Epidural Injections

Epidural Injections

Procedure in which a needle is inserted into the body and delivers temporary pain and inflammation relief with the use of local anesthetic (with or without a steroid).

1 - Epidural Injections

1. What is the epidural space?

The epidural space surrounds the spinal fluid and spinal cord/nerves. Narrowing of the spinal cord or spinal nerves (called stenosis) and inflammation may cause pain.

The goal of an epidural steroid injection is to decrease the inflammation in the epidural space, and hopefully decrease pain.

There are several possible sites of epidural injection depending on the location of the pain:

  • Cervical – neck, shoulders, arms
  • Thoracic – mid-back, chest, abdomen
  • Lumbar – low back, legs

2. Before the Procedure

It is important that you follow all pre-procedure instructions given to you at your clinic visit; if not, your procedure may be canceled.

3. The Procedure

You will be positioned on your abdomen. Your heart rate, blood pressure, and oxygen level will be monitored during the procedure. The injection site will be washed with a sterile cleaning solution. X-ray images will be taken of your spine to determine the correct placement of the needle for the injection.

Local anesthetic (“numbing” medication) will be injected into the skin. Contrast dye will be used to confirm that the needle tip is in the epidural space. Then, local anesthetic and steroid (anti-inflammatory) will be injected.

4. After the Procedure

You will remain in the recovery room for observation; we will monitor your vital signs during this time. The staff will give you discharge instructions.

 

Hess Orthopaedic Specialties

What is it?

  • Pain management is individualized treatment of chronic pain for each patient which is offered through a variety of different services.

How can you determine if the pain is temporary or chronic?

  • Temporary pain can result from injuries or other trauma and may last up up to a few weeks or a few months depending on the injury. The pain will typically go away after the injury is healed.
  • Chronic pain can result from injuries or other trauma and will last more than 3 months. The pain is still present even after the injury is healed. Others can experience chronic pain even with no signs of injury or trauma.

How can a pain medicine specialist help you?

Doctors who specialize in pain management:

  • Cubital Tunnel Syndrome is caused when your ulnar nerve, commonly known as the “funny bone”, experiences pressure or compression.

Symptoms

  • Will ask you about the pain you are experiencing
    • Where does it hurt?
    • How long has it been hurting?
    • What makes it feel better or worse?
  • Will review test and records, such as x-rays or other images, to determine what may be the best form of treatment
    will have you fill out a questionnaire, this individualizes the experience you are having and provides specific information about your pain