Benefits Of Epidural Steroid Injections

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Benefits of Epidural Steroid Injections


Overview


Epidural steroid injections (ESIs) provide a non-surgical solution for alleviating pain in the arms, neck, lower back, and legs (commonly due to sciatica). They target spinal nerve irritation often caused by conditions like spinal stenosis, spondylolysis, or disc herniation.

How It Works


ESIs combine a long-lasting steroid with a pain reliever, such as lidocaine or bupivacaine. The injection delivers these medications directly to the inflamed area via the epidural space, located between the protective lining of the spine and the vertebrae.

Duration of Relief


While the effects of ESIs can vary, they often provide temporary relief lasting from a week to up to a year. The primary goal is to reduce pain so patients can resume daily activities and, in some cases, participate in physical therapy.

Benefits


ESIs effectively reduce inflammation and pressure on spinal nerves. They are beneficial for individuals experiencing neck, arm, lower back, or leg pain. However, ESIs are not recommended for those who are pregnant, have infections, or suffer from bleeding disorders.

Considerations


Patients with diabetes should be aware that ESIs might slightly raise blood sugar levels for less than 24 hours. Risks associated with the injections include bleeding, spinal headaches, infections, nerve damage, and arachnoiditis. To minimize risks, ESIs should be administered by qualified professionals such as anesthesiologists, neurologists, radiologists, or surgeons.

Potential Side Effects


Corticosteroid side effects may include weight gain, water retention, and elevated blood sugar levels, particularly in diabetic patients. Those with chronic conditions like heart disease or rheumatoid arthritis, or those unable to stop anti-clotting medications, should consult their doctor for risk assessment.

Approximately half of patients experience significant pain relief from ESIs, making them a viable non-surgical option for many individuals.

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