Spine injections, Epidurals

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What are Spine Injections (Epidurals)?

Spine injections, also known as epidurals, are minimally invasive procedures used to alleviate pain and inflammation in the spine and surrounding areas. These injections involve the precise placement of medication, such as corticosteroids or local anesthetics, into the epidural space around the spinal cord or nerve roots. By delivering medication directly to the source of pain, spine injections can provide targeted relief for conditions such as herniated discs, spinal stenosis, degenerative disc disease, or sciatica.

How do you prepare for Spine Injections (Epidurals)?

Depending on your individual needs and the specific type of injection being performed, your provider may recommend certain steps in preparation of the procedure such as fasting for a specified period before the procedure, temporarily discontinuing certain medications that could interfere with the injection, or arranging for transportation to and from the appointment if sedation or anesthesia will be involved. It’s essential to follow any pre-injection instructions provided by your healthcare provider to ensure a safe and successful procedure.

Why are Spine Injections (Epidurals) performed?

Spinal injections are used both for relieving pain at the injection point, and for diagnosing the location of pain in other parts of the body. Epidurals are often used to relieve lower back pain. In administering an epidural, the doctor uses X-ray imaging to guide the needle – a method called fluoroscopy.

What can you expect during Spine Injections (Epidurals)?

During a spine injection procedure, you can expect to be comfortably positioned on an examination table or treatment chair in a specialized procedure room. Depending on the specific type of injection being performed and your individual preferences, you may receive sedation or anesthesia to ensure your comfort throughout the procedure. Your healthcare provider will use imaging guidance, such as fluoroscopy or ultrasound, to precisely locate the targeted area in the spine. A thin needle will then be inserted into the epidural space, and medication will be injected to provide pain relief and reduce inflammation. The entire procedure typically takes just a few minutes to complete, and you can usually resume your normal activities shortly afterward with little to no downtime.

What is the followup and recovery like for Spine Injections (Epidurals)?

The follow-up and recovery process for spine injections, including epidurals, may vary depending on the individual patient and the specific type of injection performed. After the procedure, you may experience some mild discomfort or soreness at the injection site, which can typically be managed with over-the-counter pain medications or ice packs. It’s essential to follow any post-procedure instructions provided by your healthcare provider, including guidelines for activity restrictions, wound care, and when to schedule follow-up appointments. Your provider will monitor your progress closely and may recommend additional treatments or adjustments to your treatment plan as needed to optimize healing and pain relief.

What are the potential risks for Spine Injections (Epidurals)?

While spine injections, including epidurals, are usually safe, there are possible risks and complications to keep in mind. In rare cases, complications such as nerve damage, spinal cord injury, or allergic reactions to the medication may occur. It’s important to discuss any concerns or pre-existing medical conditions with your healthcare provider before undergoing spine injections to minimize the risk of adverse effects.

Are there related procedures to Spine Injections (Epidurals)?

Nerve blocks or facet joint injections may be used in conjunction with epidurals to provide targeted pain relief for specific regions of the spine

Meet Manhattan Pain Medicne, PLLC

Jason W. Siefferman, MD is board-certified in Physical Medicine and Rehabilitation (PM&R) and Interventional Pain Medicine. He is trained to offer a comprehensive diagnostic evaluation and treatment for anyone experiencing pain or a disability. He has published articles, book chapters, and persuasive essays surrounding many... Learn More »