What to Expect With an Epidural Steroid Injection

One of the best procedures to help a person with sciatica pain due to a pinched nerve is an epidural steroid injection. Multiple research studies have shown that epidural injections work well between 75 and 90% of the time for pain relief.Back Pain Treatment Los Angeles

When your Los Angeles pain management doctor recommends epidural steroid injections, what exactly happens during the injection and what should you expect afterwards? Here are the answers to those questions.

Epidural injections are performed as an outpatient and are extremely low risk procedures. If an individual is on blood thinner medications, that should be stop by to seven days prior injection. Your pain doctor in Los Angeles give you the exact timeframe.

Most of the time, your LA pain doctor’s instructions will give you a timeframe for how many hours beforehand not to eat or drink. If the plan is to administer IV sedation for the injection, you will receive an IV upon arrival to the procedure. The doctor may perform an injection either in a procedure room at the office or in an ambulatory surgery center.

You may receive a urine drug test at the center, this is normal. There are instances of epidural steroid injectioncardiac complications if a person is on cocaine and then receives an injection with numbing medicine. Therefore, plenty of LA pain management doctors test everyone just to avoid this kind of problem. By not being selective and including everyone, it puts all patients on an even playing field.

Once you have been checked in, and are ready for the injection, either the nurse or the doctor will confirm what type of injection you are having and at what level(s). Most modern LA pain doctors use fluoroscopy for their procedures. This is a real time form of x-ray that increases accuracy with needle placement.

There are three different methods of performing an epidural steroid injection. One is called a caudal injection, the second is called an interlaminar epidural injection and the third is a transforaminal epidural injection.

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The disc getting pinched becomes irritated and inflamed.

Basically, the end result with these injections is the same. The steroid medication, called cortisone, is injected close to the inflamed nerve root that is being pinched and decrease inflammation and pain The difference in the procedures is simply where the needle goes the place the medication.

Once the doctor is happy with the needle placement, usually contrast medicine is injected to ensure proper placement. Then the numbing medicine and steroid are injected.

A small bandage is placed and you will be monitored in the recovery room for 30 to 60 minutes to ensure that vital signs are stable and no allergic reaction occurs from the medications.

You will usually need a ride home after the injection. The numbing medicine usually provides pain relief right away, and unfortunately wears off in about 12 hours. Steroid medicine often start working within 2 to 3 days, and pain relief may last for weeks to months.

If you or a loved one is experiencing sciatica or chronic back pain, pain relief is Pain Clinics in Los Angelesavailable. The California Pain Network connects those in pain with pain management Los Angeles trusts, with an office serving Beverly Hills, Hollywood, Glendale, Santa Monica and all surrounding areas.

Call (310) 626-1526 for more information and scheduling!

What to Expect With an Epidural Steroid Injection

For over 60 years, epidural steroid injections have been a mainstay in pain management. There is a reason why, and that is because they have consistently shown to provide benefit. Yes, there have been studies showing lack of effectiveness. But those showing Sciatica Treatment Los Angelesbenefit significantly outweigh those studies.

An epidural injection is not meant for back pain. It is intended for extremity pain, such as from a pinched nerve in the neck or back resulting in sciatica or radiculopathy. This pain is burning, searing, electrical in nature, and may be disabling. It may lead to pins and needles, numbness and potentially motor weakness.

If your Los Angeles pain management doctor decides to perform an epidural steroid injection, here is what to expect. The injection does not cure your problem It will hopefully provide pain relief, restore sensation and muscle function, by basically bathing the pinched nerve with soothing anti-inflammatory steroid material.

Epidural Steroid Injection

An epidural injection bathes the inflamed area with soothing antiinflammatory medication.

The hope is that while the symptoms are reduced and life becomes more tolerable after the injection, your body is actually working to disintegrate the piece of disc that is pushing on the nerve root.

Having said that, the procedure is performed as an outpatient. IV sedation is not mandatory, it may be used for those with claustrophobia or anxiety. You will be placed into a prone position, which means on your abdomen.

The pain management doctor in Los Angeles will most likely use image guidance, such as ultrasound or a fluoroscopy machine, which is a real time form of x-ray.

The skin and soft tissues down to the spine are numbed up. There are 3 different ways of performing an epidural injection, and your pain doctor will choose the method that works best for you pinched nerve location and the symptoms being experienced. Pain management Santa Monica

The procedure itself takes 15 to 30 minutes. When the pain doctor reaches the desired position with the needle, he or she will inject contrast material to ensure satisfactory position. If good to go, then the numbing medicine and steroid is injected.

Once completed, you will be monitored for 30 to 60 minutes to make sure vital signs are stable and no allergic reaction occurs.

The risks of the procedure are low but real. They may include infection, bleeding, nerve injury (usually transient), or allergic reaction to the anesthesia or medication used. In addition, you may have a transient increase in blood sugars secondary to the steroid or some facial flushing or slight weight gain. This is usually temporary.

Back pain treatment Glendale CAThe results of epidural injections have been quite impressive. Studies overall have shown between a 75% to 90% effectiveness for satisfactory pain relief. This may entail a series of injections, performed 2 weeks apart for a series of 3. The series may allow for an impressive pain relief.

If the pain relief wears off, the series may be repeated every few months. A landmark study in the Journal of the American Medical Association showed that the results of epidural injections are equivalent to surgical outcomes at the one year point time frame.

If you live in the Greater Los Angeles or Santa Monica areas and are suffering from Pain Management Beverly Hillssciatica, pain relief is available with the California Pain Network. The California Pain Network connects individuals in pain with pain management clinics in Los Angeles and Santa Monica areas.

Simply fill out the contact form on this page, or call (310) 626-1526 today for assistance!