up to three injections during a one-year period. Any more than that, however, can increase the risk of side effects, such as osteoporosis (weakened bone tissue). That’s because cortisone can inhibit the body’s production of vitamin D, which in turn can interfere with the absorption of calcium that’s essential for strong bones.

Those patients who still have some residual pain after the first injection should receive a second and third injection and patients who did not get any benefit from the first injection should not receive another one. Patient selection is very important in deciding on the type of injections patients should receive. Transforaminal injections (different approach to the epidural space) may produce longer pain relief and may also predict whether a patient might benefit from surgery or not (for details, see review McLain et al, Spine Journal 2005). For patients with the diagnosis of lumbar canal stenosis, improvement after such injections may be longer lasting than it was initially thought (Kapural et al., 2005).

Epidural steroid injections after care

epidural steroid injections after care

Many people begin to notice meaningful pain relief within two to five days after an injection. If the treatment proves to be beneficial, its effects may last for one week up to one year. If necessary (and at the discretion of a physician), a patient can typically receive up to three injections during a one-year period. Any more than that, however, can increase the risk of side effects, such as osteoporosis (weakened bone tissue). That’s because cortisone can inhibit the body’s production of vitamin D, which in turn can interfere with the absorption of calcium that’s essential for strong bones.

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