Posts Tagged ‘epidural steroid injection’

Is an Epidural Right for my Back or Neck Pain?

More than 90% of people with back or neck pain find relief through non-operative treatment. Some patients will benefit from physical therapy or treatment at a pain management center while others may need an injection or series of injections to help decrease their pain.

How do I know if a spinal injection is right for me?

Epidural Steroid Injection Back Pain

This is a difficult question to answer because not all patients are candidates for spinal injections. Some conditions are better treated with surgery while other conditions are more appropriately treated with conservative treatment including spinal injections.

Depending on the type and severity of your back or neck pain, your physician may recommend a spinal injection. The type of injection you receive is based on your specific symptoms and the physical exam performed by your physician.

What is an epidural steroid injection & how can it help my back pain?

A common injection that we perform is the epidural steroid injection. This type of injection is used to relieve radiating pain down the arm or leg. The medicine used in the injection is a mixture of long-acting anti-inflammatory steroid and numbing medication. During the injection, the physician will position you on the table and then perform the injection with the help of x-ray guidance to ensure the injection is given in the correct place.

Most patients will notice a decrease in pain within 2-3 days, but some may take 1-2 weeks to notice the benefit of the injection. Depending on your spine condition, your physician may recommend a series of epidural steroid injections. Your physician will discuss the treatment plan with you.

Epidural steroid injections are commonly administered without problems, but there is always a slight risk whenever you have an invasive treatment.

Recently, a serious concern has been raised in the national medical community regarding the use of contaminated steroids causing an infection of the spine called spinal meningitis. Fortunately, at Emory Spine Center we have always carefully selected the pharmacies we use to supply all of our medications, including the steroids used for injections. Only those suppliers with best quality control have been chosen. Clearly, the end result has been beneficial as none of our patients received contaminated steroids.

It is important to remember that serious complications like the one discussed above are extremely rare. Please visit our website to learn about the other spinal injections we perform.

About Dr. Jose Garcia-Corrada

Dr. Jose Garcia-Corrada

Dr. Garcia-Corrada is an Assistant Professor in the departments of Orthopaedics and Physical Medicine & Rehabilitation at Emory University School of Medicine. He specializes in non-operative spine care and focuses on helping patients achieve their best functional level. Dr. Garcia started practicing at Emory in 2001.

 

Related Resources:

When Does Back Pain Call for an Epidural Steroid Injection?

Back pain epidural steroid injectionAs a physiatrist at the Emory Orthopaedics & Spine Center, I diagnose and treat back pain non-operatively, and one of the questions I’m asked most often by patients is whether they’re candidates for an epidural steroid injection.

If you have spinal pain, whether in your neck or back, your doctor will ask you whether it’s axial pain or radicular pain. Axial pain does not radiate into the arms or legs—it’s localized in one area. Radicular pain does radiate into the arms or legs. Axial pain typically is treated conservatively, with pain medication and exercise, and does not benefit from an epidural injection. However, if you have radicular pain and conservative measures haven’t helped, you may be a candidate for an epidural steroid injection.

In most cases, radicular pain is caused by one of two conditions—a herniated disc or spinal stenosis. Herniation is when a piece of the disc becomes disclocated, or slips, and presses on a nerve. This is more common among middle-aged patients, and 80% of patients with a herniated disc will get better over time without intervention. Disc herniations shrink as the body naturally self-heals. However, an epidural steroid injection can ease the pain and make the healing process more comfortable.

Spinal stenosis usually is caused by the natural wear and tear on the spine that comes with aging. Most patients with stenosis are 65 or older. Stenosis is degenerative and can lead to spinal nerve root compression or bony stenosis, which can cause pain, numbness, and weakness. While spinal stenosis may eventually require surgery, an epidural steroid injection can be a good temporary measure if you’re not quite ready for surgery or are not a candidate.

At Emory, we used different injection techniques depending on the condition. An interlaminar epidural is similar to the epidural a pregnant woman may opt for before giving birth. In this case, the goal is to introduce the steroid around the nerve root to decrease inflammation, which, in turn, eases pain. A transforaminal epidural is a more selective injection in which we target a specific nerve root that may be compressed by a herniated disc or a bone spur. Your doctor will decide which technique will benefit you.

In most cases if you have back or neck pain, your first step should be to try conservative pain-relief measures. However, when pain medication and exercise don’t help, and you’re suffering from radiating pain, an epidural steroid injection may be a good solution. An Emory physiatrist can work with you to diagnose your pain and set you on the right course of treatment.

Have you had an epidural steroid injection for back pain? We’d like to hear about your experience. Please take a moment to give us feedback in the comments section below. If you’re interested in learning more, we have some great information on epidural steroid injections for back pain our website.

About Susan Dreyer, MD:

Dr. Dreyer is an Associate Professor in the departments of Orthopaedics and Physical Medicine & Rehabilitation at Emory University School of Medicine.  Dr. Dreyer specializes in non-operative spine care and focuses on helping patients achieve their best functional level. She has taught many national and international courses on spine care and spinal injections for sciatica and other causes of back and neck problems.  She is also active in several professional societies. Dr. Dreyer started practicing at Emory in 1992.