Epidural steroid injection

If you are suffering from chronic or acute pain, please contact Integrated Pain Consultants and learn if an epidural steroid injection is right for your particular situation. With three offices open in Scottsdale, Mesa, and Phoenix, Arizona, learn why we are voted “Top Doc” by Phoenix Magazine and read reviews left by other patients of Dr. Nikesh Seth and his amazing team of physicians and providers. Learn more about pain conditions , pain treatment , and please schedule your appointment by calling (480) 626-2552 or book your appointment online today.

First, your back will be cleaned with an antiseptic solution and a sterile drape will be placed. Next, the doctor will identify the area he or she will inject using an x-ray machine. Once the location is identified, you will feel a pinch and a burn as numbing medicine is injected into that spot using a fine needle. After the numbing medicine takes effect, you should only feel pressure as the doctor places an epidural needle into the correct position using multiple x-rays. Once the needle is in the epidural space, you may feel pressure or even worsening of your typical pain as the doctor injects the medication.

The following patients should not have this injection: if you are allergic to any of the medications to be injected, if you are on a blood-thinning medication (. Coumadin, injectable Heparin), or if you have an active infection going on. With blood thinners like Coumadin, your doctor may advise you to stop this for 4-7 days beforehand or take “bridge therapy” with Lovenox prior to the procedures. Anti-platelet drugs like Plavix may have to be stopped for 5-10 days prior to the procedure. Aspirin should be stopped for cervical procedures for 10 days prior, but not for Lumbar.

The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.

An epidural steroid injection places this powerful anti-inflammatory medication directly around the spinal nerves. Traditionally epidural injections were administered without any special equipment, by inserting the needle by feel in the area around the spinal nerves. More recently epidural injections have been administered with the aid of imaging tools to allow your physician to see the needle going to the proper location. Either real-time x-ray called fluoroscopy, or CT scan can be used to 'watch' the needle deliver the medication to the proper location. 

Epidural steroid injection

epidural steroid injection

The caudal approach to the epidural space involves the use of a Tuohy needle, an intravenous catheter, or a hypodermic needle to puncture the sacrococcygeal membrane . Injecting local anaesthetic at this level can result in analgesia and/or anaesthesia of the perineum and groin areas. The caudal epidural technique is often used in infants and children undergoing surgery involving the groin, pelvis or lower extremities. In this population, caudal epidural analgesia is usually combined with general anaesthesia since most children do not tolerate surgery when regional anaesthesia is employed as the sole modality.

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